Page 116 - Demonstrating skill coppysaved colored-converted

14. Pick up the suction catheter with the dominant hand (sterile gloved hand).pick up connecting
tubing with monodominant (nonsterile gloved hand) and attach the catheter to tubing without
contaminating the sterile gloved hand.
15. Place the catheter end into a cup of saline. Test the pressure of the suction
16. Lubricate the suction catheter; for nasopharyngeal suctioning lubricate the catheter tip with sterile
saline, water, or water-soluble lubricant; for oropharyngeal suctioning moisten the catheter tip
with sterile saline or water.
17. Without applying to suction; insert the catheter into the mouth, nose OR nasopharyngeal OR
oropharyngeal (15 to 20 cm) OR artificial airway during inspiration. Advance catheter until the
recommended distance.
18. Apply suction; rotate the catheter with your dominant hand 360 degrees. This should take 5 to 10
seconds. Rotation of the catheter prevents trauma to the mucous membrane from prolonged
suctioning of one area.
19. Apply to suction while withdrawing the catheter.
20. Re-oxygenate and hyper inflate using a manual resuscitation bag for a full minute between
suctioning. Encourage the client to breathe deeply and cough between suctioning.
21. Clean the catheter:
22. Flush the catheter with sterile saline or water.
23. Wipe off the catheter with sterile gauze if it is sticky coated with secretion.
24. Lubricate the catheter.
25. Without Appling, the suctioning insert the catheter and repeat suctioning until the airway is clear.
26. Allow 20 -30-second intervals between each suctioning, and limit to 5 minutes in total. Appling
suctioning for too long may cause secretion to increase or decrease oxygen supply.
27. Remove the gloves by holding the catheter with the dominant hand and pulling the glove off
inside-out, and pull another glove off inside-out and dispose of.
28. Turn off the suction device.
29. Assist the client in a comfortable position and provide oral and nasal hygiene.
30. Wash hand.
31. Document the relevant data.
 Date and time of the procedure.
 Amount, Consistency, color, and odor of sputum.
 Client's breathing status.
 Frequency of suctioning.
 The amount, color, consistency of secretion

N.B:
• To ascertain the correct length to insert the catheter for nasal tracheal suctioning, measure
the distance from the tip of the nose to the ear lobe and then along with Adam’s
apple/thyroid gland.
• For oral tracheal suctioning measure from the mouth to the mid sternum

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