Moving/ rolling / sitting patient with tubes or lines ?

[emad]

Hi,

Does anyone have link or information about rolling, get sitting patient with intervenous tubes or chest drainge tubes ?

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[KelcieLe]

Chest tube insertion: MedlinePlus Medical Encyclopedia
I found this link. Hope this helps.

[cptutoringservices]

The most important thing to remember when moving a patient with multiple lines and attachments is to have a plan clear in your mind. Start with a head-to-toe observation of the patient to ensure you are aware of exactly what attachments they have. Next ensure there is enough length on the attachments to allow the movement you wish to undertake. If you are mobilising the patient out of bed, move all the attachments to the side you will be getting out from. Remove any that can be removed - for example SpO2 probe if patient stable. If you have assistance with the mobility session, ensure that your assistant knows exactly which lines/attachments they responsible for. Also ensure that you advise the patient of the plan, and who will be responsible for each line and attachment. This will significantly reduce patient anxiety levels, and improve confidence and participation in the session. When mobilising always ensure that the lines are clear of the floor so the patient does not stand on them or trip on them. When mobility session finished, ensure lines are left neat and tidy, and any pumps are reconnected to a power source.

More specifically in relation to chest tubes there are a couple of specific rules - they should NEVER be lifted above insertion point. The only time this can be done is to quickly move them from one side of the bed to another to facilitate mobilisation, and for this they MUST be clamped, but for as short a time as possible. Another rule - if they are on wall suction, DO NOT remove them from wall suction. Mobility may be limited to within room, or even marching on spot.

Hope this helps, please feel free to ask for clarification on any of the above.