University:
The Pennsylvania State University
Course:
NURS 100 | Nursing
Academic year:

2024
Views:

337

Pages:

2
Author:

Aaron B.

MucusSuction Procedure(Suction) UNDERSTANDING Suctionis processsecretions of removingspontaneously. fluid or mucus from the mouth, nose or trachea in clients who cannottheproduce PROCEDURE tools preparation a. Suction machine (suction machine) b. The suction catheter (suction catheter) is sterile c. Sterile water (Aquadest/ NaCl 0.9%) d. Sterile instrument tub containing sterile comm, sterile tweezers e. Sterile gloves f. Perlak, base, crooked g. Stethoscope a. Pre-Interaction Stage a. Assess for signs of accumulation of secretions in the upper airway b. Prepare equipment c. Move the equipment close to the patient b. Orientation Stage a. Offer greetings as a therapeutic approach b. Give the nurse's name again c. Make sure the identity of the client whose action will be taken is correct d. Explain the objectives and procedures as well as the timing of the action to the client/family e. Ask the client's readiness before the activity is carried out f. Adjust the client's position until the client feels comfortable g. Close doors/windows/put up curtains, make sure there is sufficient light in the room c. Work Phase 1) Wash your hands using the 6 step principle 2) Auscultate the patient's breath sounds 3) Position the patient correctly: If the patient is fully conscious with a functional semi- Fowler gag reflex, thentoforoneoralside,suction position the patientposition in a semi-fowler position with the head turned while for nasal suction the patient in a semi-fowler position with the neck hyperextended. If the patient is unconscious, suction is carried out while lying on his side and facing the nurse. 4) Make sure the suction machine is functioning properly & adjust the suction machine pressure 5) Place the pillow and pad on the patient's chest 6) Ensure the patient is receiving 100% oxygenation 7) Open the sterile instrument tub and prepare sterile equipment: a. Pour 0.9% NaCl into the sterile com b. Insert the sterile suction catheter into the instrument tray 8) Wear sterile gloves 9) Connect catheter machine).theThesuction dominant handtoisthe keptsuction steriletube (which is connected to the suction 10)Turn on the machine and suck in 0.9% NaCl liquid 11)Perform suction on the nose, mouth, tracheostomy hole, ETTin a non-sucking state 12)Push the catheter up1 cm to the carina, or suction until thecatheter patient has aslowly cough inreflex, then pull it out approximately then pull the back a circular motion and in a sucking (closing) position. 13) Perform suction for no more than 10 minutes 14) Rinse the suction catheter using 0.9% NaCl until clean 15) Repeat the suction procedure until the breath sounds are clear TERMINATION STAGE a. Evaluate responses and actions carried out correctly b. The patient is well groomed c. Provide education related to follow-up after the action is taken d. Tools are neatly arranged e. The subsequent time contract was submitted correctly f. Therapeutic greetings are delivered in a friendly manner g. Wash your hands properly