Assessment 1. Assess the needs of the patient with a tracheostomy/endotracheal tube for suctioning. Planning 2. Wash your hands. 3. Obtain tracheostomy or endotracheal suctioning kit. Implementation 4. Identify the patient. Assessment 5. Assess the needs of the patient with a tracheostomy/endotracheal tube for suctioning. Planning 6. Wash your hands. 7. Obtain tracheostomy or endotracheal suctioning kit. Implementation 8. Identify the patient.
RATIONALE
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PROCEDURE
Assessment 9. Assess the needs of the patient with a tracheostomy/endotracheal tube for suctioning. Planning 10. Wash your hands. 11. Obtain tracheostomy or endotracheal suctioning kit. Implementation 12. Identify the patient. 13. Provide privacy. 14. Explain the procedure carefully.
Ask the responsive patient to cough.
An explanation should also be given to the unresponsive patient.
RATIONALE
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PROCEDURE
15. Establish a way patient can communicate. 16. Test suction apparatus. a. Turn on either the wall suction or the portable suction machine.
b. Place your thumb over the end of the unsterile tubing that is attached to the suction equipment and test for “pull.”
c. Keep the suction regulated to a range of efficiency, usually low to medium. 17. Position the patient: Supine or mid-fowler’s with head slightly toward you if conscious; lateral position facing you if unconscious. 18. Put on eye protection and mask. 19. Prepare 5 mL sterile saline in a syringe; remove needle.