Procedure Manual
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Comment on this procedure
STANDARDS:
* Aseptic technique will be used when suctioning.
* Suction catheters should be less than half the size of the endotracheal tube insitu.
* During suctioning procedure the catheter should only occluded for 5 second intervals.
* The catheter should be inserted into the trachea tube with gentle pressure and withdrawn from the trachea tube using a rotating technique.
* The patient should be monitored by oximetry for O2 saturation during the procedure.
* The need for suctioning should be assessed at least every two hours or more frequently as need arises.
* Suctioning should be performed PRN or at frequent intervals as ordered by Physician.
* Over suctioning should be avoided to decrease potential damage to patients airway.
OUTCOMES:
* Explain the procedure to the patient prior to procedure.
* Aseptic preparation prior to commencing procedure.
* Open sterile gloves and suction catheter packages.
* Place clean Latex glove on non-dominate hand. Place on eye protection at this time.
* Clean end of blue bodai connector on trachea tube with alcohol swab.
* Place patient on Oxygen monitor if available or patient in unstable respiratory condition for monitoring of oxygen saturation's during procedure.
* Pre-oxygenate patient with Lardel bag on a 100% O2 for 2 minutes prior to suctioning. - Turn on suctioning equipment with suction tubing and place near head of patient.
* Place sterile glove on dominate hand and connect suction catheter to suction tubing.
* From this stage the suction catheter should only be handled using the sterile glove.
R : 20.1
* Using aseptic technique, pass the suction catheter through blue bodai connector down into trachea tube entering the patients upper airway. The suction catheter is advanced in this way until the patient coughs. Do not apply suction up to this point.
* Apply suctioning withdraw suction catheter with a rotating motion and apply suctioning only at 5 second intervals.
* If repeated suctioning is to be performed allow the patient rest for several minutes to regain adequate oxygen levels. Patient may be ventilated with Lardel bag on a 100% O2 to being O2 back up to an acceptable range or if patient becomes distressed during procedure.
* Clean out patient oral pharyngeal airway with either suction catheter or yankeur sucker. Suction catheter must never be placed back in trachea tube after being placed in either patients mouth or nasal passage ways.
* At end of procedure discard suction catheter in trash bin. Rinse suction tubing with water.
POST
PROCEDURE:
* Monitor patients respiratory effort and oxygen saturation.
* Note amount, colour and consistency of tracheal aspiration in nurses notes and ICU flow sheet. Also chart how patient tolerated procedure and any problems encountered.
Reviewed December 1995
R : 20.2
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