Please, please, please! Keep this Nursing Education resources for us. I deeply appreciate this channel as I am a visual learner. Thank you for all that you do.
oh my God ! Finally I found a great video with explanation and rational. Now , I feel 100% confident when taking care of patients with CT and know what to do. Great Job
I never comment on videos, but holy hell, this video is so thorough and absolutely amazing. I will be sharing this with my orientees/new grad nurses. Fantastic!
If the unit tips over and drainage seeped into the other collection chamber, could you just tip it over so it flows back into the furthest right side collection chamber? One of the best chest tube videos around
No, as long as the oasis stays below the patient, there’s concerns. The water chamber stops anything from being able to go back up the tube to the patient.
Why would the connection to wall suction have a suction canister in between vs connecting directly into the wall? There seems to be arguments of this at my unit but I don’t know the reasoning behind it
At the end of the day, because you always connect to a suction canister. If you connect directly to the wall, you’ll get suction to your oasis. But there are potential issues and risks that come from it. Let’s say you connect directly to the wall suction and either from being tipped, or overfilling of the canister without being switched out, fluid is sucked into the tubing connected to the wall, and ultimately sucked into the wall. Now your entire suction infrastructure is potentially contaminated with chest tube drainage. That would be a very pricey error. The suction setups used in hospitals are designed to utilize a suction canister as a separation from the suction infrastructure and whatever is being suctioned. The atrium oasis was designed with this in mind. There is no reason to bypass a consistent feature of suction. You then also run into issues of consistency with other forms of suction. If a less experienced nurse is learning how to utilize suction and sees the chest tube drainage bypass the canister, maybe next time, when he’s setting up suction to a yankauer, he bypassed the canister, not realizing the importance. Nasty mucous is then auctioned directly into the suction tubing in the wall, and travels through the hospital’s suction system. So short answer: because you ALWAYS use a suction canister. Longer answer: sometimes we do things to protect against worst case scenarios, and sometimes we do things a certain way so that it will simplify things in the long run (even if it seems like an extra step right now)
@@nursingeducation3952 thank you so much for this answer! I wasnt unsure about it. In the adult CVICU of our hospital, it’s practice to have it connected to canister. For whatever reason, now that I work in pediatrics, the policy says to connect directly to wall suction without canister. Im unsure if I should bring up this issue. Nonetheless, now I understand that the suction area where the blood is dumped is not sealed and if overfilled will get suctioned out.
Is the JP drain only used for after chest tube usage or is it used for something else as well? So if I see a pt with a JP drain, is it safe to say “oh this pt has had a chest tube recently removed” ?
Jp drains are used post surgically a lot. It doesn’t require a chest tube first. I’m not really sure how frequently that would be the case. I can’t think of a patient that’s needed a Jp following a chest tube.
there's a section on that in the video, but I also seperated it out to a smaller video specifically explaining the nuances of bubbling, so you could search that for the full explanation. Short answer: usually, yes. But it depends on what's going on in the chest that lead to the tube placement. If they have air in the chest from a pnuemothorax, as that air is removed, it will cuase bubbling in the chamber. when the air is gone, the bubbling should be gone. So you will see the intensity of bubbles lesson over time. If you put the tube in and there was no air in the chest, then bubbling shouldn't be expected. If it was a hemothorax (blood in the cavity) then you shoudl't see bubbling, but would see the blood fill the columns in the atrium.
Please, please, please! Keep this Nursing Education resources for us. I deeply appreciate this channel as I am a visual learner. Thank you for all that you do.
Really love this video!! so clear with good visuals and answers all the questions new nurses typically have!
Thank you. That’s everything I try to achieve when I’m making a new video.
Best video I've ever seen on chest tubes. This channel is so underrated
Thanks. I appreciate that.
So far the best video on chest tubes. Very thorough and well explained. Thank you!
Thank you
oh my God ! Finally I found a great video with explanation and rational. Now , I feel 100% confident when taking care of patients with CT and know what to do. Great Job
thank you so much. That's everything I hope to achieve when I make a video.
