How to cover a surgical drain for a shower? A complete guide

Following surgery, managing a surgical drain during daily hygiene is a critical step for preventing infection and ensuring a smooth recovery. Knowing precisely how to cover a surgical drain for a shower with the right supplies and technique can make a significant difference in your comfort and healing process.

Quick Summary

Safely showering with a surgical drain involves using a combination of waterproof dressings or plastic wrap with tape to secure the drain site and keep it dry. In addition, specialized shower belts or pouches can provide extra security for the drain bulb, keeping tension off the insertion site and allowing for easier mobility.

Key Points

• Use waterproof protection: Apply a medical-grade waterproof dressing or a plastic wrap and tape barrier over the drain insertion site before showering to keep it dry.

• Secure the drain bulb: Use a mesh shower pouch, lanyard, or safety pin to hold the drain bulb securely and prevent painful tugging on the wound during your shower.

• Avoid direct water pressure: Direct the shower stream away from the drain site, or use a handheld shower head, to minimize the risk of water seepage.

• Pat, don't scrub: Gently pat the area dry with a clean towel after the shower and avoid scrubbing the incision site.

• Remove and replace dressing: After drying, carefully remove the waterproof covering and apply a fresh, clean dressing to the drain site as instructed by your doctor.

• Never submerge the drain: Do not take baths, swim, or use hot tubs while the drain is in place to prevent infection.

• Monitor for signs of infection: Watch for increased redness, swelling, pain, or foul odor and contact your healthcare provider if these symptoms occur.

Importance of keeping your surgical drain site dry

Keeping your surgical drain insertion site and surrounding area dry is paramount to prevent infection. The surgical incision is an open wound and any moisture, especially from potentially bacteria-laden shower water, can increase the risk of complications. Proper care not only supports faster healing but also reduces discomfort and stress during your recovery period.

Preparation before your shower

Before you begin, gather all necessary supplies and prepare your shower area to ensure a smooth, safe experience. This preparation is key to minimizing exposure to water and preventing accidental dislodging of the drain.

Supplies you will need

• Waterproof dressings: Medical-grade transparent film dressings (like Tegaderm) or larger adhesive wound covers are highly effective for creating a waterproof seal.
• Plastic wrap and waterproof tape: For a budget-friendly option, plastic cling wrap and high-quality waterproof tape can be used to create a custom barrier.
• Drain holder or pouch: A mesh drain holder or lanyard is ideal for securing the drain bulb, preventing tugging on the insertion site. A clean Ziploc bag can also work in a pinch.
• Clean towels: Have a clean, dry towel ready to gently pat the area dry immediately after the shower.
• Assistance: If possible, have someone assist you, especially for the first few showers, as you may feel unsteady or have limited mobility.

Setting up a safe showering environment

• Place a non-slip mat in the shower or tub to prevent falls.
• Have a shower chair or bench available if you feel weak or dizzy.
• Organize your supplies within easy reach, so you don't need to stretch or bend awkwardly.

Step-by-step guide to covering your drain

Method 1: Using a waterproof dressing

1. Remove old dressing: Carefully peel off any existing gauze or tape, inspecting the site for any signs of infection. Wash your hands thoroughly with soap and water.
2. Clean and dry the area: Gently clean the skin around the insertion site with mild, unscented soap and water, then pat the area completely dry with a clean towel.
3. Apply the waterproof dressing: Peel the backing from the dressing and center it over the insertion site. Ensure all edges are smoothed down firmly to create a complete seal. Be careful not to place adhesive directly over the drain tubing itself.
4. Secure the drain bulb: Place the drain bulb into a mesh pouch, a homemade lanyard, or a clean Ziploc bag. Pin or hang the holder securely to your clothing or around your neck to prevent it from dangling.

Method 2: Using plastic wrap and tape

1. Prepare the supplies: Cut a large enough piece of plastic wrap to generously cover the entire drain site. Cut several strips of waterproof tape.
2. Apply the barrier: Place the plastic wrap over the insertion site and secure all four sides with the waterproof tape. Overlap the tape strips to ensure no water can seep through.
3. Hold the bulb: Use the same method as above to secure the drain bulb, ensuring it does not pull or tug on the wrapped area.

During and after the shower

In the shower

• Use a handheld shower head to direct water away from the drain site if possible.
• If you don't have a handheld head, face the water stream and allow it to run down your back, keeping the front of your body with the drain protected.
• Avoid standing directly under the spray. A gentle trickle is safer than a strong blast.
• Limit the shower time to what is necessary. The longer you're exposed to moisture and steam, the higher the risk of seepage.

