Check INR is 1.5 or less and when anticoagulants were last given prior to drain removal in patients with anticoagulant therapy.
Consider giving analgesia to the patient as soon as the decision for removal is confirmed and documented.
Perform a pain assessment prior to removal and offeranalgesia as required.
Check that a recent CXR has been viewed to ensure the lung is re inflated.
Identify if the small bore intercostal catheter has any self-retaining mechanism which will need unlocking / disabling and confirm the appropriate procedure for removing the intercostal catheter and suture.
In the event that releasing the self-retaining locking mechanism does not work, arrange for either patient transfer to radiology for removal or follow the facility endorsed protocol.
check the facility or unit preference for the specific phase of breathing required when the tube is being removed.