(23) Wash your hands. Record the procedure and report significant
observations to the Charge Nurse. You must include:
(b) Specific observations including color, amount, consistency,
color of secretions, respirations, and breath sounds.
Patient's reaction to the procedure and position in the bed, if
Any suction catheter or equipment changes.
All of the patient teaching done and the patient's apparent level
ADMINISTERING ENDOTRACHEAL SUCTIONING TO THE RECOVERY
Endotracheal suctioning can be accomplished through an endotracheal
tube that the physician inserts through the patient's mouth and into the trachea. It can
remain in place for several days and, when its cuff is inflated to provide a tight
connection, it can be attached to a respirator for controlled ventilation (see Figure 3-8).
The inflated cuff also aids in preventing aspiration of blood, vomitus or foreign material
into the bronchus.
Although endotracheal suctioning is a common procedure, it is one that
interferes with arterial oxygenation. The decrease in oxygen in the alveoli is directly
proportional to the amount of suction and the length of time the procedure takes. The
amount of oxygen in the blood drops suddenly and produces serious hypoxia. It is
essential to oxygenate the patient pre- and post-suctioning.
Endotracheal suctioning should be done only when necessary to maintain
the airway, and then it must be brief. When suctioning is unavoidable, sterile technique
(aseptic) must be used.
Wash your hands and assemble all needed equipment.
Portable continuous suction machine or gauge to attach to wall