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.