SUCTIONING

Question 1

c.

Answer 1

Check the order and gather equipment

Question 2

W.

Answer 2

Wash hands

Question 3

I.

Answer 3

1) Identify patient (first and last name, date of birth) and cross reference with wristband, introduce yourself
2) identify allergies (latex, iodine, shellfish)

Question 4

P.

Answer 4

Provide for privacy

Question 5

Prepare

Answer 5

1) clean table and assemble supplies
2) adjust bed to working height
3) position in semi-Fowler
4) lower side rail

Question 6

A. (Perform Respiratory Assessment)

Subjective

Answer 6

Interview

1) difficulty breathing?
2) coughing?
3) apply PQRST

Question 7

PQRST

Answer 7

Provocation/palliation
Quality/Quantity
Region/Radiation
Severity Scale
Timing

Question 8

A. (Perform Respiratory Assessment)

Objective

Answer 8

General overview

1) level of consciousness
2) skin color: is it pale/pink, presence of cyanosis around mouth, lips, earlobes conjunctivae

Chest Shape- Symmetry

Cough- TACO

Oxygen-

1) type of device
2) flow rate
3) mucous membranes- moist/dry, lesions, drainage

Question 9

TACO

Answer 9

1. Type (productive, frequency)
2. Amount
3. Color/consistency
4. Odor

Question 10

A. (Perform Respiratory Assessment)

Auscultation

Answer 10

Demonstrate each osculatory point on anterior and posterior chest
VERBALIZE-
1) using the diaphragm of stethoscope placed firmly on uncovered skin
2) comparing side-to-side
3) instructing the client to breathe slightly slower and deeper than normal, with the mouth open
4) listening to one full inspiration and expiration in each location
5) avoiding breast bone and tissue, placing the stethoscope in the intercostal spaces
STATE-
1. Rate
2. Rhythm
3. Depth
4. Work of breathing/use of accessory muscles
5. Lung sounds

Question 11

T.

Answer 11

TEACH THE PATIENT

Reassure the patient that “if you have any difficult breathing, I will discontinue the suctioning.”

Question 12

Adjust suction

Answer 12

100-150 Hg

clean glove, occlude the end

Question 13

Place tubing

Answer 13

in convenient location

Remove gloves

Question 14

Increase the patient’s

Answer 14

supplemental oxygen

Question 15

Prepare

Answer 15

Towel on chest

Put on goggles

Question 16

Open sterile packaging

Answer 16

OPEN AND POUR WATER BEFORE DONING STERILE GLOVES

Question 17

With dominant hand

Answer 17

pick up sterile catheter

Question 18

With non dominant hand

Answer 18

pick up connecting tubing and connect

Question 19

Moisten

Answer 19

the catheter by dipping into sterile water and occlude the Y-tube to check suction

Question 20

Remove oxygen

Answer 20

with your pinky, encourage patient to take several deep breaths

Question 21

Insert the catheter

Answer 21

5 to 6 inches to reach the pharynx. Only suctioning 10-15 seconds at a time.

Question 22

Offer

Answer 22

oral suction. Advancing the catheter 3 to 4 inches

Question 23

Replace

Answer 23

oxygen delivery device

Question 24

Flush

Answer 24

the catheter

Question 25

Dispose of gloves, catheter, sterile saline

Answer 25

perform hand hygiene, remove goggles, raise the bed rail and lower bed

Question 26

Assist

Answer 26

patient into comfortable position

Question 27

offer

Answer 27

oral hygiene

Question 28

E.

Answer 28

Evaluate the patients response to procedure. Reassess respiratory status, including respiratory rate, effort, oxygen saturation, and lung sounds.

Question 29

R.

Answer 29

Record appropriate data
Time of suctioning
Amount and description of secretions removed
Description of respirations before and after the procedure