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BE: Respiratory Care BE-06: Chest Tubes
No. Competency Item NAC DEV COM DTE EXC
BE-06-01 Demonstrate knowledge of anatomy and physiology of the respiratory system.
  Demonstrate knowledge of the indications for chest tube insertion:          
BE-06-02
  • pneumothorax
  • BE-06-03
  • hemothorax
  • BE-06-04
  • tension pneumothorax
  • BE-06-05 • surgical treatment.
      Demonstrate ability to identify and describe the location and purpose of types of chest tubes:          
    BE-06-06
  • pleural
  • BE-06-07
  • mediastinal.
  •   Demonstrate ability to identify and describe the mechanisms used to drain fluid and air from the pleural cavity or mediastinum:          
    BE-06-08
  • gravity
  • BE-06-09
  • suction
  • BE-06-10
  • underwater seal drainage.
  •   Demonstrate the knowledge and ability to identify components of the commercial chest drainage system such as:          
    BE-06-11
  • air vent
  • BE-06-12
  • collection chamber
  • BE-06-13
  • port for adding water to system
  • BE-06-14
  • suction control system
  • BE-06-15
  • tubing attached to chest tube
  • BE-06-16
  • water seal chamber.
  • BE-06-17 Demonstrate knowledge and ability to assist with the insertion of a chest tube and to set up a chest drainage system.
    BE-06-18 Demonstrate knowledge and ability to identify the equipment and supplies required to care for a client with a chest drainage system.
      Demonstrate ability to identify the nursing interventions for the following problems that can result with a chest drainage system such as:          
    BE-06-19
  • continuous bubbling in the water seal chamber
  • BE-06-20
  • absence of fluid fluctuation in water seal chamber
  • BE-06-21
  • apparatus lifted above clients chest
  • BE-06-22
  • apparatus becomes broken
  • BE-06-23
  • chest tubes accidentally pulled out
  • BE-06-24
  • subcutaneous emphysema.
  • BE-06-25 Demonstrate knowledge of chest drainage systems in the teaching of clients and significant others.
      Demonstrate ability to report and document abnormal findings for a client with a chest drainage system such as:          
    BE-06-26
  • hemorrhage
  • BE-06-27
  • incorrect tube placement
  • BE-06-28
  • infection
  • BE-06-29
  • lung laceration
  • BE-06-30
  • plugging of tube
  • BE-06-31
  • re-expansion pulmonary edema.
  •   Demonstrate knowledge and ability to document information when caring for a client with a chest drainage such as:          
    BE-06-32
  • abnormal findings
  • BE-06-33
  • actions taken
  • BE-06-34
  • amount and characteristics of drainage
  • BE-06-35
  • assessment data
  • BE-06-36
  • client's position
  • BE-06-37
  • patency of system
  • BE-06-38
  • presence of bubbling or fluctuation
  • BE-06-39
  • type of system.
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