The nurse empties the patient’s Jackson-Pratt drain 24 hours after a partial colon resection. There is 10 mL drainage that is noted to be light red and thin. There is no odor and the fluid is free of sediment or clots. How does the nurse document this assessment in the medical record that is charted by exception?

10 mL serosanguineous fluid drained from the JP drain. To chart by exception, the nurse describes the amount (which is important to track output), color/consistency of the fluid, and where it came from: 10 mL serosanguineous fluid from the JP drain. The fluid is expected to not have clots, sediment, or odor, so by not charting that, the nurse is documenting that they are not present. The nurse should use the proper term for red-tinged fluid: serosanguineous. The terms “small” and “increased” are inappropriate because they are open for interpretation.

The nurse empties the patient’s Jackson-Pratt drain 24 hour...

Category: Basic Care and Comfort
Difficulty: 5

Topics: Communication & Documentation Disease Prevention

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