endotracheal and tracheostomy tube suctioning

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STEPS IN ENDOTRACHEA 1. Explain the procedure to the clien 2. Wash hands before and after and o 3. Provide privacy and place the clie lung expansion. 4. Attach the resuscitation apparatus 5. Open the sterile supplies and plac 6. Turn on the suction machine and s 7. Put on sterile gloves and hold the dominant hand. 8. Flush and lubricate the catheter b 9. Using the thumb of your non domi sterile solution through the cathet 10. Hyperventilate the patient before 11. Using your non dominant hand tur tracheostomy tube if the client is 12. Attach the resuscitator to the trac as the client inhales. (If the client 13. If the client has copious secretion oxygen delivery device on and inc suctioning. 14. Gently advance the catheter witho 15. Insert the catheter about 12.5 cm resistance. 16. Apply intermittent suctioning for 5 17. Withdraw the catheter completely 18. Flush the catheter by instilling no until the suction catheter is clear. 19. Reassess the client’s oxygenation 20. Flush the suction catheter and rep 21. After each suction hyperventilate more than three breaths. 22. Cleanse the suction tubing and dis 23. Provide client a comfortable, safe 24. Record relevant data including the relevant assessments. Get more nursing relat AL AND TRACHEOSTOMY TUBE nt. observe appropriate infection control procedures ent on semi-Fowlers position to promote deep bre s to the oxygen source and adjust the oxygen flow ce the sterile towel below the client’s tracheostom set the pressure in accordance to the hospital po catheter using a forceps on dominant hand and t by placing the tip in saline solution. inant hand, occlude the thumb control and suctio ter. e and after suctioning. rn on the oxygen to 12- 15L/min, (disconnect the receiving oxygen). cheostomy or endotracheal tube and compress th t is on ventilator, use it as hyperventilation and h ns, do not hyperventilate with a resuscitator, inste crease the flow rate or the FiO 2 to 100% for sever out applying any suction into the tracheostomy/e m for adults and less for children or until the clien 5 – 10 seconds by placing the non dominant hand y and release the suction. ormal saline solution into the irrigation port and a . status and repeat suctioning (allow 2-3 minutes b peat suctioning until the passage is clear. e the patient using your non dominant hand and ve sconnect the tubing on the suction machine. e position that facilitates breathing and lung expa e amount and the description of suction secretion ted downloads @ http://nursingpad.blogspot. SUCTIONING s. eathing and maximum w to 100%. my. olicy. the connector on the non on small amount of e oxygen source from the he Ambu bag 3 - 5 times, hyperoxygenation). ead keep the regular ral breaths before endotracheal tube. nts cough or if there is d on the suction port. apply suction. Repeat between suctioning). entilate the clients in no ansion. ns and any other com

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Steps on how to suction an ET and T-tube

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STEPS IN ENDOTRACHEAL AND TRACHEOSTOMY TUBE SUCTIONING1. 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 semi-Fowlers position to promote deep breathing and maximum on lung expansion. source and adjust the oxygen flow to 100%. st 4. Attach the resuscitation apparatus to the oxygen so 5. Open the sterile supplies and place the sterile towel below the clients tracheostomy. pplies 6. Turn on the suction machine and set the pressure in accordance to the hospital policy. ction 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 the oxygen source from the disconnect 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 client is on ventilator, use it as hyperventilation and hyperoxygenation). he 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 co cough 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 and apply suction. Repeat and until the suction catheter is clear. 19. Reassess the clients oxygenation stat and repeat suctioning (allow 2-3 minutes between suctioning). tion status 3 20. Flush the suction catheter and repeat suctioning until the passage is clear. 21. After each suction hyperventilate the patient using your non dominant hand and ventilate the clients in no ion more than three breaths. tubing on the suction machine. 22. Cleanse the suction tubing and disconnect the t 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.

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