Download pdf - 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.

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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



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
