(14)
Advance the catheter to the posterior oral/nasal pharynx.
(a)
Stimulate a cough reflex if the patient is unable to cough
effectively.
(b) If patient has a mouth full of vomitus or secretions, clean this
area first before stimulating cough in order to avoid aspiration and introduction of
infection.
(15) Begin suctioning by placing the thumb of your nondominant hand
over the catheter valve or Y-connector.
(a)
Rotate the catheter while withdrawing to prevent irritation to the
oral/nasal mucosa.
(b)
Suction all secretions from the area.
(16) Suction for no more than 15 seconds. Suctioning for more than 15
seconds may cause hypoxia. Allow the patient to rest for 2 to 3 minutes between
catheter insertions.
(17)
Rinse the catheter in the cup of water after each insertion.
(18)
Repeat the suctioning procedure as necessary until the patient's
airway is clear.
(19)
Remove your gloves and discard them and the catheter in the waste
receptacle.
(20)
Reobserve the patient for evidence of airway obstruction due to
secretions.
(21)
Assist the patient to a comfortable position while maintaining a
patent airway.
(22)
Discard equipment or return it to the appropriate area.
(a) Suction collection bottles should be emptied and rinsed every 8
hours and cleaned with soap and water every 24 hours.
(b) Connecting tubing should be rinsed after each suctioning and
changed in accordance with the local infection control policy.
MD0915
3-15