INTUBATION -- 16 A MEDICAL PROCEDURE THAT INSERTS AN ENDOTRACHEAL TUBE TO THE TRACHEA VIA THE MOUTH OR NOSE; THROUGH THE MOUTH IF IT I EMERGENCYNURSING ROLES DURING INBERTION OF ENDOTRACHEAL 4 IF THE PATIENT 16 IN RESPIRATORY DISTRESS, OXYGENATE| CART Ig ACCESSIBLE TO THE ROOM OR THE AREA OF THE PATIENT. 30 "Te THe PATIENT HAS NO INTRAVENOUS ACCESS, IMMEDIATELY INGERT A LINE'(OR ASK OTHER NUR&E OR INTRAVENOUS THERAPIST) FOR PREMEDICATION PURPOSES. Ie PREPARE THE LARYNGOSCOPE AND BLADES. ENSURE THAT THE BATTERIES AND BULBE ARE WORKING. AH THE PAYSICIAN WHAT SIZE OR TYPE OF BLADE HE/BHE PREFERRED TO USE. 5. ASSIST THE PHYSICIAN DURING INGERTION. WHEN THE TUBE Is ‘ALREADY IN PLACE, INFLATE THE CUFF TO THE DESIRED CUFF PRESSURE USING A SYRINGE. CHECK THE TUBE POSITION AND THE LEVEL IN THE LIP LINE (E.G. 20 CM, 21 CM, 22 CM, AND 23 CM). &. CONTINUE TO OXYGENATE PATIENT USING BAG VALVE OF THE MANUAL RESUSCITATOR. —S = Ee aT "NURSING MANAGEMENT FOR PATIENTS WITH ENDOTRACHEAL TUBE A ASSESS THE CLIENT'S REEPIRATORY Saris Sr Lent even 2 HOURS OF FREQUENTLY AS INDICATED. ZASSESE NAGAL AND ORAL MUCOSA FOR REDNESS AND IRRITATION. 3, SECURE THE ENDOTRACHEAL TUBE Wits Tae OR ET HOLDER TO PREVENT. MOVEMENT OR DEVIATION OF THE TUBE INTHE TRACHEA. BLACK THe PATIENT A, Position Om sem Sonrnanbearen SOavol =POSITION PATIENT EVERY Piers.” 5. ENGURE THE ET FOR PLACEMENT. 6, SLOSELY MONITOR CUEF PRESSURE, Siti CE SREP te Fabs Me Ta ahuiise ThE Bign OF NGA Neen OVE ORAL ENDOTRACHEAL Ty Tb opestire Spe our Ven & SR DEPENONG Ox TECOL GF THE PORTAL, THs 16 TO PREVENT TRATION TS The Of mucosa. 8. PROVIDE ORAL CARE AT LEAST EVERY HOE LING Por 1G SOLUTION. USE 70 AVOID PATIENT FROM BITING DOWN. 9, COMMUNICATE FREQUENTLY WITH THE eitenr! YOUR NURSING CHECKLIST OF HOW TO PERFORM ENDOTRACHEAL SUCTIONING 4. PREPARE ALL NEEDED EQUIPMENT. Z.assess PATIENT FIRST. AUSCULTATE "PATIENT'S "LUNG FleLDs. FOR ABNORMAL BREATH ‘SOUNDS |3.ATTACH PATIENT TO CONTINUOUS ‘PULSE. 'OXIMETER MONITORING SUCTION CONNECTION TUBE TO THE SUCTION TIP. |S.ENSURE THAT WALL OR PORTABLE ‘SUCTION 18 TURNED ON. 6.HYPER-OXYGENATE PATIENT TO 100% WITH THE MANUAL RESUSCITATOR FOR 2--5 MINUTES. 7.ENTRODUCE CATHETER UNTIL A RESTRICTION 16 MET OR UNTIL YOU CAN STIMULATE COUGH REFLEX. 8.WITHDRAW THE CATHETER SLOWLY WHILE APPLYING INTERMITTENT B0CTION 9.UPON COMPLETION OF SUCTIONING, WITHDRAW CATHETER, ENSURING THAT TIP. Ig COMPLETELY WITHDRAWN FROM AIRWAY, 10, REPEAT. SUCTIONNG PROCESS ‘UNTIL THE ‘PATIENT'S AIRWAY 18 CLEAR. 12," UBE SUCTION TIP Is FOR SINGLE Use. DISCARD AFTER Use. 12, EVALUATE PATIENT'S CONDITION ‘BY AUSCULTATING THE LUNG FIELDS AND. BY MONITORING PATIENT'S OXYGENATION.