1) Identify patient using name and explain what is about to occur |
2) Auscultate bronchial breath sounds |
3) Perform hand hygiene before donning personal protective equipment (PPE) |
4) Don PPE in the correct order (disposable apron, mask with face shield and disposable gloves) |
5) Set suction pressure accurately (between 13 and 20 kPa) |
6) Connect the suction catheter to the connecting tubing |
7) Remove cap from sterile water and don sterile gloves (dominant hand) |
8) Pick up the sterile suction catheter without touching any non-sterile surfaces |
9) Pick up the suction catheter (sterile portion) with sterile (dominant) hand |
10) Turn on suction machine and aspirate sterile water |
11) Explain to patient that you are about to suction tracheostomy |
12) Remove artificial nose with the non-sterile (non-dominant) hand |
13) Position artificial nose on package of sterile gloves (sterile place) |
14) Explain to patient that you are about to insert catheter |
15) Insert catheter into tracheostomy until resistance is met |
16) Suction patient for 10 to 15 seconds while you roll the catheter between your thumb and forefinger |
17) Set artificial nose accurately after suctioning |
18) Rinse catheter with water |
19) Turn off suction machine and remove the catheter from the connecting tubing |
20) Dispose of catheter while maintaining sterility of dominant hand |
21) Doff PPE in the correct order (i.e. gloves, apron and mask) |
22) Perform hand hygiene |
23) Auscultate bronchial breath sounds |
24) Explain that suctioning was finished |