Endotracheal And Tracheostomy Tube Suctioning

STEPS IN ENDOTRACHEAL AND TRACHEOSTOMY TUBE SUCTIONING 1. Explain the procedure to the client client. 2. Wash hands before and after and observe appropriate infection control procedures. 3. Provide privacy and place the client o on semi-Fowlers position to promote deep breathing and maximum lung expansion. source and adjust st the oxygen flow to 100%. 4. Attach the resuscitation apparatus to the oxygen so 5. Open the sterile supplies pplies and place the sterile towel below the client’s tracheostomy. 6. Turn on the suction ction machine and set the pressure in accordance to the hospital policy. 7. Put on sterile gloves and hold the catheter using a forceps on dominant hand and the connector on the non dominant hand. 8. Flush and lubricate the catheter by placing the tip in saline solution. 9. Using the thumb of your non dominant hand, occlude the thumb control and suction small amount of sterile solution through the catheter. 10. Hyperventilate the patient before and after suctioning. 11. Using your non dominant hand turn on the oxygen to 12- 15L/min, (disconnect disconnect the oxygen source from the tracheostomy tube if the client is receiving oxygen oxygen). 12. Attach the resuscitator to the tracheostomy or endotracheal tube and compress the Ambu bag 3 - 5 times, as the client inhales. (If the he client is on ventilator, use it as hyperventilation and hyperoxygenation). 13. If the client has copious secretions, do not hyperventilate with a resuscitator, instead keep the regular oxygen delivery device on and increase the flow rate or the FiO2 to 100% for several breaths before suctioning. 14. Gently advance the catheter without applying any suction into the tracheostomy/endotracheal tube. 15. Insert the catheter about 12.5 cm for adults and less for children or until the clients cough co or if there is resistance. 16. Apply intermittent suctioning for 5 – 10 seconds by placing the non dominant hand on the suction port. 17. Withdraw the catheter completely and release the suction. 18. Flush the catheter by instilling normal saline solution into the irrigation port an and d apply suction. Repeat until the suction catheter is clear. 19. Reassess the client’s oxygenation tion stat status and repeat suctioning (allow 2-3 3 minutes between suctioning). 20. Flush the suction catheter and repeat suctioning until the passage is clear. 21. After each suction ion hyperventilate the patient using your non dominant hand and ventilate the clients in no more than three breaths. 22. Cleanse the suction tubing and disconnect the ttubing on the suction machine. 23. Provide client a comfortable, safe pos position that facilitates breathing and lung expansion. expansion 24. Record relevant data including the amount and the description of suction secretions and any other relevant assessments.

Get more nursing related downloads @ http://nursingpad.blogspot.com