Tracheostomy Suctioning- Nursing Skills
Summary
TLDRThis instructional video outlines the procedure for suctioning a tracheostomy, emphasizing patient assessment before and after the process. It details setting up the suction equipment, preparing sterile water and gloves, and the technique of inserting and removing the suction catheter with intermittent suction. The video advises on the importance of monitoring oxygen saturation and lung sounds, and suggests a limit of three catheter passes per session, each not exceeding 10 seconds.
Takeaways
- 👨⚕️ Always assess the patient's lung sounds and oxygen saturation before and after suctioning.
- 🔌 Ensure the suction setup is working properly with tubing, canister, and regulator set on continuous medium suction.
- 📏 Prepare the suction kit by laying out the tubing within reach and loosening any oxygen devices.
- 🧤 Open the sterile water container and put on sterile gloves from the kit, ensuring they remain sterile.
- 🧪 Use the sterile gloves to open the cardboard water container and set it up on the sterile field.
- 🌀 Hold the suction catheter with your dominant hand and wrap it around your hand to grasp the plastic end.
- 💧 Pour sterile water into the container with your non-dominant hand, then connect the suction tubing to the catheter.
- 🚫 Slowly insert the catheter into the tracheostomy until resistance is met, then apply intermittent suction while twisting.
- 🔄 After removing the catheter, consider whether another pass is needed, and clean the catheter if secretions are thick.
- 🚫 Limit catheter passes to three per session and do not exceed 10 seconds per pass.
- 👂 After suctioning, check the patient's oxygen saturation and lung sounds to ensure improvement.
Q & A
What is the purpose of suctioning a tracheostomy?
-Suctioning a tracheostomy is done to remove secretions from the airway to ensure the patient's breathing is not obstructed.
When should you assess the patient's lung sounds and oxygen saturation?
-You should assess the patient's lung sounds and oxygen saturation before and after suctioning to monitor their condition.
What should you check before starting the suctioning process?
-Before starting, ensure the suction setup is working properly, including the tubing, canister, and regulator set on continuous medium suction.
How should you position the suction tubing?
-The tubing should be laid over the head of the bed or on the patient's chest to ensure it is easily reachable.
Why might you loosen an oxygen device before suctioning?
-Loosen an oxygen device to allow for easier insertion of the suction catheter and to prevent obstruction during the procedure.
What items should be included in the suction kit?
-The suction kit should include sterile gloves, suction tubing, the suction catheter itself, and a cardboard water container.
How should you handle the sterile gloves to maintain sterility?
-Handle the sterile gloves carefully, ensuring that only your sterile hands touch the catheter, and use the package as a sterile field if necessary.
What is the purpose of the sterile water in the suctioning process?
-Sterile water is used to moisten the suction catheter and to clean it out if the secretions are thick.
How do you connect the suction tubing to the catheter?
-You connect the suction tubing to the plastic part of the suction catheter using your non-dominant hand, ensuring your sterile hand does not touch anything non-sterile.
What is the proper technique for inserting the catheter during suctioning?
-Insert the catheter into the tracheostomy until the patient coughs or you meet resistance, then apply intermittent suction while twisting the catheter on its way out.
How many times can you pass the catheter, and what is the maximum duration per pass?
-You can do up to three passes with one catheter, with no more than 10 seconds per pass.
What should you do after completing the suctioning process?
-After suctioning, ensure the patient's oxygen saturation has improved, listen to their lungs to confirm the secretions have been removed, and dispose of the catheter properly.
Outlines
🩺 Suctioning a Tracheostomy: Preparation and Technique
This paragraph outlines the process of suctioning a tracheostomy, a procedure necessary for patient care. The video emphasizes the importance of assessing the patient's lung sounds and oxygen saturation levels before and after the procedure. The setup includes a suction machine with continuous medium suction, tubing, and a canister. The nurse is instructed to prepare the sterile water container and suction kit, including gloves, tubing, and catheter. The catheter is prepared by wrapping it in a sterile manner around the nurse's hand and connecting it to the suction tubing. The actual suctioning involves inserting the catheter until resistance is met or the patient coughs, then applying intermittent suction while twisting the catheter as it's removed. After suctioning, the nurse should check the patient's oxygen levels and lung sounds to ensure the procedure was effective. The video concludes with a reminder to practice these skills for proficiency.