@@nursingeducation3952 you have achieved. Also , I forward it to my coworkers so they can learn the right way. Thanks
I never comment on videos, but holy hell, this video is so thorough and absolutely amazing. I will be sharing this with my orientees/new grad nurses. Fantastic!
Thank you so much. I try to leave no stone unturned. I’m happy you find it helpful.
Very clear explanation! Thank you
Thank You! Your videos are great!
Thank you for all your comments. I’m glad you’re finding them helpful!
If the unit tips over and drainage seeped into the other collection chamber, could you just tip it over so it flows back into the furthest right side collection chamber?
One of the best chest tube videos around
Is there tidaling with the dry suctions?
This video is amazing. Thank you
Explained so welll ❤️
I work in transport, when moving the patient from suction units, does the tubing need to be clamped? Thanks!
No, as long as the oasis stays below the patient, there’s concerns. The water chamber stops anything from being able to go back up the tube to the patient.
I love this video
Great video!
Thank you. I’m glad you find it helpful
Why would the connection to wall suction have a suction canister in between vs connecting directly into the wall? There seems to be arguments of this at my unit but I don’t know the reasoning behind it
At the end of the day, because you always connect to a suction canister. If you connect directly to the wall, you’ll get suction to your oasis. But there are potential issues and risks that come from it. Let’s say you connect directly to the wall suction and either from being tipped, or overfilling of the canister without being switched out, fluid is sucked into the tubing connected to the wall, and ultimately sucked into the wall. Now your entire suction infrastructure is potentially contaminated with chest tube drainage. That would be a very pricey error.
The suction setups used in hospitals are designed to utilize a suction canister as a separation from the suction infrastructure and whatever is being suctioned. The atrium oasis was designed with this in mind. There is no reason to bypass a consistent feature of suction. You then also run into issues of consistency with other forms of suction. If a less experienced nurse is learning how to utilize suction and sees the chest tube drainage bypass the canister, maybe next time, when he’s setting up suction to a yankauer, he bypassed the canister, not realizing the importance. Nasty mucous is then auctioned directly into the suction tubing in the wall, and travels through the hospital’s suction system.
So short answer: because you ALWAYS use a suction canister.
Longer answer: sometimes we do things to protect against worst case scenarios, and sometimes we do things a certain way so that it will simplify things in the long run (even if it seems like an extra step right now)
@@nursingeducation3952 thank you so much for this answer! I wasnt unsure about it. In the adult CVICU of our hospital, it’s practice to have it connected to canister. For whatever reason, now that I work in pediatrics, the policy says to connect directly to wall suction without canister. Im unsure if I should bring up this issue. Nonetheless, now I understand that the suction area where the blood is dumped is not sealed and if overfilled will get suctioned out.
Why is it bad to connect to intermittent suction.
Is the JP drain only used for after chest tube usage or is it used for something else as well?
So if I see a pt with a JP drain, is it safe to say “oh this pt has had a chest tube recently removed” ?
Jp drains are used post surgically a lot. It doesn’t require a chest tube first. I’m not really sure how frequently that would be the case. I can’t think of a patient that’s needed a Jp following a chest tube.
question: is it normal if it continously bubbles if you connected it to suction?
there's a section on that in the video, but I also seperated it out to a smaller video specifically explaining the nuances of bubbling, so you could search that for the full explanation. Short answer: usually, yes. But it depends on what's going on in the chest that lead to the tube placement. If they have air in the chest from a pnuemothorax, as that air is removed, it will cuase bubbling in the chamber. when the air is gone, the bubbling should be gone. So you will see the intensity of bubbles lesson over time. If you put the tube in and there was no air in the chest, then bubbling shouldn't be expected. If it was a hemothorax (blood in the cavity) then you shoudl't see bubbling, but would see the blood fill the columns in the atrium.
What about wet suction chest tube?
No mention of tidaling and other stuff
Good video but missing plenty of stuff
Good video
Definitely one of the best tutorials I've seen with chest tubes. Thank you 😊