Question

A COTA is preparing for a BADL session with a patient who recently had Ls− spine surgery and has a lumbar drain. The COTA plans to transfer the patient from supine to sitting on the edge of the bed at the start of the session. Before initiating the transfer, what precaution MUST the COTA take?

A. Secure the drain to the patient's clothing or plane in the telemetry pocket on the gown
B. Monitor output rates of the drain before and after functional transfers and activity
C. Check that the tubing that connects to the drain has been clamped by the patient's nurse

Answer 1

The COTA must confirm with the patient's nurse that the tubing connected to the lumbar drain is clamped before transferring the patient, to prevent cerebrospinal fluid complications.

Step-by-step explanation:

Before initiating the transfer of a patient from supine to sitting on the edge of the bed after Ls− spine surgery with a lumbar drain in place, the Certified Occupational Therapy Assistant (COTA) must take the precaution to check that the tubing that connects to the drain has been clamped by the patient's nurse. It is critical to ensure the drain is managed correctly to prevent cerebrospinal fluid leakage or over-drainage, which can cause significant complications. The process includes a team of healthcare professionals, consisting of the surgeon, nurse, and anesthesia professional, who collectively review and address the key concerns for the recovery and care of the patient.