determine need for suctioning
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7/31/2019 Determine Need for Suctioning
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1. Determine need for suctioning. Administer pain medication before suctioning to postoperative patient.
2. Explain procedure to patient.
3. Assemble equipment.
4. Perform hand hygiene.
5. Adjust bed to comfortable working position. Lower side rail closet to you. Place patient in a semi-Fowlers position
if he or she is conscious. An unconscious patient should be placed in the lateral position facing you.6. Place towel or waterproof pad across patients chest.
7. Turn suction to appropriate pressure.
a. Wall unit
Adult: 100 to 120 cm Hg
Child: 95 to 110 cm Hg
Infant: 50 to 95 cm Hg
b. Portable unit
Adult: 10 to 15 cm Hg
Child: 5 to 10 cm Hg
Infant: 2 to 5 cm Hg
8. Open sterile suction package. Set up sterile container, touching only the outside surface, and pour sterile salineinto it.
9. Don sterile gloves. The dominant hand that will handle catheter must remain sterile, whereas the nondominant
hand is considered clean rather than sterile.
10. With sterile gloves. The dominant hand, pick up sterile catheter and connect to suction tubing held with unsterile
hand.
11. Moisten catheter by dipping it into container of sterile saline. Occlude Y-tube to check suction.
12. Estimate the distance form earlobe to nostril and place thumb and forefinger of gloved hand at that point on
catheter.
13. Gently insert catheter with suction off by leaving the vent on the Y-connector open. Slip catheter gently along the
floor of an unobstructed nostril toward trachea to suction the nasopharynx. Or insert catheter along side of mouth
toward trachea to suction the oropharynx. Never apply suction as catheter is introduced.
14. Apply suction by according suctioning port with your thumb. Gently rotate catheter as it is being withdraw. Do not
allow suctioning to continue for more than 10 to 15 seconds at a time.
15. Flush the catheter with saline and repeat suctioning as needed and according to patients toleration of the
procedure.
16. Allow at least a 20- to 30-second interval if additional suctioning is needed. The nares should be alternated when
repeated suctioning required. Do not force the catheter through the nares. Encourage patient to cough and
breathe deeply between suctioning.
17. When suctioning is completed, remove gloves inside out and dispose of gloves, catheter, and container with
solution in proper receptacle. Perform hand hygiene.
18. Use auscultation to listen to chest and breath sounds to assess effectiveness of suctioning.
19. Record time of suctioning and nature and amount of secretions. Also note the character of the patients
respirations before and after suctioning.
20. Offer oral hygiene after suctioning.