Mindmap
Keywords
💡Suctioning
💡Tracheostomy
💡Sterile
💡Oxygen Saturation
💡Suction Setup
💡Suction Catheter
💡Intermittent Suction
💡Lung Sounds
💡Sterile Water
💡Oxygen Device
💡Secrecy
Highlights
The necessity of assessing the patient's lung sounds and oxygen saturation before and after suctioning.
Ensuring the suction setup is working properly with the correct tubing and regulator settings.
Setting the suction to continuous medium level.
Laying out the tubing for easy reach during the procedure.
Loosen any oxygen devices before starting the suctioning process.
Opening the sterile water container and setting it on the table.
Putting on sterile gloves from the suction kit.
The importance of maintaining sterility when handling the suction catheter.
Using the sterile gloves package as a sterile field if needed.
Preparing the suction catheter by wrapping it around the hand.
Connecting the suction tubing to the catheter with sterile technique.
Inserting the catheter into the tracheostomy until resistance is met.
Applying intermittent suction while twisting the catheter on the way out.
Holding the catheter away from the patient to maintain sterility after use.
Deciding whether another pass with the catheter is necessary based on secretion thickness.
Using sterile water to clean the catheter if secretions are thick.
Limiting the number of passes with one catheter to three and the duration of each pass to no more than 10 seconds.
Checking the patient's oxygen saturation and lung sounds after suctioning to ensure improvement.
Encouraging practice to improve nursing skills.
Invitation to watch more lessons on nursing.com for further learning.
Transcripts
[Music]
in this video we're going to talk about
suctioning a tracheostomy now you may
need to do this before you do trait care
or just because the patient requires
suctioning just make sure that you
assess the patient before you start so
that you know what their lung sounds are
and what their oxygen saturation is
before and after suctioning
so first thing you want to do is make
sure your suction setup is working you
should have tubing attached to a
canister attached to a regulator for
this you want to set it on continuous
medium suction you also want to make
sure that you can reach the end of the
tubing sometimes i just lay it over the
head of the bed or on the patient's
chest you can also loosen any
oxygen device that they have at this
point so the first thing you want to do
is open your sterile water container and
just set the bottle on the table between
you and the suction kit
now you can open your suction kit
and put on your sterile gloves from in
that kit now honestly sometimes they're
all bunched up and sometimes they have
their own package so depending on your
kit just be really careful to make sure
that you keep them sterile now in this
little kit what you should have is the
sterile gloves
the suction tubing the suction catheter
itself and a little cardboard water
container
so once you get your gloves on
you want to open that little cardboard
water container
inside that sterile package
and set it up on your sterile field
now sometimes especially if i get
another package of gloves i'll actually
use my sterile gloves package as my
sterile field here so open your little
cardboard water container
and the next thing you want to do is
grab the suction catheter in your
dominant hand put the tip downwards and
wrap it backwards around your hand that
way you can grab onto the plastic end of
the suction canister
now with your non-dominant hand you can
grab the sterile water pour some sterile
water into the container remember that
hand is no longer sterile grab the
suction tubing and connect it to the
plastic part of the suction catheter
being careful that only your sterile
hand touches the catheter
now at this point you are ready to
suction
so use your non-dominant hand to move
any oxygen mask if you have it and with
the same hand you're going to use to
control the suction port with your thumb
so you're going to slowly insert the
catheter into the tracheostomy until the
patient coughs or you meet resistance
and then you're going to apply apply
intermittent suction while you twist the
catheter on its way out
once you're out hold that catheter away
from the patient to keep it sterile
replace their oxygen source with your
non-dominant hand if you need to and
decide whether or not you think they
need another pass now if the secretions
were super thick you can actually
suction some of that sterile water
through the catheter to clean it out
now you can do up to three cat passes
with one catheter but no more than 10
seconds per pass so again insert the
catheter
and remove while applying intermittent
suction and twisting the catheter
this just helps that we get all the
secretions off of the edge
when you're done you can wrap it up in
your hand
again make sure that you see the
patient's oxygen saturation is improved
and then
you always want to listen to their lungs
again to make sure that you've actually
made a difference and gotten the
secretions out that you wanted
all right guys i hope that was helpful
the more that you practice these skills
the better you'll get at them all right
go out and be your best selves today
guys and as always happy nursing thanks
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