Hi Good Day everyone, I’m Lea Mae
Andoloy from 301N and today I’m going
to demonstrate oro-nasopharyngeal
suctioning.
For the knowledge
First, assess the patient’s respiratory
function and patency.
Second explain the procedure entails to
the patient standing order. By
explaining the procedure, it relieves the
patient’s anxiety to the process of
procedure.
Third, prepare necessary supplies and
bring at bedside the equipment’s such
as: Suction apparatus, Sterile suction
catheter with suction port, Sterile saline
or Sterile water, Sterile gloves, clean
towel, Stethoscope, and lastly, the
Sterile container. And don’t forget to do
the hand wash before proceeding to the
procedure.
For skills:
Properly position the patient, if the
patient is conscious place in a semi-
fowler’s position with head turned to one
side for oral suctioning and the neck is
hyperextended for nasal suctioning. If
the patient is unconscious place in a
lateral position facing to the nurse.
After that, place the towel on the pillow
or under the patients chin and turn on
the suction to the appropriate pressure.
Next is Pour sterile water or NSS into
sterile container and peel back the
wrapper of the catheter until the adapter
is exposed. Pre-oxygenated patient with
100% oxygen for 1-2 minutes (lalagyan
ng mask para ipre-oxygenated)
After the pre-oxygenated, apply a sterile
glove to your dominant hand and clean
glove with non-dominant hand. Remove
the wrapped around the catheter with
the non-dominant hand (unsterile). Coil
the catheter around your dominant hand
(wrap the suction into your gloved hand)
and wrapped it using the fingers.
Next, is hold the sterile suction catheter
with dominant hand, connect the distal
end of the catheter to the suction that is
held with non-dominant hand and
approximate the distance between the
patient’s earlobe and tip of the nose to
thyroid cartilage and place thumb,
forefinger of dominant hand at the point
about 6-8 inches then after measuring
the length moisten the catheter tip with
sterile solution and place the suction of
the catheter tip in the solution.
(Take note)
For nasopharyngeal suctioning,
gently insert catheter into one nostril
and guide along the catheter into floor of
the nasal cavity, do not force the
catheter and if one nostril is not patent
try the other. Do not apply suction
during insertion. (10 seconds)
For oropharyngeal suctioning, gently
insert the catheter into one side of the
mouth and slide the catheter to the
oropharynx.
Next apply suction by occluding the
suction control port with the thumb of
non-dominant hand and gently rotate
the catheter with thumb and index finger
using the dominant hand as you
withdraw it.
Flush the catheter with sterile solution
by placing and apply suction. And if the
patient is able or conscious ask them to
do deep breath and cough between
suctions. And when the procedure is
completed “OFF” the suction machine,
dispose the gloves and catheter
properly and don’t forget to wash hands.
Offer the patient for the oral hygiene and
place in a comfortable position, empty
the suction collection bottle frequently.
Use auscultation to listen to the chest to
assess the effectiveness of suctioning,
record the time of suctioning, amount,
consistency, color and odor of
secretions, and patient’s response to the
procedure. And lastly empty suction
bottle at the end of every shift.
Hi Good Day everyone, I’m Lea Mae
Andoloy from 301N and today I’m going
to demonstrate oro-nasopharyngeal
suctioning.
 Assess respiratory function and
patency
 Explain the procedure to the
client – to relieve the anxiety of
the patient
 Prepare the necessary
equipment’s such as:
 Suction apparatus
 Sterile suction catheter
with suction port
 Sterile saline or Sterile
water
 Sterile gloves
 clean towel
 Stethoscope
 Sterile container
For skills:
 Position the patient properly
 If conscious place in a
semi-fowler’s position with
head turned to one side for
oral suctioning and the
neck is hyperextended for
nasal suctioning.
 the patient is unconscious
place in a lateral position
facing to the nurse
 Place the towel under the
patients chin and turn on the
suction into an appropriate
pressure
 Pour sterile water or NSS into
sterile container and peel back
the wrapper of the catheter until
the adapter is exposed
 Pre-oxygenated with 100%
oxygen for up t 1-2 minutes
 Don the glove with your dominant
hand and non-dominant hand,
remove the remaining wrapped
around the catheter with unsterile
hand using the fingers.
 Hold the sterile suction catheter
with dominant hand, connect the
distal end of the catheter to the
suction with the held of non-
dominant hand and approximate
the distance between the
patient’s earlobe, tip of the nose,
to the thyroid cartilage at the
point of 6-8 inches.
 After measuring the length
moisten the catheter tip with
sterile solution and place the
suction of the catheter tip in the
solution.
 Apply suction by occluding the
suction control port with the
thumb of non-dominant hand and
gently rotate the catheter with
thumb and index finger using
dominant hand as you withdraw
it.
 Flush the catheter with sterile
solution by placing and applying
suction.
(Take note)
If patient is able or conscious ask them
to do deep breath and cough between
suctions.
 When the procedure is completed
“OFF” the suction machine,
dispose the gloves and catheter
properly and don’t forget to wash
hands.
 Offer the patient for the oral
hygiene and place in a
comfortable position, empty the
 suction collection bottle
frequently.
 Auscultate and listen to the
patient chest to assess the
effectiveness of suctioning,
record the time of suctioning,
amount, consistency, color and
odor of secretions, and patient’s
response to the procedure. And
lastly empty suction bottle at the
end of every shift.