The document outlines the suctioning procedure for nursing officers, detailing definitions, purposes, required articles, and steps for various types of suctioning such as endotracheal, oropharyngeal, and nasopharyngeal suctioning. It emphasizes the importance of maintaining a patent airway, preventing respiratory infections, and proper hand hygiene throughout the process. It provides specific guidelines for performing endotracheal suctioning, including the setup, technique, and documentation of the procedure.

1. Suctioning procedure
for nursing officer
DR.ANJALATCHI ELMCH

2. Suctioning PROCEDURE CONTENT
 Definition
 Purposes
 Articles
 Procedure
 Special consideration

4. Type of Suctioning
1. Endotracheal suctioning
2. Oropharyngeal suctioning
3. Nasopharyngeal suctioning

7. Endotracheal suctioning
Definition
 Removal of secretion from tracheo-
bronchial tree through an endo-tracheal
tube with the help of mechanical suction
device.
 Definition
 Removal of secretion from tracheo
bronchial tree through an endo tracheal
tube with the help of mechanical suction
device Endotracheal suctioning

9. PURPOSE
 Maintaining the patent airway by removing the secretion
 Prevention of respiratory tract infection from lodgment of
secretion

10. SIGN/SYMPTOM INDICATE
SUCTION

12. ARTICLES
Articles Suction source:
Portable suction wall suction unit
Endo tracheal suctioning Articles
A clean tray containing :
 Sterile suction catheter
 Normal saline or sterile water
in a container Sterile gloves
 Mask, face shield
 Alcohol swab
 Stethoscope A sterile tray
containing:
•Sterile bowl
•Bowl
•Gauze pieces

24. TRACHEOSTOMY SUCTIONING

27. procedure
 Turn on suction apparatus to appropriate
negative pressure for: adults-100-120 mmHg
children-50-100 mmHg infants-40-60 mmHg.
 Perform handPerform hand hygiene, wash
hands.hygiene, wash hands. It reducesIt reduces
transmission oftransmission of
microorganisms.microorganisms.
 Open the end of the suction catheterOpen the
end of the suction catheter package & connect it
to suctionpackage & connect it to suction tubing
(If you are alone)tubing (If you are alone)
Wear sterile gloves with sterileWear sterile
gloves with sterile techniquetechnique

28.  With a help of an assistantWith a help of an assistant
disconnect the ventilatordisconnect the ventilator
 Kink the suction tube & insert theKink the suction tube &
insert the catheter in to the ETtube until catheter in to the
ETtube until resistance is felt resistance is felt
 Resistance is felt when the catheter Resistance is felt when
the catheter impacts the carina or bronchial impacts the
carina or bronchial mucosa, the suction catheter mucosa,
the suction catheter should be withdrawn 2cm out before
applying suction before applying suction
 Apply continuous suction while rotating the suctionwhile
rotating the suction catheter during removal catheter
during removal The duration of each
 The duration of each suctioning should be 10-
15sec.suctioning should be 10-15sec.
 Instill 3 to 5ml of sterile Instill 3 to 5ml of sterile normal
saline in to thenormal saline in to the artificial airway, if
required artificial airway, if required
 Give four to five manual Give four to five manual breaths
with bag or ventilatorbreaths with bag or ventilator

29.  Return patient to ventilatorReturn patient to
ventilator
 Flush the catheter with NSFlush the catheter with
NS in the suction trayin the suction tray
 Suction nares & oropharynxSuction nares &
oropharynx above the artificial airwayabove the
artificial airway
 Discard used equipmentsDiscard used
equipments
 Flush the suction tube withFlush the suction tube
with hot waterhot water
 Wash handsWash hands

45. DOCUMENTATION…
 Record the time of suctioning, nature
&suctioning, nature & amount of
secretions.amount of secretions.
 Document indications for suctioning & any
for suctioning & any changes in vitals
&changes in vitals & patient’s tolerance.
 patient’s tolerance.