Chest Drains Online Skills Pack

Table of Contents

1. Chest Drain Programme
2. Essential Pre-requisite Knowledge
3. Large bore chest drain insertion
4. Small-bore chest drain insertion
5. Pre-hospital chest drain insertion
6. Chest drain management
7. Chest drain Removal
8. Risk Factors of Chest Drain Management
9. Theoretical Assessment - Chest Drains
10. Housekeeping
    1. Assessment of Skill Acquisition - Small Bore Chest Drain Insertion
    2. Assessment of Skill Acquisition - Large Bore Chest Drain Insertion
    3. Assessment of Skill Acquisition - Pre-Hospital Chest Drain Insertion
    4. Assessment of Skill Acquisition - Chest Drain Management
    5. Assessment of Skill Acquisition -Chest Drain Removal
    6. Record of Completion of Programme (Small-Bore Chest Drain Insertion)
    7. Record of Completion of Programme (Large-Bore Chest Drain Insertion)
    8. Record of Completion of Programme (Pre-Hospital Chest Drain Insertion)
    9. Record of Completion of Programme (Chest Drain Management)
    10. Record of Completion of Programme (Chest Drain Removal)
    11. Practitioners' Evaluation Questionnaire (Chest Drains)
    12. References
    13. Useful On-line Resources
    14. Authors, Contributors & Reviewers
11. Appendices

References

American College of Surgeons. Chest Trauma Management. In: Advanced Trauma Life Support Manual. 7^th ed. Chicago: American College of Surgeons; 2004. pg 127-30

Bruce EA. Howard RF. Franck LS. Chest drain removal pain and its management: a literature review. Journal of Clinical Nursing. 15(2):145-54, 2006 Feb

Buchman TG, Hall BL, Bowling BM e al. Thoracic trauma. In: Tintinalli JE, Kelen GD, Stapczynski JS, editors. Emergency Medicine a Comprehensive Study Guide. 6^th ed. New York: McGraw-Hill; 2004. pg 1602-03

Doncaster and Bassetlaw Hospitals NHS Foundation Trust. Guidelines for the insertion and management of chest drains. 2008 [cited 12^th November 2008] available from http://www.dbh.nhs.uk/Library/Patient_Policies/PAT%20T%2029%20v.1%20-%20Chest%20Drains%20Guidance.pdf

Dougherty L, Lister S. Intrapleural Drainage. In: The Royal Marsden Hospital Manual of Clinical Nursing Procedures. 6^th ed. Oxford: Blackwell; 2006. pg 380-390

Driscoll P, Gwinnatt IC, Goodall O. Thoracic Trauma. In: Trauma resuscitation the team approach. 1^st ed. London: MacMillan; 1993. pg 80-82

Eckstein M, Henderson S. Thoracic Trauma. In: Marx JA, Hockberger RS, Walls RM, editors. Rosen's Emergency Medicine. 6^th ed. Philadelphia: Mosby; 2006. Pg 463-465

Griffiths JR, Roberts N. Do junior doctors know where to insert chest drains safely 2005. Postgraduate Medical Journal ;81:456-8

Kirsch TD, Mulligan JP. Tube Thoracostomy. In: Roberts & Hughes, editors. Clinical Procedures in Emergency Medicine. 4^th ed. Philadelphia: Saunders; 2004. pg 187-211

Kosowsky Jm. Pleural Disease. In: Marx JA, Hockberger RS, Walls RM, editors. Rosen's Emergency Medicine. 6^th ed. Philadelphia: Mosby; 2006. Pg 1147-48

Laws D, Neville E, Duffy J. BTS guidelines for the insertion of a chest drain 2003 Thorax ; 58:ii53

Lehwaldt D, Timmins F. The need for nurses to have in service education to provide the best care for clients with chest drains 2007. Journal of Nursing Management;15(2):142-48

McDonald J. Ward 116 Royal Infirmary of Edinburgh-guidelines- Intercostal drain. Available from NHS Lothian intranet; 2006

National Patient Safety Agency. Risks of chest drains 2008. [cited 12^th November 2008] available from http://www.npsa.nhs.uk/corporate/news/npsa-warns-of-risks-associated-with-chest-drains/

Rooney SJ, Hyde JAJ, Graham TR. Chest injuries. In: Driscoll P, Skinner D, Earlan R, editors. ABC of Major Trauma. 3^rd ed. London: BMJ books; 2000. pg 16-26

Rushing J. Clinical do's and don'ts- managing a water-seal chest drainage unit. Nursing 2007; 37(12): 12

Tang A, Hooper T, Hasan R. A regional survey of chest drains: evidence-based practice? Postgrad Med J 1999;75:471-74

Wong CA. Lee O. Kennedy Y. Kenealy H. Hood C. Sivakumaran P. Lee YC. The training, experience, and confidence of junior doctors in performing pleural procedures.

New Zealand Medical Journal. 122(1304):23-32, 2009.)