SUCTIONING ON ENDOTRACHEAL TUBE
1. Explain the procedure to patient and reassure him or her that you will interrupt procedures if the patient indicates respiratory difficulty.
2. Gather Equipment and provide privacy for patient
3. Perform hand hygiene
4. Assist the patient to a semi-fowlers position or fowler's postion
5. Turn suction in appropriate pressure
6. Place clean towel if being used, across patients chest, don goggles, mask and gown if necessary
7. Open sterile kit or set up equipment and prepare to suction
8. Don sterile gloves or one sterile glove on dominant hand and clean glove on non-dominant hand
9. Connect sterile suction catheter to suction tubing that is held with unsterile glove hand.
10. Keeping catheter wrapped around sterile hand, remove ventilator from the endotracheal tube with nonsterile hand.
11. Hyperoyganate or hyperventilate with manual resuscitation bag three to five times between suctioning. Keep the catheter sterile, gently insert the catheter into the endotracheal tube. Advancing until patient begins cough or resistance is met. Do not occlude Y port when inserting catheter.
12. Apply intermittent suction by occluding the Y port with thumb of unsterilized gloved hand. Gently rotate catheter with thumb and index finger of sterile gloved hand as catheter is being withdrawn. Do not allow suctioning to continue for more than 10 seconds
13. Flush catheter with saline solution and repeat suctioning as needed and according to patient toleration of procedure. Allow patient to rest at least 30 seconds- 1 min between suctioning and replace oxygen delivery setup if necessary. Reconnect to the ventilator and hyper oxygenate with AMBU Bag three to five times between suctioning
14. When procedure is completed, turn off suction and disconnect catheter from suction tubing. Remove gloves inside out and dispose gloves.
1. Explain the procedure to patient and reassure him or her that you will interrupt procedures if the patient indicates respiratory difficulty.
2. Gather Equipment and provide privacy for patient
3. Perform hand hygiene
4. Assist the patient to a semi-fowlers position or fowler's postion
5. Turn suction in appropriate pressure
6. Place clean towel if being used, across patients chest, don goggles, mask and gown if necessary
7. Open sterile kit or set up equipment and prepare to suction
8. Don sterile gloves or one sterile glove on dominant hand and clean glove on non-dominant hand
9. Connect sterile suction catheter to suction tubing that is held with unsterile glove hand.
10. Keeping catheter wrapped around sterile hand, remove ventilator from the endotracheal tube with nonsterile hand.
11. Hyperoyganate or hyperventilate with manual resuscitation bag three to five times between suctioning. Keep the catheter sterile, gently insert the catheter into the endotracheal tube. Advancing until patient begins cough or resistance is met. Do not occlude Y port when inserting catheter.
12. Apply intermittent suction by occluding the Y port with thumb of unsterilized gloved hand. Gently rotate catheter with thumb and index finger of sterile gloved hand as catheter is being withdrawn. Do not allow suctioning to continue for more than 10 seconds
13. Flush catheter with saline solution and repeat suctioning as needed and according to patient toleration of procedure. Allow patient to rest at least 30 seconds- 1 min between suctioning and replace oxygen delivery setup if necessary. Reconnect to the ventilator and hyper oxygenate with AMBU Bag three to five times between suctioning
14. When procedure is completed, turn off suction and disconnect catheter from suction tubing. Remove gloves inside out and dispose gloves.
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