Scribd Logo
Upload

Welcome to Scribd!

  • 423 views

    Performing Oropharyngeal and Nasopharyngeal Suctioning

    Uploaded by

    Ya Mei Li
    1. Position the patient semi-upright and prepare suction equipment and supplies. Lubricate and insert the suction catheter into the oropharynx or nasopharynx until it reaches the predetermined depth, then apply suction while slowly withdrawing the catheter. 2. Clear the suction catheter by suctioning saline and repeat suctioning as needed, allowing 20 seconds between passes. 3. Dispose of used supplies, provide mouth care, and position the patient comfortably to rest.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Performing Oropharyngeal and Nasopharyngeal Suctioning

    Uploaded by

    Ya Mei Li
    423 views3 pages
    1. Position the patient semi-upright and prepare suction equipment and supplies. Lubricate and insert the suction catheter into the oropharynx or nasopharynx until it reaches the predetermined depth, then apply suction while slowly withdrawing the catheter. 2. Clear the suction catheter by suctioning saline and repeat suctioning as needed, allowing 20 seconds between passes. 3. Dispose of used supplies, provide mouth care, and position the patient comfortably to rest.

    Original Description:

    dida

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. Position the patient semi-upright and prepare suction equipment and supplies. Lubricate and insert the suction catheter into the oropharynx or nasopharynx until it reaches the predetermined depth, then apply suction while slowly withdrawing the catheter. 2. Clear the suction catheter by suctioning saline and repeat suctioning as needed, allowing 20 seconds between passes. 3. Dispose of used supplies, provide mouth care, and position the patient comfortably to rest.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    423 views3 pages

    Performing Oropharyngeal and Nasopharyngeal Suctioning

    Uploaded by

    Ya Mei Li
    1. Position the patient semi-upright and prepare suction equipment and supplies. Lubricate and insert the suction catheter into the oropharynx or nasopharynx until it reaches the predetermined depth, then apply suction while slowly withdrawing the catheter. 2. Clear the suction catheter by suctioning saline and repeat suctioning as needed, allowing 20 seconds between passes. 3. Dispose of used supplies, provide mouth care, and position the patient comfortably to rest.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    Performing Oropharyngeal and Nasopharyngeal Suctioning

    STEPS

    RATIONALE

    1. Position the patient in semifowlers position, with his head


    turned toward you. If NPS,
    position
    the
    patient
    hyperextended
    unless
    contraindicated.
    2. Place the linen-saver pad or
    towel on the patients chest.
    3. Put on face shield or goggles.

    This
    position
    facilitates
    inserting the suction catheter
    and prevents straining your
    back.

    4. Turn on the wall suction


    machine,
    and
    adjust
    the
    pressure regulator according to
    the agency policy.
    5. Test the suction equipment by
    occluding
    the
    connection
    tubing.
    6. Open the suction catheter kit
    or, if a kit isnt available, the
    gathered equipment.
    7. Don sterile gloves; consider
    (and keep) your dominant
    sterile.
    8. Pour sterile saline into the
    sterile container, using your
    nondominant hand.

    9. Pick up the suction catheter


    with your dominant hand, and
    attach it to the connection
    tubing (to suction)
    10. Put the tip of the suction
    catheter
    into
    the
    sterile
    container of normal saline
    solution, and suction a small
    amount
    of
    normal
    saline
    solution through the suction
    catheter. Apply suction by
    placing a finger over the
    suction control port.
    11. Approximate the depth to
    which you will insert the
    suction catheter.

    DONE

    NOT
    DONE

    Prevents soiling of the patients


    gown during suctioning.
    Protects
    you
    from
    contamination with secretions
    that
    may
    splash
    during
    suctioning.
    The suction regulator must be
    set appropriately to prevent
    tissue trauma and hypoxia.
    Testing the equipment ensures
    proper functioning before use.

