Thank you. That’s everything I try to achieve when I’m making a new video.

Thank you

Thanks. I appreciate that.

Thank you so much. I try to leave no stone unturned. I’m happy you find it helpful.

thank you so much. That's everything I hope to achieve when I make a video.

@@nursingeducation3952 you have achieved. Also , I forward it to my coworkers so they can learn the right way. Thanks

Thank you for all your comments. I’m glad you’re finding them helpful!

Thank you. I’m glad you find it helpful

No, as long as the oasis stays below the patient, there’s concerns. The water chamber stops anything from being able to go back up the tube to the patient.

there's a section on that in the video, but I also seperated it out to a smaller video specifically explaining the nuances of bubbling, so you could search that for the full explanation. Short answer: usually, yes. But it depends on what's going on in the chest that lead to the tube placement. If they have air in the chest from a pnuemothorax, as that air is removed, it will cuase bubbling in the chamber. when the air is gone, the bubbling should be gone. So you will see the intensity of bubbles lesson over time. If you put the tube in and there was no air in the chest, then bubbling shouldn't be expected. If it was a hemothorax (blood in the cavity) then you shoudl't see bubbling, but would see the blood fill the columns in the atrium.

Jp drains are used post surgically a lot. It doesn’t require a chest tube first. I’m not really sure how frequently that would be the case. I can’t think of a patient that’s needed a Jp following a chest tube.

At the end of the day, because you always connect to a suction canister. If you connect directly to the wall, you’ll get suction to your oasis. But there are potential issues and risks that come from it. Let’s say you connect directly to the wall suction and either from being tipped, or overfilling of the canister without being switched out, fluid is sucked into the tubing connected to the wall, and ultimately sucked into the wall. Now your entire suction infrastructure is potentially contaminated with chest tube drainage. That would be a very pricey error. The suction setups used in hospitals are designed to utilize a suction canister as a separation from the suction infrastructure and whatever is being suctioned. The atrium oasis was designed with this in mind. There is no reason to bypass a consistent feature of suction. You then also run into issues of consistency with other forms of suction. If a less experienced nurse is learning how to utilize suction and sees the chest tube drainage bypass the canister, maybe next time, when he’s setting up suction to a yankauer, he bypassed the canister, not realizing the importance. Nasty mucous is then auctioned directly into the suction tubing in the wall, and travels through the hospital’s suction system. So short answer: because you ALWAYS use a suction canister. Longer answer: sometimes we do things to protect against worst case scenarios, and sometimes we do things a certain way so that it will simplify things in the long run (even if it seems like an extra step right now)

@@nursingeducation3952 thank you so much for this answer! I wasnt unsure about it. In the adult CVICU of our hospital, it’s practice to have it connected to canister. For whatever reason, now that I work in pediatrics, the policy says to connect directly to wall suction without canister. Im unsure if I should bring up this issue. Nonetheless, now I understand that the suction area where the blood is dumped is not sealed and if overfilled will get suctioned out.