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Trach Suctioning
SuctioningTracheostomy- NUR 104- Practicum
| Question | Answer |
|---|---|
| Check the Order & gather supplies. | |
| Identify the patient x 2 | |
| Wash Hands | |
| Explain the procedure to the patient | |
| Provide Privacy | |
| Place patient in Semi Fowlers position & raise bed to a comfortable working position. | |
| Turn on Suction (100-120mm Hg) & place the suction tube on the bed. | |
| Remove the cap from the Saline Bottle | |
| Open catheter kit using the wrapper as the sterile field | |
| Carefully open the pop up container and fill with saline | |
| Administer O2 for 1 minute | |
| Don sterile gloves | |
| Holding the catheter connecting end with dominant (sterile hand), attach the suction tubing held with the non dominant hand (no longer sterile now) | |
| Lubricate sterile catheter tip by dipping it into the cup with sterile normal saline | |
| Using dominat hand (sterile) insert the catheter into the tracheostomy without applying suction. | |
| Advance catheter quickly 1-2 cm beyond the end of the trach tube until resistance is felt, or client coughs | |
| Suction intermittenly by placing and releasing no dominant thumb over catheter suction port while withdrawing catheter using a rotating motion. | |
| Remove the suction tube, apply O2 for 1 minute. Flush suction tubing in the saline and repeat process. Do not repeat more than 3 times | |
| Check the patient's pain level, make sure they are comfortable | |
| Lower the bed & raise the rails | |
| Call bell in reach | |
| Dispose of supplies | |
| Wash Hands | |
| Document the procedure. (Time, date, patients response, etc.) |