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SuctioningTracheostomy- NUR 104- Practicum

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Question
Answer
Check the Order & gather supplies.    
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Identify the patient x 2    
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Wash Hands    
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Explain the procedure to the patient    
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Provide Privacy    
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Place patient in Semi Fowlers position & raise bed to a comfortable working position.    
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Turn on Suction (100-120mm Hg) & place the suction tube on the bed.    
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Remove the cap from the Saline Bottle    
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Open catheter kit using the wrapper as the sterile field    
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Carefully open the pop up container and fill with saline    
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Administer O2 for 1 minute    
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Don sterile gloves    
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Holding the catheter connecting end with dominant (sterile hand), attach the suction tubing held with the non dominant hand (no longer sterile now)    
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Lubricate sterile catheter tip by dipping it into the cup with sterile normal saline    
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Using dominat hand (sterile) insert the catheter into the tracheostomy without applying suction.    
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Advance catheter quickly 1-2 cm beyond the end of the trach tube until resistance is felt, or client coughs    
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Suction intermittenly by placing and releasing no dominant thumb over catheter suction port while withdrawing catheter using a rotating motion.    
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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    
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Check the patient's pain level, make sure they are comfortable    
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Lower the bed & raise the rails    
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Call bell in reach    
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Dispose of supplies    
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Wash Hands    
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Document the procedure. (Time, date, patients response, etc.)    
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Created by: jessicaspring
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