to manage a wound drainage system begin by performing hand hygiene and ensuring privacy introduce yourself to the patient and identify him using two identifiers can you tell me your name yes it said Taylor in your date of birth April 14 1952 okay what I'm gonna be doing is checking your drain your Hema back drain and see if there's any drainage and then I will empty it for you okay apply clean gloves and determine which system is in use how many drainage tubes are in place and what kind of drainage is expected from each wound place a waterproof pad and a graduated cylinder or specimen container on the bed between you and the patient to empty a hema vac or const of AK drain open the plug on the port through which the drainage reservoir empties follow aseptic technique tilt the suction container toward the plug and then tilt the evacuator toward the measuring container allow the contents to drain completely unwrap an alcohol swab and hold it in your dominant hand the suction device should be on a flat surface with the open outlet face up cleanse the opening and plug with the alcohol pad when you're finished press down until the bottom and top surfaces of the suction device come into contact and immediately replace the plug make sure a vacuum has been re-established and confirmed that the tubing is patent check to make sure the tubing is not pulled tight and there is room for the patient to move without creating tension on the tube or dressing leave the wound device on the patient's bed mr. Fulton I'm gonna empty your Jackson Pratt okay okay let me take a look at your drain to empty a Jackson Pratt drain open the port at the top of the bulb shaped reservoir tilt the bulb toward the port and drain the contents collect the drainage in a measuring container use an alcohol swab to cleanse the end of the emptying port and the plug then compressing the bulb over the drainage container replace the plug to close the port for any of these devices place the drainage system below the wound site and secure it to the patient's gown with a safety pin check to make sure the tubing is not pulled tight and there is room for the patient to move without creating tension on the tube or dressing proceed with changing the dressing if indicated note the characteristics and volume of the drainage before you discard it I'll come check on you in a little bit already dispose of your used supplies then remove your gloves and perform hand hygiene as part of your follow-up care periodically observe the drainage in the device and watch for leakage assess the patient's pain using a scale from zero to ten everything looks good record the volume of any drainage on the intake and output form in the patient's medical record