Step 4: Replacing the bottle and tubing – ICST

Step 4: Replacing the bottle and tubing

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

In this tutorial, Arte outlines the following steps for replacing the bottle and tubing:

1. When to change the bottle

The bottle should be changed when it is full to prevent it overflowing.

2. How to change the bottle in a sterile way

A new bottle and tube should be introduced into the circuit safely and using an aseptic technique.

3. How to re-assess the bottle

When the new bottle and tube is in place, the tube should start swinging or bubbling. If this doesn’t happen straight away, ask the patient to take a deep breath and cough.

Step 4: Replacing the bottle and tubing

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

In this tutorial, Arte outlines the following steps for replacing the bottle and tubing:

1. When to change the bottle

The bottle should be changed when it is full to prevent it overflowing.

2. How to change the bottle in a sterile way

A new bottle and tube should be introduced into the circuit safely and using an aseptic technique.

3. How to re-assess the bottle

When the new bottle and tube is in place, the tube should start swinging or bubbling. If this doesn’t happen straight away, ask the patient to take a deep breath and cough.

Step 3: Checking for blockages and flushing the circuit

Step 5: Assessing the chest drain dressing

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