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Part of thorax It has many contents like oesophagus,thoracic duct, sympathetic chain , azygos,hemoazyhos,accessory hemiazygos vein.
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These procedures are intended to describe procedures performed by Nurse Practitioners and/or Certified Nurse Midwives (depending on the clinical privileges granted to the individual practitioner) at UC San Diego
Health.
I. Definition A thoracentesis is a surgical puncture of the chest wall to aspirate fluid or air from the pleural cavity. A pleural effusion is an abnormal accumulation of fluid in the pleural space.
II. Background Information A. Setting: The setting (inpatient vs outpatient) and population (adults vs pediatrics) for the Advanced Health Practitioner (AHP) is determined by the approval of the privileges requested on the AHP Privilege Request Form. If the procedure is being done on a Pediatric patient, make sure Child Life Services is involved and use age appropriate language and age appropriate developmental needs with care of children, as appropriate to the situation. B. Supervision: The necessity of the procedure will be determined by the AHP in verbal collaboration with the attending physician or his/her designee. Direct supervision will not be necessary once competency is determined, as provided for in this procedure. At that time, general or indirect supervision is acceptable. Designee is defined as another attending physician who works directly with the supervising physician and is authorized to supervise the AHP.
The AHP will notify the physician immediately upon being involved in any emergency or resuscitative events or under the following circumstances:
C. Indications: To determine the cause of pleural effusion and to remove pleural fluid therapeutically in the event of respiratory distress. D. Precautions/Contraindications:
1.5 times normal), or anticoagulation therapy
III. Materials
d. 4X4 gauze pads, 5 ml syringe with 25- 27 gauge 55//8” needle & 22 gauge needle
b. Benefits
C. Procedure:
D. Post Procedure
E. Follow-up Instruct patient to call MD on-call or the clinic for any chest pain, increased cough, shortness of breath, or signs/symptoms of infection.
AHP will be signed off after demonstrating 100% accuracy in completing the procedure.
VII. RESPONSIBILITY Please contact the Advanced Practice Council if you need help. The administrative assistant for the Chief Nursing Officer can direct you. Call; 619-543-
VIII. HISTORY OF PROCEDURE Revised by the Committee of Interdisciplinary Practices: 2/26/2014, 9/28/ Reviewed by the Medical Staff Credentials Committee: 3/5/2014, 10/6/ Approved by the Medical Staff Executive Committee: 3/20/2014, 10/7/