What is the first action a nurse should take when noticing no drainage from a chest tube?

The first action a nurse should take when noticing no drainage from a chest tube is to check for obstructions or kinks in the chest drainage system. This step is crucial because it allows the nurse to identify any physical barriers that may be preventing proper drainage. Kinks in the tubing or clots within the chest tube can significantly impact the function of the system, and ensuring a clear path for drainage is essential for effective patient management.

Addressing the potential obstruction first is important because resolving it can quickly restore normal function, providing immediate relief and prevention of further complications. This proactive approach supports wound healing and lung expansion, which are critical after procedures involving chest tubes, such as thoracotomy or treatment for pneumothorax.

While notifying the healthcare provider, stripping the chest tube, or assessing the patient's heart rate may also be necessary depending on the situation, they are more appropriate after addressing the immediate concern of the chest tube's drainage function. Ensuring that the drainage system is clear is the best first step in maintaining patient safety and care effectively.