Which step is performed first in the chest tube removal procedure?

• A. Have all equipment set up
• B. Cut the stitch
• C. Hold tube
• D. Get dressing ready

Answer: (A)

Having all equipment set up first is crucial because chest tube removal can create an immediate need for a secure seal and sterile dressing, and any complication (like a sudden air leak or pneumothorax) must be managed right away. When supplies are ready, you can proceed smoothly and maintain a sterile field, keep the site ready for rapid dressing application, and have everything you need within reach to respond quickly. If you wait to gather items while removing the tube, delays and potential contamination or inadequate sealing can occur. After the setup, the subsequent steps—handling the tube, cutting the stitch, and applying the dressing—are performed in a controlled, timely sequence to minimize risk and ensure the site is promptly and properly closed.