suctioning procedure ppt.pptx

What type of procedure is suctioning?
Suctioning is 'the mechanical aspiration of pulmonary secretions from a patient with an artificial airway in place'. The procedure involves patient preparation, the suctioning event(s) and follow-up care.

1. Suctioning procedure for nursing officer DR.ANJALATCHI ELMCH

2. Suctioning PROCEDURE CONTENT Definition Purposes Articles Procedure Special consideration

3. Type of Suctioning 1. Endotracheal suctioning 2. Oropharyngeal suctioning 3. Nasopharyngeal suctioning

4. Endotracheal suctioning Definition Removal of secretion from tracheo -bronchial tree through an endo -tracheal tube with the help of mechanical suction device. Definition Removal of secretion from tracheo bronchial tree through an endo tracheal tube with the help of mechanical suction device Endotracheal suctioning

5. PURPOSE Maintaining the patent airway by removing the secretion Prevention of respiratory tract infection from lodgment of secretion

6. SIGN/SYMPTOM INDICATE SUCTION

7. ARTICLES Articles Suction source: Portable suction wall suction unit Endo tracheal suctioning Articles A clean tray containing : Sterile suction catheter Normal saline or sterile water in a container  Sterile gloves Mask , face shield Alcohol swab Stethoscope A sterile tray containing: • Sterile bowl • Bowl • Gauze pieces

8. TRACHEOSTOMY SUCTIONING

9. procedure  Turn on suction apparatus to appropriate negative pressure for: adults-100-120 mmHg children-50-100 mmHg infants-40-60 mmHg . Perform handPerform hand hygiene, wash hands.hygiene , wash hands. It reducesIt reduces transmission oftransmission of microorganisms.microorganisms . Open the end of the suction catheterOpen the end of the suction catheter package & connect it to suctionpackage & connect it to suction tubing (If you are alone)tubing (If you are alone) Wear sterile gloves with sterileWear sterile gloves with sterile techniquetechnique  

10. With a help of an assistantWith a help of an assistant disconnect the ventilatordisconnect the ventilator Kink the suction tube & insert theKink the suction tube & insert the catheter in to the ETtube until catheter in to the ETtube until resistance is felt resistance is felt Resistance is felt when the catheter Resistance is felt when the catheter impacts the carina or bronchial impacts the carina or bronchial mucosa, the suction catheter mucosa, the suction catheter should be withdrawn 2cm out before applying suction before applying suction Apply continuous suction while rotating the suctionwhile rotating the suction catheter during removal catheter during removal The duration of each The duration of each suctioning should be 10-15sec.suctioning should be 10-15sec. Instill 3 to 5ml of sterile Instill 3 to 5ml of sterile normal saline in to thenormal saline in to the artificial airway, if required artificial airway, if required Give four to five manual Give four to five manual breaths with bag or ventilatorbreaths with bag or ventilator

11. Return patient to ventilatorReturn patient to ventilator Flush the catheter with NSFlush the catheter with NS in the suction trayin the suction tray Suction nares & oropharynxSuction nares & oropharynx above the artificial airwayabove the artificial airway Discard used equipmentsDiscard used equipments Flush the suction tube withFlush the suction tube with hot waterhot water Wash handsWash hands

12. DOCUMENTATION… Record the time of suctioning, nature &suctioning, nature & amount of secretions.amount of secretions. Document indications for suctioning & any for suctioning & any changes in vitals &changes in vitals & patient’s tolerance . patient’s tolerance.