A nursing procedure used by professional nurses and student nurses during training to tap free fluid within the peritoneal cavity.
Purpose: To tap free fluid within the peritoneal cavity
Requirements on a Trolley:
Top Shelf – Paracentesis Pack Containing: 1 Receiver
1 Gate clip
Trocar and Cannula
2 Pieces Rubber tubing (large and 1 small)
1 Bard Parker handle with blade
2 Towels (one for hand, one for draping) 1 2cc. Glass Syringe
1 Test Tube
1 Toothed Dissecting forceps
1 Michael clip plus applicator
2 injection needles
1 Safety pin
3 gauze swabs
1 wool pad
Bottom Shelf: Gloves (correct size for Doctor)
Savlon 1 – 3 in spirit for cleaning the skin
Local anaesthetic (2% Xylocaine)
Large abdominal Binder
Winchester bottle on a small tray Strapping and scissors in receiver Stimulant tray
1 receiver for used swabs
1 receiver for used forceps Mask container
1 Mackintosh apron
1 Mackintosh drape
Preparation of the Patient:
- Explain the procedure to the patient. first, to make him at ease.
- Screen the bed. Offer a bedpan or urinal.
- If the patient is unable to empty his bladder, inform the doctor who may order catheterization. The main hazard of this procedure is the puncture of a distended bladder.
- Shave the abdomen if necessary
- Sit the patient up so that fluid may drain downwards and forward to an accessible position.
- Open the pyjama jacket and cover the chest
- Slip the binder behind back
- Fold the bed clothes to the thighs and cover with mackintosh
- Stand the Winchester bottle on the floor bedside the bed. The assistant open the pack and pours the lotion for the Doctor. The Doctor checks the xylocain 2% and draws it up.
- After scrubbing, the Doctor dries his hands with a sterile towel and puts on his gloves
- He cleans the skin, drapes it with a large towel
- He instills the local anaesthetic half way between the umbilicus and the symphysis pubis to one or other side of the midline.
- He assembles the Southey’s tube and then nicks the skin with scalpel to facilitate the introduction of the tube, which will then pass easily into the abdomen