Thank you for sharing these great videos! I have learned a lot from them, especially the explanation of bubbling in the system. I have watched a couple of other videos performing dressing changes for a chest tube. I noticed that they as well as you guys, use petroleum gauze. According to Lippincott nursing procedure, "Petroleum gauze dressings may affect the stability of the sutures and macerate the skin." What are your thoughts about that? Thanks a lot and keep sharing videos like this.
Thank you for your kind words. I'm glad you found them helpful. As far as the petroleum gauze...I am demonstrating the processes according to my facility's requirements. Our content experts still utilize the petroleum gauze at this time. It helps to seal the site to stop any air from entering the pleural space. There may be another product that is able to do that and have less of an impact on sutures and the skin, but we don't carry anything that replaces the petroleum. To my knowledge we have not seen any issue in regard to the suture stability, and no significant maceration of the skin. We do have teams that regularly assess the sites and change the dressings. If something were becoming an issue, the goal would be to identify it and address it early with these regular assessments. I know that's not the most definitive answer, but I hope it helps.
I like your videos, they are clear even they are quick videos . I find them helpful. Could you please explain, some facilities require you to make a "triangle" seal during accidental pull-out? In your video, you are sealing all 4 corners, in some hospital policies like ours, it says leave one area open.
yes, at our facility the recommendation is to close all 4 corners. I did learn in school to leave one open, and while I was making this video I checked with all of our content leads and they all said to close the dressing completely, so that's what I represented in the video. There's supporting research both ways, so follow your hospital policy. I'm glad you find the videos helpful, always feel free to ask questions about anything. I represent the practice, policies and procedures of my facility in the videos, but if you have different requirements and think I could shed light on any questions, feel free to ask.
Thank you for sharing these great videos! I have learned a lot from them, especially the explanation of bubbling in the system. I have watched a couple of other videos performing dressing changes for a chest tube. I noticed that they as well as you guys, use petroleum gauze. According to Lippincott nursing procedure, "Petroleum gauze dressings may affect the stability of the sutures and macerate the skin." What are your thoughts about that? Thanks a lot and keep sharing videos like this.
Thank you for your kind words. I'm glad you found them helpful. As far as the petroleum gauze...I am demonstrating the processes according to my facility's requirements. Our content experts still utilize the petroleum gauze at this time. It helps to seal the site to stop any air from entering the pleural space. There may be another product that is able to do that and have less of an impact on sutures and the skin, but we don't carry anything that replaces the petroleum. To my knowledge we have not seen any issue in regard to the suture stability, and no significant maceration of the skin. We do have teams that regularly assess the sites and change the dressings. If something were becoming an issue, the goal would be to identify it and address it early with these regular assessments. I know that's not the most definitive answer, but I hope it helps.
@@nursingeducation3952 thank you very much!! I wish all the procedures in the Lippincott were explained in videos like yours. Keep up the good work!!
Thank you so much, this is very helpful.
I like your videos, they are clear even they are quick videos . I find them helpful. Could you please explain, some facilities require you to make a "triangle" seal during accidental pull-out? In your video, you are sealing all 4 corners, in some hospital policies like ours, it says leave one area open.
yes, at our facility the recommendation is to close all 4 corners. I did learn in school to leave one open, and while I was making this video I checked with all of our content leads and they all said to close the dressing completely, so that's what I represented in the video. There's supporting research both ways, so follow your hospital policy. I'm glad you find the videos helpful, always feel free to ask questions about anything. I represent the practice, policies and procedures of my facility in the videos, but if you have different requirements and think I could shed light on any questions, feel free to ask.
Isn’t it supposed to be a sterile technique?