procedure: nasopharyngeal and oral suctioning · 2013-06-30 · pick up the suction catheter with...
TRANSCRIPT
![Page 1: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/1.jpg)
Procedure: Nasopharyngeal and oral suctioning
![Page 2: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/2.jpg)
Clinical indicators for suctioning:
Difficulty clearing secretions
Dysphagia
Aspiration
![Page 3: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/3.jpg)
Nasotracheal suctioning Obtain Suction Catheter
Kit (with saline).
Calmly explain procedure to patient.
Place the patient in semi-fowlers position (45%) if not contraindicated.
![Page 4: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/4.jpg)
Hyper oxygenate patient if ordered.
![Page 5: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/5.jpg)
Open suctioning kit and don sterile gloves.
![Page 6: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/6.jpg)
Pick up the suction catheter with dominant hand without touching non-sterile surfaces.
Pick up connecting tubing with non-dominant hand.
Secure catheter to tubing.
![Page 7: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/7.jpg)
Set suction level on gauge to 100-150mmHg
Check for proper equipment functioning by suctioning small amount of NSS from basin.
Lightly coat distal end of catheter (6-8 centimeters) with water-soluble lubricant.
![Page 8: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/8.jpg)
Advance catheter into nasal cavity with suction port open until patient experiences gag reflex. Discontinue if
resistance is met.
Begin suctioning by depressing and releasing suctioning port, using swift, steady, circular motion (not to exceed 15 seconds).
![Page 9: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/9.jpg)
Remove catheter with suction port open and rinse with sterile water to clear tubing.
Maximum number of suction attempts 3
Allow 30 seconds to 1 minute between attempts to suction to allow reoxygenation and reventilation.
![Page 10: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/10.jpg)
• Patients who have nasopharyngeal bleeding or spinal fluid leaking in to the nasopharyngeal area.
• Those who are receiving anti-coagulation therapy.
• Blood dyscrasia – high risk of bleeding.
CAUTION
![Page 11: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/11.jpg)
Oropharyngeal suctioning Obtain Yankauer suction
handle and tubing.
Attach handle to tubing, and tubing to wall suction.
Apply clean disposable gloves.
![Page 12: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/12.jpg)
Insert tip of Yankauer suction handle in patient’s mouth.
With suction applied, move tip around the mouth until secretions are cleared.
Clear the Yankauer tip with water.
Place catheter tip in clean, dry area for reuse.
![Page 13: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/13.jpg)
Documentation
Date
Time
Amount
Color and characteristic of sputum
Patient’s response
![Page 14: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/14.jpg)
Patient’s Response Auscultate breath
sounds
Normal ?
Stridor ?
Coarse Rhonci ?
Crackles ?
![Page 15: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/15.jpg)
Monitor O2 Saturation levels
Saturation level on room air ?
Saturation on oxygen
Amount of oxygen
Via facemask at high-flow or nasal canula ?
![Page 16: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/16.jpg)
Respiratory pattern
Use of accessory muscles
Dyspnea
Agonal breathing
Respiratory rate
Tachypnea >20
Bradypnea <12
![Page 17: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/17.jpg)
Complications of Suctioning Increased dyspnea
caused by hypoxia and anxiety
Bloody aspirate from prolonged or traumatic suctioning.
![Page 18: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/18.jpg)
Always ensure the safety and comfort of your patient before exiting the room!
![Page 19: Procedure: Nasopharyngeal and oral suctioning · 2013-06-30 · Pick up the suction catheter with dominant hand without touching non-sterile surfaces. Pick up connecting tubing with](https://reader031.vdocuments.us/reader031/viewer/2022021611/5cca4b3988c993272f8e1bec/html5/thumbnails/19.jpg)
References UPMC St. Margaret’s Hospital
Evidence Based Practice Policy and Procedure
Lippincott’s Nursing Procedures (5th ed.) (pp. 535-538).(2009). Philadelphia, PA: Wolters Kluwer.