DiraChart · Clinical Reference · Read-only baseline inherited by all agencies
Body System Reference · 2.26
Lines / Drains / Devices
Indwelling medical devices and the access they provide. Routed here: vascular access (peripherally inserted central catheters, tunneled and non-tunneled central catheters, midlines, implanted ports, peripheral IVs), enteral access (gastrostomy, jejunostomy, nasogastric tubes), surgical and wound drains (Jackson-Pratt, Penrose, wound, and home chest drains), and home infusion therapy. The urinary catheter lives in Urinary/Renal; the tracheostomy lives in Respiratory; the ostomy appliance and stoma live in Gastrointestinal and Integumentary; device-site bleeding on an anticoagulant is shared with the Anticoagulation overlay.
This module supplies the assessment and skilled management of indwelling lines, drains, and devices in the home — site, patency, securement, dressing, output, and complication recognition — and the language that proves the care required a licensed nurse. Device care is intrinsically skilled. The urinary catheter, the tracheostomy, and the ostomy each have their own home and are cross-referenced here. Each narrative is a structured example to edit to the actual device and the patient’s orders — not a phrase to copy.
