g. Remove all unnecessary equipment from the bedside.
h. Wash your hands.
i. Document the procedure and the patient's tolerance in the nursing notes.
1-30. SUCTION
Suction drainage by means of a mechanical drainage apparatus may be ordered
by the physician. These suction devices are designed to provide controlled, low-
pressure suction to avoid injury to mucous membranes. Two commonly used electric
powered pumps are the Gomco and Emerson pumps. Be certain to read the
manufacturer's instructions and local SOP before attempting to use this equipment. In
hospital areas such as a recovery room or intensive care area, a special suction device
may be available for use with a wall suction outlet.
1-31. SUCTION PROCEDURE
a. Test the suction equipment by aspirating water through the drainage tubing.
Clamp the tubing.
b. Connect the nasogastric tube to the drainage tubing.
c. Unclamp both the drainage tubing and the N/G tube. Observe for drainage in
the tubing.
d. Support the drainage tubing by anchoring it to the bottom bed sheet.
(1) Use a rubber band or cloth tape looped around the tubing and pin the
rubber band or tape it to the sheet.
(2) Allow sufficient length of tubing to prevent pull on the tube when the
patient moves or turns.
e. Document the procedure in the nursing notes.
f. Check the operation of the suction equipment frequently. Observe the
following:
(1)
Machine operation.
(2)
Connections should be properly fitted and airtight.
(3)
Tubing should not be kinked.
(4)
Drainage in the tubing.
MD0918
1-27