After the shower

1. Pat dry: Gently pat the skin around the drain dry with a fresh, clean towel.
2. Remove waterproof cover: Carefully remove the waterproof dressing or tape, avoiding any pulling on the drain tube or sutures.
3. Inspect the site: Check the dressing and the insertion site to ensure it remained dry. If any moisture is present, pat it dry immediately.
4. Redress the wound: Apply a new, clean, dry dressing as instructed by your healthcare provider. Use sterile gauze and tape, ensuring the slit gauze fits properly around the tubing.

Comparison of covering methods

Feature	Waterproof Dressing (e.g., Tegaderm)	Plastic Wrap + Waterproof Tape	Specialized Drain Holder (e.g., Mesh Pouch)
Effectiveness	Highly effective for creating a waterproof seal over small to medium sites.	Effective if applied correctly, though prone to user error and potential gaps.	Primarily for securing the drain bulb, not for waterproofing the site itself.
Ease of Use	Simple to apply and remove in a single piece.	Can be cumbersome to apply and ensure a complete seal.	Easy to use and provides excellent drain support, often wearable in the shower.
Cost	More expensive per use, but provides superior protection.	Inexpensive, using common household items.	Moderate cost, but reusable and provides additional comfort.
Best For...	Directly covering the incision and insertion site.	A quick, temporary fix for waterproofing the site.	Reducing strain and managing the bulb and tubing.

What to avoid when showering with a surgical drain

To ensure your safety and promote healing, several things should be avoided when you have a surgical drain:

• Do not soak: Avoid taking baths, swimming in pools, or using hot tubs. Submerging the drain site dramatically increases the risk of infection.
• Avoid scrubbing: Do not scrub the drain site directly with soap or a washcloth. Allow soapy water to run over it and gently pat it dry.
• No strong water pressure: A powerful spray from the shower can be too harsh for the healing wound.
• Do not hang the drain: Never allow the drain bulb to dangle freely. The pulling sensation can be painful and may dislodge the drain.
• Refrain from using certain products: Avoid lotions, powders, or creams near the drain site unless specifically instructed by your doctor.

When to contact your healthcare provider

It is crucial to be aware of signs of infection or other complications. Contact your doctor immediately if you notice any of the following:

• A fever of 100.4°F (38°C) or higher.
• Increased redness, swelling, or tenderness around the drain site.
• Pus draining from the insertion site.
• An unpleasant, foul odor from the drain site.
• The drain accidentally comes out or stops draining unexpectedly.

The importance of a drainage log

Throughout your recovery, your doctor will likely ask you to keep a log of the fluid output from your surgical drain. This helps them monitor your healing progress and determine the right time to remove the drain. A drainage record chart should be kept, noting the amount and color of fluid each time the bulb is emptied. This vital information helps ensure your recovery is progressing as it should. Your healthcare provider will give specific instructions on when the drain is ready for removal, often after the output has decreased to a certain volume for a few consecutive days. Proper drainage management, including safe showering practices, is a key component of a successful recovery. For more detailed instructions on drain care, consult with your surgical team or visit a trusted medical resource like Kaiser Permanente's guide to surgical drain care.

Conclusion

Safely covering a surgical drain for a shower is a manageable task that requires preparation, the right supplies, and careful technique. By using effective waterproof barriers and properly securing the drain bulb, you can maintain personal hygiene while minimizing the risk of infection. Always follow your healthcare provider’s specific instructions and know when to seek medical advice for any concerns during your recovery.

Frequently Asked Questions

Can I get my surgical drain wet in the shower?

No, it is crucial to keep the surgical drain insertion site completely dry during a shower to prevent infection. Waterproof dressings or other protective methods must be used to create a reliable barrier.

What kind of waterproof cover should I use for a surgical drain?

You can use a medical-grade waterproof dressing (like Tegaderm or a large adhesive bandage), or for a low-cost option, plastic cling wrap and waterproof tape. Specialized mesh drain holders are also available for securing the bulb.

How do I secure the drain bulb while showering?

You can secure the drain bulb by using a mesh shower pouch, a special drain lanyard, or by pinning it to a shoestring or the inside of your clothing with a safety pin. This prevents the bulb from dangling and pulling on the incision.

When can I start showering after getting a surgical drain?

The timing depends on your specific surgery and your doctor's instructions. Many patients are cleared to shower about 48 hours after surgery, but you must confirm with your surgical team first.

Is it better to take a bath or shower with a drain?

A shower is the only safe option. You must avoid baths, pools, and hot tubs, as submerging the drain site can lead to serious infection. It is important to keep the water exposure to a minimum.

What should I do if my drain site gets wet during a shower?

If the site gets wet, pat it dry immediately with a clean, dry towel. Replace any dressings and monitor the area for any signs of infection, such as redness or swelling. Contact your doctor if you have concerns.

Can I use a hair dryer to dry the drain site?

Using a hair dryer is generally not recommended, as the heat can irritate the skin and the air can blow germs onto the wound. Instead, gently pat the area completely dry with a clean, soft towel.