OBA Nursing Academy
Clinical Skills Laboratory — Intercostal Catheter & Underwater Seal Drain
Care for a patient with a chest drain safely — read the drain, keep it safe, and know when to escalate.
A realistic practice-and-assessment simulator for caring for a patient who has an intercostal catheter (ICC) and underwater seal drain (UWSD) in situ. Check and safely maintain the drainage system, assess the drain (swing/oscillation, bubbling/air leak, drainage volume and type, insertion site), maintain it safely, recognise complications and escalate within scope. Every step gives instant feedback — retry as often as you like.
Learning outcomes — you will be developing skills to:
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Scope: Insertion and removal are medical procedures — not your role. Care, monitoring, safe maintenance, assisting and escalation are undertaken at enrolled-nurse level in consultation with the RN, per policy and the care plan. You do not insert, remove or independently manage the ICC, and you do not clamp the drain except where specifically directed by policy/senior clinician. The framing throughout is care, monitor, maintain safely, recognise and escalate.
Education-only. Australian context and spelling. Mapped to HLTENN043 and aligned with the NMBA Standards for Practice, NSQHS Standard 8 (Recognising & Responding to Acute Deterioration), Standard 3 (Infection prevention) and Standard 5 (Comprehensive Care). Generic, original equipment — water-seal levels, suction, clamping/milking rules and emergency actions vary per local policy and manufacturer instructions. This simulation supports learning and does not replace supervised clinical practice, facility policy or professional judgement.
Knowledge primer
Tap each card to reveal the principle. Then answer the knowledge check — including a swing vs bubbling item and a never clamp / keep below the chest item — to prepare for the scenarios.
Knowledge check
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Review the cards above — aim for 5/6 before the scenarios.
SKILLS-READY SUMMARY
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ICC & Underwater Seal Drain Care · {{ summaryDate }}
SCENARIOS SATISFACTORY
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AGGREGATE SCORE
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KNOWLEDGE CHECK
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✓ SKILLS-READY — ICC & UNDERWATER SEAL DRAIN CARE
Completion code — present to your clinical educator to gate supervised lab practice.
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Not yet Skills-Ready — keep going
Complete every scenario at Satisfactory (all critical items correct, no unsafe actions) with an aggregate ≥85%, and pass the knowledge check (≥5/6). Unlimited retries.
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OBANA UWSD Simulator
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PATIENT & CIRCUIT
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BED CLAMPS ×{{ clampsAtBed }}
UNIT POSITION vs CHEST
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DOCTOR'S ORDERS
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A · SUCTION DIAL
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C · AIR LEAK MONITOR
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B · WATER SEAL
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D · COLLECTION 0–2000 mL
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WRITE-ON LABEL — HOURLY MARKS
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DRY SUCTION · WATER SEAL · SINGLE COLLECTION — modelled on a 3600-style unit
SHIFT CLOCK
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HR
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RR
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SpO₂
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BP
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TEMP
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PAIN
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NURSING ACTIONS
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EVENT LOG
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Select everything you will hand over. Scored on ISBAR completeness.
Perform the sampling steps in the correct order.
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DEBRIEF
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SANDBOX — SET ANY STATE AND OBSERVE THE UNIT
OBANA — Education and simulation only. Not for clinical use. Always follow your facility's clinical guidelines and medical orders.