ENDOTRACHEAL AND TRACHEOSTOMY TUBE SUCTIONING

Definition:
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

Types of Tracheostomy Tubes:

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

Fenestrated tube - Contains an opening on the superior portion of the cannula, where air can travel from the vocal cords, into the cannula, and
up through the fenestration to the oropharynx. This allows the patient to vocalize.

Indications:
This procedure is indicated when the client:
1. ____________________________________________________________________________________________________
2. ____________________________________________________________________________________________________
3. ____________________________________________________________________________________________________
4. ____________________________________________________________________________________________________

Purposes:
1. ________________________________________________________________________________________________
2. ________________________________________________________________________________________________
3. ________________________________________________________________________________________________
4. ________________________________________________________________________________________________
Special Considerations:
1. ________________________________________________________________________________________________
2. ________________________________________________________________________________________________
3. ________________________________________________________________________________________________
4. ________________________________________________________________________________________________
5. ________________________________________________________________________________________________
6. ________________________________________________________________________________________________
7. ________________________________________________________________________________________________
8. ________________________________________________________________________________________________
Equipments:
1. Rescuscitation bag (Ambu bag) connected to 100% oxygen

7. Goggles and mask if necessary

2. Sterile towel (optional)

8. Gown (if necessary)

3. Portable or wall suction machine with tubing and collection

9. Sterile suction catheter

receptacle.

10. Y-connector

4. Sterile disposable container for fluids

11. Sterile gauzes

5. Sterile normal saline or water

12. Moisture-resistant disposable bag

6. Sterile gloves

PROCEDURE
Assessment
1. Assess the needs of the patient with a
tracheostomy/endotracheal tube for suctioning.
Planning
2. Wash your hands.
3. Obtain tracheostomy or endotracheal suctioning kit.
Implementation
4. Identify the patient.
Assessment
5. Assess the needs of the patient with a
tracheostomy/endotracheal tube for suctioning.
Planning
6. Wash your hands.
7. Obtain tracheostomy or endotracheal suctioning kit.
Implementation
8. Identify the patient.

RATIONALE

PROCEDURE
Assessment
9. Assess the needs of the patient with a
tracheostomy/endotracheal tube for suctioning.
Planning
10. Wash your hands.
11. Obtain tracheostomy or endotracheal suctioning kit.
Implementation
12. Identify the patient.
13. Provide privacy.
14. Explain the procedure carefully.

Ask the responsive patient to cough.

An explanation should also be given to the unresponsive

patient.

RATIONALE

PROCEDURE
15. Establish a way patient can communicate.
16. Test suction apparatus.
a. Turn on either the wall suction or the portable suction
machine.
b. Place your thumb over the end of the unsterile tubing
that is attached to the suction equipment and test for
pull.
c. Keep the suction regulated to a range of efficiency,
usually low to medium.
17. Position the patient: Supine or mid-fowlers with head
slightly toward you if conscious; lateral position facing you
if unconscious.
18. Put on eye protection and mask.
19. Prepare 5 mL sterile saline in a syringe; remove needle.

RATIONALE