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Every 15 minutes for the first hour; Every hour for the next 3 hours and every 4 hours until removal Record the amount and type of drainage
Observe site for signs of infection/disconnection/air leak and/or displacement Ensure patient is comfortable and give analgesia as required
Ensure drainage bottle is positioned correctly below the level of the chest Refer to Trust policy for further information
Red bottle
Blue bottle
connections
prescription
Underwater
Chest drain
Chest drain
water level
seal intact
in suction
Signature
Swinging
setting at
Tubing &
Bubbling
Drainage
Bubbling
HOURLY
drainage
drainage
changed
checked
running
Suction
Suction
Correct
Bottle
type *
bottle
intact
Band
total
wall
Site
Date Time
y/n y/n C/P/B/SS y/n y/n dry/wet y/n mls mls ….cmH20 y/n y/n ……KPa
Every 15
minutes
for the first
hour
Every
hour for
the next 3
hours
Suction
setting at
wall
Correct
water level
y/n
in suction
Red bottle
bottle
y/n
Bubbling
….cmH20
Suction
prescription
Chest drain
drainage
mls
running
total
HOURLY
Chest Drain Observation Chart
Chest drain
mls
drainage
Bottle
y/n
changed
dry/wet
Site
checked
Tubing &
y/n
connections
intact
SS = serosanguineous
Underwater
y/n
seal intact
C/P/B/SS
Drainage
Blue bottle
type *
B = blood
y/n
Bubbling
y/n
Swinging
P = purulent
Time