Tips for Properly Performing Suctioning Procedure on a Patient with an Endotracheal Tube
How should a nurse perform the suctioning procedure on a 48-year-old man with an endotracheal tube?
Which of the following statements is an accurate description of how the nurse should perform the procedure?
1. Insert the suction catheter four inches into the tube. Apply suction for 30 seconds, using a twirling motion as the catheter is withdrawn.
2. Hyperoxygenate the client and then insert the suction catheter into the tube. Suction while you remove the catheter using a back and forth motion.
3. Explain the procedure to the patient. Insert the catheter while gently applying suction, and withdraw using a twisting motion.
4. Insert the suction catheter until resistance is met, then withdraw it slightly. Apply suction intermittently as the catheter is withdrawn.
Answer:
The nurse should perform the suctioning procedure by inserting the catheter until resistance is met, then withdrawing it slightly. Intermittent suction should be applied as the catheter is withdrawn.
Proper suctioning is an essential nursing procedure, especially for patients with an endotracheal tube in place. When performing the suctioning procedure on a 48-year-old man with an endotracheal tube, it is crucial to follow the correct technique to ensure the patient's safety and comfort.
The accurate description of how the nurse should perform the suctioning procedure is to insert the suction catheter until resistance is met, then withdraw it slightly. This technique allows the nurse to clear secretions effectively while minimizing the risk of trauma or damage to the tissues. Applying suction intermittently as the catheter is withdrawn helps remove secretions without causing harm.
It is important for the nurse to communicate effectively with the patient and explain the procedure before starting. This helps reduce anxiety and promotes cooperation during the suctioning process. By following proper suctioning techniques, the nurse can maintain the patency of the airway and prevent complications.
Remember to always hyperoxygenate the client before suctioning and monitor their oxygen saturation throughout the procedure. Proper hand hygiene and infection control measures should also be observed to prevent cross-contamination and infection. Regular assessment of the patient's respiratory status is essential to ensure that suctioning is performed only when necessary.
By following these tips and guidelines, nurses can perform the suctioning procedure safely and effectively, providing optimal care for patients with endotracheal tubes.