Question

What are standard protocols for nursing interventions of suctioning

Answer 1

Endotracheal tube suction or any suction is necessary to clear secretion ans to maintain airway patency and to optimise oxygenation and ventilation in a ventilated patient.

STANDARD PROTOCOL OF SUCTIONING /ET TUBE :

• Auscultate before and after ET tube suctioning to evaluate effectiveness of the procedure.
• Closely monitored before, during and after the procedure like heart rate, blood pressure, respiratory rate and oxygen saturation.
• Suction is done by the only tip portion of the ET tube, should never exceed more than 0.5 cm beyond the tip ET tube to prevent mucosul injury.
• Explain to the procedure to the patient family member.
• To determine suction catheter size.
• Set the suction pressure ( 80-100cm H2O) .
• Hand washing than don gloves .
• Ensuring that suction catheter does not touch anything like bed linen.
• Negative pressure given but not exceed 6 second.
• Observed post physiological parametr.
• Document effectiveness and tolerance of suctioning.