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OSATS: Performing Trach Suctioning (Open System) and Trach Care
Terms in this set (35)
1 Trach Suctioning
Identifies need for suctioning
Gathers necessary supplies
1. suction kit
3. sterile water
4. hydrogen peroxide
5. trach kit
6. face shield
7. sterile inner cannula
Hand Hygiene on room entry (1/2)
Identifies the patient using two identifiers; attends appropriately to standard precautions, safety, and privacy.
Positions patient in semi-fowler's position unless contraindicated.
Places a towel across patient's chest.
Dons face shield.
Dons non-sterile gloves (1/2)
Turns on wall suction low and tests suction- leaves suction on.
*Adults = 100-150 mm Hg
1. Opens suction catheter kit maintaining sterility.
2. Dons sterile gloves (2/2)
3. Prepares the container into which the liquid is to be poured.
Pours sterile saline into container using non-dominant hand maintaining sterility.
Premeasures the catheter past the distal end of the trach tube.
*Per Prof. Totten's email:
Recommendation: The student will premeasure the length of the trach tube, then introduce the suction catheter only to that length. We will demo on Skills Day.
Rationale: This method is the least traumatic technique to the inner lining of the trachea (called tip suctioning). (Reference: Suctioning www.hopkinsmedicine.org)
With the dominant hand, attaches suction catheter to connection tubing keeping it sterile.
Places tip of suction catheter into NS and suctions small amount.
Hyperoxygenate if no contraindication
Using dominant hand, gently but quickly inserts suction catheter into trach tube without applying suction and once gently advanced applies suction and rotation while withdrawing.
Does not apply suction longer than 15 seconds.
Coils catheter in dominant hand and pulls glove off over catheter.
Discard per agency policy.
Using non-dominant hand, clears suction connecting tube of secretions by placing tip into sterile saline.
Turns off suction.
1. Removes glove
2. performs hand hygiene (2/2)
Properly disposes of all used materials.
Ensure the absence of respiratory distress.
1 Trach Care
1. Dons clean (non-sterile) gloves (1/2)
2. Opens up trach kit.
In one section of trach kit, mixes 50% peroxide solution and 50% saline solution
Removes soiled dressing and discards.
Cleanses neck plate of trach tube with cotton applicators moistened with 50% hydrogen peroxide and 50% saline concentration.
1. Remove gloves
2. performs hand hygiene (1/2)
Applies sterile gloves.
Removes and replaces inner cannula while holding trach plate securely with one hand (uses sterile dominant hand to hold inner cannula)
Dries skin under neck plate with cotton applicators to remove moisture.
Replaces trach ties.
Places precut sponge drain around trach and under trach ties.
Discards used supplies.
Leaves pt. in safe position, call light within reach.
Hand hygiene on room exit (2/2)
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