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SUBJECT: Abdominal Paracentesis

DEPARTMENT: Intensive Care Services Page: 1


REFERENCE # 02-01-0320 Of: 2

1.0 Statement of Purpose

1.1 Abdominal paracentesis is an invasive procedure performed by a doctor


and assisted by a nurse. It involves insertion of a trocar or cannula into the
peritoneal cavity through the abdominal wall.

1.2 The procedure is most frequently performed for diagnostic purposes, to


introduce substances (medication) and symptomatic relief of abdominal
ascites.

2.0 Policy

2.1 Abdominal paracentesis is performed by appropriately, privileged medical


staff trained in this procedure and assisted by a Registered Nurse.

2.2 Only nurses who have completed the competency, Assisting with a Sterile
Procedure shall assist with this aseptic procedure.

2.3 In addition to standard precautions, a fluid shield surgical mask (goggles)


should be worn during the procedure.

2.4 Nurses shall be aware of the anatomy and physiology of the abdominal
organs with special reference to the peritoneum.

2.5 Nurses shall be aware of the potential problems associated with the
procedure for the abdominal paracentesis.

2.6 A consent form is completed and signed by the doctor and the patient prior
to the procedure.

Director of Department Director of Medical Administration Program Director


SUBJECT: Abdominal Paracentesis

DEPARTMENT: Intensive Care Services Page: 1


REFERENCE # 02-01-0320 Of: 2

2.7 For Abdominal Paracentesis procedure and documentation, refer to


Springhouse: Nursing Procedures, Chapter 10, Gastrointestinal Care.

3.0 References

Royal Marsden Hospital, Manual of Critical Nursing Procedures, Third


Edition.

Springhouse (1999) Nursing Procedures 3rd edition Springhouse


publishers.

Director of Department Director of Medical Administration Program Director