    Keeping the dominant hand


    sterile prevents contaminating
    the upper airways with an
    unsterile suction catheter.
    To clear the suction catheter of
    secretions after suctioning. The
    outside of the saline container
    is
    not
    sterile;
    it
    would
    contaminate your dominant
    hand.

    Ensures
    that
    the
    suction
    equipment
    is
    functioning
    properly.

    If OPS measure the distance


    between the edge of the
    patients mouth and the tip of
    the patients ear lobe.
    If NPS, measure the distance
    between the tip of the patients
    nose and the tip of the
    patients ear lobe.
    12. Using your nondominant hand,
    remove the oxygen delivery
    device, if present. Have the
    patient take several slow deep
    breaths.
    13. Lubricate and insert the suction
    catheter.
    a. Lubricate the catheter with the
    normal saline solution.
    b. Using your dominant hand,
    gently but quickly insert the
    suction catheter along the side
    of the patients mouth into the
    oropharynx.
    c. Advance the suction catheter
    quickly to the premeasured
    distance (usually 7-10cm in the
    adult), being careful not to
    force the catheter.
    14. Place a finger (e.g. your
    thumb) over the suction control
    port of the suction catheter,
    and
    start
    suctioning
    the
    patient. Apply suction while
    you withdraw the catheter,
    using a continuous rotating
    motion. Limit suctioning to 5 to
    10 seconds.
    15. After
    you
    withdraw
    the
    catheter, clear it by placing the
    tip of the catheter in to the
    container of sterile saline and
    applying suction.
    16. Lubricate the catheter, and
    repeat suctioning as needed,
    allowing at least 20-second
    intervals between suctioning.
    Variation:
    Nasopharyngeal Suctioning.
    Each time you repeat suction,
    alternate nares. Alternating nares
    prevents trauma to one naris.

    Determines the proper distance


    you should insert the suction
    catheter for OPS.
    Helps determines the proper
    distance you should insert the
    suction catheter for NPS.

    Deep
    breathing
    hyperoxygenates the patient
    and helps prevent hypoxia
    during suctioning.

    Eases catheter insertion.


    Inserting the suction catheter
    along the side of the mouth
    prevents gagging.

    Ensures the suction catheter


    will reach the pharynx. Forcing
    the catheter during insertion
    may cause tissue trauma.
    Using a continuous rotating
    motion while withdrawing the
    catheter prevents trauma to
    any one area of the airway.
    Limit suctioning to less than 10
    seconds prevents hypoxia.

    Ensures
    patency
    of
    the
    catheter for repeat suctioning.

    Several passes with the suction


    catheter may be needed to
    clear the airway of secretions.
    Total suctioning time should be
    limited to 5 minutes, however,
    to prevent trauma and hypoxia.

    17. Coil the suction catheter in


    your dominant hand. Pull the
    sterile glove off over the coiled
    catheter. (Alternatively, wrap
    the catheter around your
    dominant, gloved hand, ad hold
    the catheter as you remove the
    glove over it.) Discard the
    glove containing the catheter
    in
    biohazard
    receptacle
    designated by your agency.
    18. Using your non-dominant hand,
    clear the connecting tubing of
    secretions by placing the tip
    into the container of sterile
    saline.
    19. Dispose of equipment in waterresistant waste container/bag,
    and make sure new suction
    supplies are readily available
    for future suctioning needs.
    20. Provide mouth care.

    21. Position the patient in a


    comfortable position, and allow
    him to rest.

    Coiling the catheter inside the


    glove prevents contamination
    with secretions.

    Ensures patency and prepares


    the equipment for future use.

    The
    patient
    may
    require
    suctioning at anytime, so
    equipment must be readily
    available.
    Promotes patient comfort and
    clears the mouth of any
    secretions he patient may have
    expectorated.
    Promoting comfort and allowing
    for a period of rest helps the
    patient
    recover
    from
    suctioning, which may be very
    tiring.

    Date: ___________________
    Name of Student: __________________________________
    Name of CI: _______________________________________

    You might also like