Free Surgical Drain Log Template

Surgical Drain Log

An integral tool in monitoring drain-related actions during surgical procedures. This record aids in patient care and recovery through meticulous tracking of relevant details.

Prepared by: [YOUR NAME]
Date: July 28, 2056
[YOUR COMPANY NAME]

Log Overview

  • Meticulous recording and tracking of surgical drain-related information.

Drain Type

Insertion Date

Removal Date

Drain Output Measurements

Observations

Jackson-Pratt

02/01/50

02/05/50

50 ml, 40 ml,

30 ml

No signs of infection

Hemovac

02/03/50

02/08/50

60 ml, 55 ml,

45 ml

Slight serosanguinous fluid

Penrose

02/06/50

02/10/50

35 ml, 25 ml,

20 ml

Increased drainage on day 2

Notes:

  • Ensure drain type is properly identified.

  • Accurate recording of insertion and removal dates.

  • Maintain detailed records of drain output measurements and any observations/comments.

Log Templates @ Template.net