Assisting with Procedures
Lumbar Puncture
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Gather needed equipment:
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Properly positioning the patient is crucial. |
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The physician will collect multiple specimens, which must be labeled and handled correctly.
Insertion of a Subclavian Central Line
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Subclavian central line insertion tray |
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Contains:
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The patient is placed in Trendlenburg (observe them closely for signs of respiratory distress during the procedure) If possible place a roll under the patient's shoulders for better access of the site. Have the patient turn their head to the opposite side Observe strict sterile technique: surgical gown, gloves, masks, head cover need to be used by physician and nurse |
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The junction of the medial 1/3 and lateral 2/3 between clavicle and first rib with direction towards opposite shoulder is infiltrated with local anesthetic agent after preparing it with a cleansing agent. The needle is inserted in to the punctured site and directed towards the suprasternal notch. When blood is noticed in the needle coming freely into the syringe, syringe is removed and cannula is inserted in the subclavian vein. The needle is subsequently withdrawn and cannula either locked or attached to IV drip. The cannula is anchored to the skin. A dressing is then placed over the insertion site. |
Chest Tube Insertion
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Gather equipment needed:
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Position patient appropriately depending on location of chest tube. |
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Open sterile tray |
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After cleaning the area, the physician will lift the flap for the rest of the equipment. | |
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When assisting the physician to withdraw the local anesthetic, hold the vial down as air is injected into the vial. | |
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Then raise the vial, so that the local anesthetic agent can be withdrawn into the syringe. | |
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The chest tube will be placed so that all the drainage holes are within the pleural space. | |
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The chest tube site will be covered with an occlusive dressing | |