The present invention is a pediatric drain or tube management device. The device has a unitary swaddling device having a main portion, a first lateral portion adjacent to the main portion, a second lateral portion adjacent to the main portion and opposite the first lateral portion, and a covering portion. Each lateral portion has an aperture extending therethrough and an end having a fastening means affixed thereto. The covering portion is positioned exterior to the lateral portions and has a fastening means affixed thereto. The present unitary swaddling device is configured such that a pediatric patient having a medical tube is placed upon the main portion of the device, the first lateral portion is folded over the patient and the second lateral portion is folded over the first lateral portion, such that the medical tube is extended through the apertures in the lateral portions and the fastening means is used to secure the drain in place, and the covering portion is folded over the lateral portions and the secured drain.
