Nasotracheal Suctioning Nursing Skill ALT PDF

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Nasotracheal Suctioning Nursing Skill ALT. Full INFO...

Description

ACTIVE LEARNING TEMPLATE:

Nursing Skill

Yareli Gutierrez Nasotracheal Suctioning SKILL NAME ____________________________________________________________________________ STUDENT NAME _____________________________________

REVIEW MODULE CHAPTER ___________

Description of Skill This procedure is sterile. We need to insert a catheter through the nasal cavity and insure it gets into the trachea in order to conduct proper suctioning of the respiratory

Indications This procedure is conducted when the patient does not have an artificial airway installed and cannot clear their respiratory secretions through a productive cough. We will need to assess the patient for secretions in the respiratory track such as cores crackles, and unproductive cough.

CONSIDERATIONS

Nursing Interventions (pre, intra, post) Pre: Assess patient for need of suctioning such as course crackles in lungs and unproductive cough. Wash hands and gather needed sterile materials for procedure. Before starting to set sterile field ensure patient is oxygenized above 95%. Open sterile water and prepare sterile field. Intra: Open sterile material. After opening sterile gloved and dawning them dominant hand will be sterile. In dominant hand gather and coil the catheter that will be inserter for suctioning. Open and dispense water base lubricant in sterile field. In sterile contained fill with sterile water. Attach catheter to wall suction and set suctioning from 80 to 120 mmHg. Suction some sterile water to insure patency. Lubricate tip to insure easy insertion. Place patient in semi-fowlers position and ensure patient is taking deep breaths while inserting the catheter. There should be no suctioning while inserting the catheter. Insert catheter until patient coughs, aster the cough is triggered pull catheter out 1 to 2 inches and begging to suction while doing twirling motions and pulling catheter out. Suction for no longer than 10 seconds. Once catheter is out give the patient 30 seconds between passes and insure patient oxygen level is above 95% if not we will need to oxygenate. Between passes clean catheter with sterile water to insure patency. Do no more than 3 passes. Post: Assess patient for oxygen level and comfort. Discard of equipment used, turn off suction. Close sterile water. Auscultate patient lung sounds to ensure lung crackles are minimized or eliminated

Outcomes/Evaluation Auscultating lung sounds and hearing little to no crackles. We will expect to have a clear airway after suctioning is performed.

Potential Complications Catheter can be inserted in esophagus The vagus nerve can be triggered causing complications Patient can turn hypoxic

ACTIVE LEARNING TEMPLATES

Client Education Educate patient on helping to pass the catheter in to the trachea by taking deep breaths Educate on coughing to cause secretions of mucus so we can minimize the suctioning since it can be a risk for infection.

Nursing Interventions While inserting catheter we can go into the esophagus which is why we should be expecting to only go in about 6 to 8 inches and expect the cough reflex. The vagus nerve can also be triggered so it is important to look for signs and symptoms to insure removal of catheter as soon as possible. Oxygen levels should be kept at 95% or above so it is important to limit the suctioning to 10 seconds and assess oxygen levels in between suctions

THERAPEU TIC P ROCEDURE

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