Tracheostomy Suctioning I: Pre-Procedural Steps

Here is a step-by-step pre-procedural guide for tracheostomy suctioning in an open system.

First, gather all necessary equipment: a suction unit, a sterile suction catheter, a sterile disposable container, sterile gloves, a waterproof pad, goggles, a mask, clean gloves, additional PPE as required, and a resuscitation bag connected to 100% oxygen to save time.

Perform hand hygiene to avoid the spread of pathogens.

Identify the patient to avoid errors and ensure privacy by closing the curtains.

Assess for pain and administer analgesics if required.

Explain the procedure to the patient to help alleviate anxiety.

Position the patient appropriately based on their consciousness level.

For conscious patients, the semi-Fowler's position enhances comfort and breathing. For unconscious patients, the lateral position helps prevent airway obstruction and promotes secretion drainage.

Next, a waterproof pad should be placed across the patient's chest to prevent soiling of lines.

Finally, turn on the suction unit and set the appropriate pressure. Test the unit by occluding the end of the connecting tubing.