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.) | |