Common Investigations

 Special workups / short terms for the investigations needed: 

IJC exchange

• One IJC
• General set
• Syringe 10cc x2
• Sterile prep
• 5cc syinge x2
• Lignocaine
• Gown, apron
• Hep saline(blue) in 100cc normal saline
• Blue sheet
• Sterile gloves
• Blue needle x1
• Green needle x1
• One set ijc rm240 must make sure correct ijc - 2flo or 3 flo
• Suture set, syringe(blue) and need.

Chest tube insertion template

Retrospective entry

Upon primary survey noted patient is having right tension pneumothorax evidence by: hyperresonance, reduce air entry over affected site and trachea deviated to opposite site.

Decided for chest tube for definite treatment after immediate needle thorachocenthesis.

Chest tube was inserted by_____.

Explained to patient regarding the need and possible complication of chest tube insertion; patients understood & agreed.

Chest tube inserted at safety triangle with open method, using chest tube size ___, and anchored at ____cm

Post insertion, chest tube functioning evidence by gushed of air.

No immediate complication observed.

Plan;

-Keep patient propt up patient 30-45 degree

-for cxr post chest tube insertion

-keep high flow mask

-keep spo2 more than 95%

-to teach patient for lung exercise.