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    This document provides the steps for performing oropharyngeal and nasopharyngeal airway suctioning. The procedure removes secretions from the oropharyngeal and nasopharyngeal airways. It involves preparing materials, positioning the patient, inserting a sterile catheter into the nostril or mouth while applying intermittent suction, flushing and repeating as needed, and assessing the patient after completion. The goal is to clear secretions while minimizing patient discomfort.

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    This document provides the steps for performing oropharyngeal and nasopharyngeal airway suctioning. The procedure removes secretions from the oropharyngeal and nasopharyngeal airways. It involves preparing materials, positioning the patient, inserting a sterile catheter into the nostril or mouth while applying intermittent suction, flushing and repeating as needed, and assessing the patient after completion. The goal is to clear secretions while minimizing patient discomfort.

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    26 views3 pages

    ERE

    Uploaded by

    Tin tin
    This document provides the steps for performing oropharyngeal and nasopharyngeal airway suctioning. The procedure removes secretions from the oropharyngeal and nasopharyngeal airways. It involves preparing materials, positioning the patient, inserting a sterile catheter into the nostril or mouth while applying intermittent suction, flushing and repeating as needed, and assessing the patient after completion. The goal is to clear secretions while minimizing patient discomfort.

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    of 3

    I will perform Oropharyngeal and Nasopharyngeal

    Airway Suctioning and the purpose of this procedure is


    to remove secretions from oropharyngeal and
    nasopharyngeal airways
    Prepare and gather the needed materials:
    Sterile water, towel, tongue depressor, tissue wipes,
    emesis basin, oral hygiene articles, stethoscope
    Procedure:
    Identify the patient
    Determine the route for suctioning. Administer pain
    medication before suctioning to post-operative patient
    Explain procedure to patient
    Assemble equipment
    Do hand hygiene
    Adjust bed comfortable working position. Lower side
    rail closer to you.
    Place patient in a semi fowler’s position if he or she is
    conscious.
    If unconscious, patient should be placed in the lateral
    position facing you.
    Place towel across patient’s chest
    Turn suction to appropriate pressure
    -Open sterile suction package. Set up container,
    touching only the outside surface and pour sterile
    saline into it.
    -Don sterile gloves. The dominant hand that will handle
    catheter must remain sterile, whereas the non-
    dominant hand is considered clean rather than sterile.
    -With sterile gloved hand, pick up sterile catheter and
    connect to suction tubing held with unsterile hand
    -Moisten catheter by dipping it into container of sterile
    saline
    -Estimate the distance from earlobe to nostril and place
    thumb and forefinger of gloved hand at the point of the
    catheter. About 13 cm or 5 inches for an adult.
    -Gently insert catheter with suction off by leaving the
    vent on the connector open.
    -Slip catheter gently along the floor of an unobscured
    nostril toward trachea to suction the nasopharynx or
    insert catheter alongside of mouth toward trachea to
    suction the oropharynx. Never apply suction as catheter
    is introduced
    -Apply suction intermittently by occluding suctioning
    port with your thumb. Gently rotate catheter as it is
    being withdrawn. Do not allow suctioning to continue
    for more than 10 – 15 seconds at a time
    -Flush the catheter with saline and repeat suctioning as
    needed and according to patient’s toleration of the
    procedure
    -Allow at least a 20 to 30 seconds’ interval if additional
    suctioning is needed. The nares should be alternated
    when repeated suctioning is required.
    -Do not force the catheter through the nares.
    Encourage patient to cough and breathe deeply
    between suctioning. Suction the oropharynx.
    -When suctioning is completed, remove gloves inside
    out and dispose of gloves, catheter and container with
    solution in proper receptacle.
    -Perform hand hygiene.
    -Use auscultation to listen to chest and breath sounds
    to assess effectiveness of suctioning
    -Offer oral hygiene after suctioning
    -Record time of suctioning and amount of secretions,
    also note the character of the patient’s respirations
    before and after suctioning

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