🩺 Chest Drain Counselling
High-Yield Notes Full Script

High-Yield OSCE Points 🧠

📚 Knowledge

✅ Strategy & Summary

Full Word-for-Word OSCE Script 📜

❓ What is a chest drain?

"A chest drain is a small tube that we insert between your ribs into the space around your lung where air has leaked."

"This allows the air to escape and your lung to re-expand, helping relieve your symptoms."

🩺 What inserting a chest drain involves

"Before the procedure, we will numb the area with a local anaesthetic and can give extra pain relief if needed."

"Using ultrasound guidance, we insert a needle between your ribs, then replace it with a plastic tube which is the drain."

"The tube is connected to a container that collects the air."

"The drain usually stays in place for 1-2 days but sometimes longer."

"You'll stay in hospital during this time. The drain is secured with stitches and a dressing."

⚠️ Risks of inserting a chest drain

"There are some risks such as pain, bleeding, infection, and possible damage to nearby organs."

"Sometimes the drain can fall out and need reinsertion, but stitches and dressings reduce this risk."

"If the drain does not work, other treatments will be considered."

❓ Removing the drain

"Removing the drain is a simple procedure where the dressings are taken off and the tube gently pulled out."

"It can be uncomfortable but is very quick and pain relief can be provided."

❤️ Exploration & Empathy

"How do you feel about the information I have given you?"

✅ Strategy and summary

"Could you please summarise what we’ve discussed today?"