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Et Suctioning

1. This document outlines the procedure for endotracheal suctioning in the NICU, including assembling necessary equipment, pre-oxygenating the infant, passing the suction catheter into the endotracheal tube, applying suction for no more than 15 seconds, and documenting findings. 2. Precautions are described to minimize risks such as hypoxia, bradycardia, tracheitis, and bleeding during the procedure. Proper infection control techniques including universal precautions and aseptic technique are also emphasized. 3. The procedure is intended to facilitate removal of secretions and maintain patency of the endotracheal tube.

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62 views2 pages

Et Suctioning

1. This document outlines the procedure for endotracheal suctioning in the NICU, including assembling necessary equipment, pre-oxygenating the infant, passing the suction catheter into the endotracheal tube, applying suction for no more than 15 seconds, and documenting findings. 2. Precautions are described to minimize risks such as hypoxia, bradycardia, tracheitis, and bleeding during the procedure. Proper infection control techniques including universal precautions and aseptic technique are also emphasized. 3. The procedure is intended to facilitate removal of secretions and maintain patency of the endotracheal tube.

Uploaded by

ettevyvi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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http://www.sh.lsuhsc.edu/cps/pandp/17.8.pdf Cardiopulmonary Services NICU Specific olicies roc17.

!N"#$%&C'!&( $U)! SUC$I#NIN*


urpose: $o facilitate removal of secret ions and maintain patency of the !$ tu+e. !,uipment: 1. Sterile suction catheter of appropriate si-e .not more than //0 the the si-e of the !$ tu+e1 /. Sterile disposa+le 2loves 0. Supplemental o3y2en source and o3y2en tu+in2 4. %esuscitation +a2 5. 6acuum source and connectin2 tu+in2 7. Sterile '/8 7. Syrin2e with sterile normal saline 8. ersonal rotective e,uipment Contraindications/'aards/Complications: 1. 'ypo3ia /. 6a2al stimulation: Cardiac arrhythmia 0. $racheitis. 4. "ama2e to mucosal mem+ranes. 5. &irway occlusions. 7. Sudden death. 7. )leedin2 disorders. rocedure: 1. !valuate patient to determine if suction is necessary .i.e. +reath sounds9 tactile fremitus9 etc.1. /. &ssem+le e,uipment 0. repare resuscitation +a2 .chec: that o3y2en is on1 and verify that suction is set at 78;88 mm'2. 4. <ash hands thorou2hly. 5. Carefully open catheter :it. 7. re;o3y2enate infant for a +r ief period .one or two minutes with the =i8/ increased +y 18;15> a+ove the delivered =i8/1. 7. ut 2love on dominant hand. 8. ic: up vacuum control end of catheter with 2loved hand then attach to vacuum connectin2 tu+in2. ?. "isconnect patient from ventilato r and instill 1//cc of sterile normal saline to irri2ate9 if necessary. 18. )a2 patient with increased =i8/ .5;18> a+ove set =i8/1@ o+serve color and o3y2enation trends durin2 the procedure. 11. Introduce catheter into !$$ and watch cm mar:in2s on catheter. Aatch cm mar:in2s form !$$ and catheter and pass 1 cm. &pply suction for no lon2er than 15 seconds. 1/. &2ain +a2 patient with increased =i 8/ .18 ; 15> a+ove set =i8/. #+serve patientBs heart rate9 color9 +reath rate9 etc. 10. &fter completion of endotracheal suction9 nares and oropharyn3 should +e suctioned 2ently prior to di sposal of the catheter. 14. #nce the catheter and 2love have +een disposed of9 the vacuum connectin2 tu+in2 should +e rinsed with sterile ' /8. $he o3y2en concentration must +e returned to pre;suctionin2 =i#/9 if indicated. 15. &uscultation will determine whether a second suctionin2 episode is indicated. 17. $he color9 consistency and amount of secretions aspirated should +e documented.

Cardiopulmonary Services NICU Specific olicies roc17.8 Infection Control: 1. Universal recautions should +e followed durin2 this procedure. /. &septic techni,ue should +e used. 0. ersonal protective e,uipment should +e worn. <ritten: Culy 1?8? %evised: &u2ust 1??7 %eviewed: &pril 1??8 %eviewed: &u2ust /888

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