Consensus Guideline
Pleural Drains in Adults
Role of the pleural drain remover
- Thoroughly cleanse the drain insertion site and the first 10cm of the drain with skin cleansing solution 2% chlorhexidine and 70% alcohol or equivalent.
- Dry the area with gauze (to ensure occlusive dressing adheres to skin) identify anchor suture, cut and remove the suture whilst supporting pleural drain.
- Hold drain in dominant hand whilst gently pinching the skin at the insertion site with non dominant hand.
- Remove the drain swiftly but gently while simultaneously pinching the skin around the insertion site.
- There should be no excessive force required to remove the drain. If any resistance is met, STOP the procedure and review the device/procedure for additional sutures or locking device. If resistance continues STOP the procedure and call for senior medical assistance.
- Check that the tip of the drain is intact.
- Cut excessive suture material, dry skin and apply occlusive dressing, then label with date and time of removal.
- Perform hand hygiene.
- Document removal in the patient's medical record.