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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

Endotracheal and Tracheostomy Tube Suctioning

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Steps on how to suction an ET and T-tube

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Page 1: Endotracheal and Tracheostomy Tube Suctioning

STEPS IN ENDOTRACHEAL AND TRACHEOSTOMY TUBE SUCTIONING

1. Explain the procedure to the client

2. Wash hands before and after and observe

3. Provide privacy and place the client o

lung expansion.

4. Attach the resuscitation apparatus to the oxygen so

5. Open the sterile supplies and place the sterile towel below the client’s tracheostomy.

6. Turn on the suction machine and set the

7. Put on sterile gloves and hold the

dominant hand.

8. Flush and lubricate the catheter by

9. Using the thumb of your non dominant hand, occlude the

sterile solution through the catheter.

10. Hyperventilate the patient before and after

11. Using your non dominant hand turn

tracheostomy tube if the client is receiving oxygen

12. Attach the resuscitator to the tracheostomy or endotracheal

as the client inhales. (If the client

13. If the client has copious secretions, do not hyperventilate with a resuscitator, instead keep the

oxygen delivery device on and increase the flow

suctioning.

14. Gently advance the catheter without

15. Insert the catheter about 12.5 cm for

resistance.

16. Apply intermittent suctioning for 5

17. Withdraw the catheter completely and release the

18. Flush the catheter by instilling normal saline solution into the irrigation port an

until the suction catheter is clear.

19. Reassess the client’s oxygenation stat

20. Flush the suction catheter and repeat suctioning until the passage is clear.

21. After each suction hyperventilate the patient using

more than three breaths.

22. Cleanse the suction tubing and disconnect the t

23. Provide client a comfortable, safe pos

24. Record relevant data including the

relevant assessments.

Get more nursing related downloads @ http://nursingpad.blogspot.com

STEPS IN ENDOTRACHEAL AND TRACHEOSTOMY TUBE SUCTIONING

procedure to the client.

and observe appropriate infection control procedures.

place the client on semi-Fowlers position to promote deep breathing and maximum

Attach the resuscitation apparatus to the oxygen source and adjust the oxygen flow to 100%.

pplies and place the sterile towel below the client’s tracheostomy.

ction machine and set the pressure in accordance to the hospital policy.

Put on sterile gloves and hold the catheter using a forceps on dominant hand and the connector on the non

by placing the tip in saline solution.

dominant hand, occlude the thumb control and suction

sterile solution through the catheter.

Hyperventilate the patient before and after suctioning.

turn on the oxygen to 12- 15L/min, (disconnect the oxygen source from the

tracheostomy tube if the client is receiving oxygen).

Attach the resuscitator to the tracheostomy or endotracheal tube and compress the

he client is on ventilator, use it as hyperventilation and hyperoxygenation).

secretions, do not hyperventilate with a resuscitator, instead keep the

oxygen delivery device on and increase the flow rate or the FiO2 to 100% for several breaths before

without applying any suction into the tracheostomy/endotracheal tube.

12.5 cm for adults and less for children or until the clients co

for 5 – 10 seconds by placing the non dominant hand on the

completely and release the suction.

Flush the catheter by instilling normal saline solution into the irrigation port and apply suction. Repeat

catheter is clear.

tion status and repeat suctioning (allow 2-3 minutes between suctioning).

catheter and repeat suctioning until the passage is clear.

ion hyperventilate the patient using your non dominant hand and ventilate the clients in no

and disconnect the tubing on the suction machine.

a comfortable, safe position that facilitates breathing and lung expansion

the amount and the description of suction secretions and any other

Get more nursing related downloads @ http://nursingpad.blogspot.com

STEPS IN ENDOTRACHEAL AND TRACHEOSTOMY TUBE SUCTIONING

appropriate infection control procedures.

breathing and maximum

st the oxygen flow to 100%.

pplies and place the sterile towel below the client’s tracheostomy.

hospital policy.

dominant hand and the connector on the non

suction small amount of

disconnect the oxygen source from the

and compress the Ambu bag 3 - 5 times,

as hyperventilation and hyperoxygenation).

secretions, do not hyperventilate with a resuscitator, instead keep the regular

for several breaths before

into the tracheostomy/endotracheal tube.

the clients cough or if there is

the non dominant hand on the suction port.

d apply suction. Repeat

3 minutes between suctioning).

your non dominant hand and ventilate the clients in no

and lung expansion.

secretions and any other

Get more nursing related downloads @ http://nursingpad.blogspot.com