Step 3: Checking for blockages and flushing the circuit – ICST

Step 3: Checking for blockages and flushing the circuit

Tutorial demonstrations by Artemio Gonzales, Specialist Respiratory Nurse, ABUHB.

In this tutorial, Arte outlines the following steps for checking for blockages and flushing the circuit:

1. Check the drain is swinging or bubbling

Where the chest drain tubes enters the bottle of water, it should either be swinging or bubbling, depending on whether the patient has fluid or air in their pleural space. If the tube is not swinging or bubbling, the chest drain might be blocked and action should be taken.

2. A visual check for blockages

Checking the tube for blockages can start with a visual inspection for clots or other secretions.

3. Flushing the tube

If there is a blockage of the circuit, the tube should be flushed with sterile saline.

Step 3: Checking for blockages and flushing the circuit

Tutorial demonstrations by Artemio Gonzales, Specialist Respiratory Nurse, ABUHB.

In this tutorial, Arte outlines the following steps for checking for blockages and flushing the circuit:

1. Check the drain is swinging or bubbling

Where the chest drain tubes enters the bottle of water, it should either be swinging or bubbling, depending on whether the patient has fluid or air in their pleural space. If the tube is not swinging or bubbling, the chest drain might be blocked and action should be taken.

2. A visual check for blockages

Checking the tube for blockages can start with a visual inspection for clots or other secretions.

3. Flushing the tube

If there is a blockage of the circuit, the tube should be flushed with sterile saline.

Step 2: Use of the 3-way tap

Step 4: Replacing the bottle and tubing

Mark as Understood
© Institute of Clinical Science and Technology (ICST) 2020 Support: support@icst.org.uk