An indirect cost rate represents the ratio between the total indirect costs and benefiting direct costs, after excluding and or reclassifying unallowable costs, and extraordinary or distorting expenditures.ooking at it another way, indirect costs are those costs that are not classified as direct. Direct costs can be identified specifically with particular cost objectives such as a grant, contract, project, function or activity.
Chest Tube Placement. When a chest tube is inserted for a collapsed lung, a small area on the chest is numbed by using a local anesthetic. The tube is then inserted, and connected to a machine which uses suction to remove the air, thus allowing the lung to re-expand. The tube is sutured in place so it wonât pull out with movement.
In pediatric patients, chest tube size varies with the size of the child. In patients older than 12 years, the chest tube size used is usually the same as that for adults. In smaller children, a 24- to 34-French chest tube should be used, depending on the size of the child.ttention should be given to the location of insertion on the chest wall and the intrathoracic position of the tube as seen on the chest radiograph. For maximum drainage, thoracostomy tube placement for hemothorax should ideally be in the sixth or seventh intercostal space at the posterior axillary line.