Section 3: Management
In this section
- Equipment required at bedside
- Receiving a patient with an UWSD
- Transferring a patient with an UWSD
- Drainage
- Trouble shooting UWSD and tubing problems
- Flushing
- Clamping
- Unblocking a pleural catheter
- Patient activity, hygiene and pain relief
Management and trouble shooting of pleural drains
If multiple drains are present, label each drain so that they can be easily identified (e.g. apical or basal drain).
- All patients with a pleural drain should be cared for by a medical or surgical team experienced with intercostal catheter management and nursed on a ward familiar with the care of intercostal catheters and drainage systems.
- The UWSD should be kept below the level of the patient's chest at all times.
- Reassure the patient frequently and reinforce their need to adhere to the correct UWSD position.
- Provide adequate pain relief whilst a pleural drain is in situ.