| NAME
______________________________POSITION ___________UNIT
_________
EVALUATOR
________________________POSITION __________ DATE
_________
ENDOTRACHEAL/TRACHEAL
SUCTION SKILS CHECKLIST
| Critical
Performance Elements
|
Yes
|
No
|
| COMPETENCY
STATEMENT: To provide care for the patient
requiring endotracheal/tracheal suctioning. |
|
|
| 1. ***Washes
hand. Identifies indications for suctioning. |
|
|
| 2. Explains
procedure to patient. |
|
|
3. ***Assembles
necessary equipment:
a.
Prepares ambu bag and mask
b.
Suction device with connecting tubing
c.
Sterile suction catheter or in-line suction
catheter.
d.
Normal saline or water for clearing tubing.
e.
Sterile or clean gloves, plus mask and
goggles or face shield
f.
Yankuer suction-tip catheter
|
|
|
4. ***Prepares
for suctioning:
a.
Dons personal protective equipment.
b.
Prepares catheter for suctioning (attaches to
connecting tubing; checks to make sure at 80-120
mm Hg). Checks function.
c.
Hyperoxygenates and hyperinflates before and
after suctioning (using ventilator 100% O2
setting and manual/sigh breaths or ambu bag).
d.
Stabilizes ET/Tracheal tube while inserting
catheter into tracheobronchial tree without
application of suction during inspiratory
phase.
e.
Applies intermittent suction while rotating
catheter for open suctioning; applies
continuous suction and pulls straight back
for closed suction during expiratory phase.
Time not to exceed 10-15 seconds.
|
|
|
| 5. ***Resumes
oxygen delivery system. Flushes catheter and
suction tubing until clear. |
|
|
| 6. ***Reassess
patient’s respiratory status for expected
and unexpected outcomes. |
|
|
| 7. Discard used
supplies per procedure. Dispose of suction
canisters and connecting tubing as well as
solution q. 24 hours. |
|
|
| 8. Document need
for suctioning and results in a progress note at
least once per shift and with any changes. |
|
|
| 9. ***Maintains
sterile technique throughout procedure. |
|
|
*** Must
perform these critical elements for successful completion.
COMMENTS:
This page last updated July 25, 2010
All
comments and questions about content at this site should
be sent to Nurse Bob
|