Before discharge

You have implanted an indwelling catheter due to recurrent pleural fluid or ascites and want to discharge the patient from hospital. What do you need to do now?

Please follow the procedures below to ensure that the patient is discharged safely and has drainage materialto drain the fluid.

Things to think about before discharge

Plan the patient’s discharge to the homecare. The patient may not feel compelled to drain the fluid themselves and may not have loved ones who can help. In this case, a home healthcare service needs to be called in. Even if the patient or family member has to take the fluid themselves, it’s a good idea to have a home healthcare service as a backup. The patient may gradually get worse and need help.

  • Make sure that the patient, family member or home care provider has the knowledge to drain the patient. Please contact us if there is a need for training.
  • Ensure that the prescription for the amount and interval of draining and suturing is in place.
  • Please send at least 2 drainage sets home with the patient and ensure ordering procedure for further drainage at home. Also send a small bottle of chlorhexidine lotion.
  • Give the patient a treatment note and the Patient and Drainage Information leaflet, which you can get from us.
  • Keep in mind that it is a good idea to keep some drainage material at the clinic in case the patient is re-admitted at a later date.

Training through ewimed

- Now it's our turn!

Once you’ve implanted the catheter and we’ve found out who’s going to drain the fluid, we’ll make sure they’re trained and have the right drainage materials. Of course, we also train other departments in the hospital in case the patient changes wards.

Discharge from hospital

- What to do on the day of discharge?

  1. Perform a drainageon the day of discharge. Drain as much as possible based on the patient’s medical conditions before the patient goes home. Observe national guidelines for ascites sampling regarding possible albumin replacement.
  2. Disconnect the drainage material and put a new sterile cover on the safety valve. The safety valve closes automatically so that no clamp is needed on the catheter. Check that the bandageis secure.
disconnect a nozzle from a safety valve on the PleurX or drainova indwelling catheter

1 | Disconnect the drainage material from the catheter.

clean the safety valve of the retained PleurX or drainova catheter

2 | Disinfect the safety valve.

put on a PleurX valve cover so that it hooks into

3 | Put on a new lid and apply a new bandage.

Give the patient the treatment message from the doctor together with the catheter passport (if available) and our Patient and drainage information leaflet.

If you have any other questions, our staff will be happy to help.

Do you have any questions?

Here are some of our frequently asked questions.