Wash hands and put on personal protective equipment (PPE)
3
Communicate the procedure with the patient and ensure comfort
4
Prepare suctioning equipment and connect to oxygen source
5
Lubricate the suction catheter
6
Place the patient in the appropriate position
7
Pre-oxygenate the patient with 100% oxygen
8
Insert the suction catheter without applying suction
9
Apply suction and withdraw the catheter
10
Allow patient to rest and assess tolerance to procedure
11
Clean and store the suction equipment
12
Document the procedure and any pertinent information
13
Monitor patient's vital signs and response to the procedure afterwards
14
Approval: Doctor's assessment of procedure effect
Verify doctor's order and patient identity
Ensure that the doctor's order for endotracheal suctioning and the patient's identity are verified. This task is crucial for patient safety and accurate documentation. Can you confirm the doctor's order for the procedure and the patient's identity? Are there any potential challenges with identifying the patient or accessing the order?
Wash hands and put on personal protective equipment (PPE)
Prioritize infection control by thoroughly washing hands and donning personal protective equipment (PPE) such as gloves, gown, mask, and goggles. This promotes patient safety and prevents the spread of infection. Have you properly washed your hands? Have you worn all the necessary PPE? Do you face any challenges with using PPE?
1
Yes
2
No
1
Gloves
2
Gown
3
Mask
4
Goggles
Communicate the procedure with the patient and ensure comfort
Effectively communicate the endotracheal suctioning procedure to the patient to reduce anxiety and enhance cooperation. Ensure patient comfort and explain the purpose of the procedure. Can you confirm that the procedure has been explained to the patient? What measures are taken to ensure patient comfort during the procedure? Do you face any challenges in communication or ensuring patient comfort?
1
Explained
2
Not explained
1
Oral medications
2
Position adjustment
3
Pain relief
4
Patient reassurance
Prepare suctioning equipment and connect to oxygen source
Accurately prepare the necessary suctioning equipment and connect it to an oxygen source. This ensures availability and proper functioning of the equipment during the procedure. Have you prepared the suctioning equipment? Have you successfully connected it to an oxygen source? Are there any challenges regarding equipment preparation or oxygen source connection?
Lubricate the suction catheter
Properly lubricate the suction catheter to facilitate smoother insertion and minimize patient discomfort. This step is important to ensure the success of endotracheal suctioning. Have you adequately lubricated the suction catheter? Any challenges faced during lubrication?
1
Adequate
2
Inadequate
Place the patient in the appropriate position
Position the patient properly to facilitate effective suctioning and prevent aspiration. This ensures optimal results and patient safety. Can you confirm that the patient has been positioned correctly? Were any specific challenges faced in positioning the patient?
1
Supine
2
Semi-Fowler's
3
Lateral
4
Prone
Pre-oxygenate the patient with 100% oxygen
Administer 100% oxygen to the patient before suctioning to enhance oxygenation and reduce the risk of hypoxemia during the procedure. Have you successfully pre-oxygenated the patient with 100% oxygen? Any challenges encountered during pre-oxygenation?
1
Yes
2
No
Insert the suction catheter without applying suction
Gently and carefully insert the suction catheter into the endotracheal tube without applying any suction. This step helps ensure the proper placement and positioning of the catheter. Have you inserted the suction catheter without applying suction? Were there any specific challenges faced during the insertion?
1
Successful
2
Unsuccessful
Apply suction and withdraw the catheter
Apply suction while withdrawing the catheter to remove secretions from the patient's airway. This step requires coordination and careful monitoring to prevent complications. Have you successfully applied suction and withdrawn the catheter? Any challenges faced during this process?
1
Successful
2
Unsuccessful
Allow patient to rest and assess tolerance to procedure
Allow the patient to rest and assess their tolerance to the procedure. Monitor their vital signs for any changes that may indicate a negative response or complications. Can you confirm that the patient has been allowed to rest? Have their vital signs been monitored? Are there any challenges in assessing the patient's tolerance or monitoring their vital signs?
1
Yes
2
No
1
Regularly monitored
2
Not monitored
Clean and store the suction equipment
Properly clean and store the suction equipment to maintain its functionality and prevent cross-contamination. This step is essential for infection control and equipment longevity. Have you appropriately cleaned and stored the suction equipment? Were any challenges faced during the cleaning or storing process?
1
Properly cleaned
2
Not cleaned
Document the procedure and any pertinent information
Accurately document the details of the endotracheal suctioning procedure, including any pertinent information such as secretions characteristics, patient response, and adverse events. Documentation ensures continuity of care and serves as a reference for future assessments. Have you completed the documentation for the procedure? Were any challenges faced during the documentation process?
1
Completed
2
Pending
Monitor patient's vital signs and response to the procedure afterwards
Continuously monitor the patient's vital signs and assess their response to the endotracheal suctioning procedure. Promptly address any changes in vital signs or adverse reactions. Can you confirm that the patient's vital signs have been monitored? Has their response to the procedure been assessed? Are there any challenges in monitoring vital signs or assessing the patient's response?
1
Regularly monitored
2
Not monitored
Approval: Doctor's assessment of procedure effect
Will be submitted for approval:
Verify doctor's order and patient identity
Will be submitted
Wash hands and put on personal protective equipment (PPE)
Will be submitted
Communicate the procedure with the patient and ensure comfort
Will be submitted
Prepare suctioning equipment and connect to oxygen source
Will be submitted
Lubricate the suction catheter
Will be submitted
Place the patient in the appropriate position
Will be submitted
Pre-oxygenate the patient with 100% oxygen
Will be submitted
Insert the suction catheter without applying suction
Will be submitted
Apply suction and withdraw the catheter
Will be submitted
Allow patient to rest and assess tolerance to procedure
Will be submitted
Clean and store the suction equipment
Will be submitted
Document the procedure and any pertinent information
Will be submitted
Monitor patient's vital signs and response to the procedure afterwards
