ORONASAL SUCTIONING SCRIPT 18.

Gently pass catheter into the nares with suction off by

A. PREPARATION
1. Good morning po, I am Rica Acunin, student nurse from Far
Eastern University po.
2. For verification purposes po, please state your name po and
your birth date.
3. Today po I am going to perform your oronasal suctioning po
wherein I will insert a suction catheter po in your nostril and
mouth po to maintain patency of your airway po.
4. Now I will perform handwashing.
5. And assemble the materials such as suction machine, bottle
with antiseptic solution, suction catheter, loves, bottle with
sterile water, normal saline, and clean towel or paper drape.
6. I will position patient accordingly.
7. Drape the patient.
8. Check suction machine’s working condition.
9. Adjust the pressure of the machine.
B. PROCEDURE
10. Ma’am I will just clean your nares po.
11. Pre-oxygenate client with 100 % oxygen for 1-2 min.
12. Attach catheter to suction tubing (Pedia ch/Fr 6, 8, 10, 12;
Adult ch/Fr 14, 16 & 18).
13. Turn on suction machine.
14. Put on sterile gloves.
15. Dip catheter tip in water to check and lubricate.
16. Measure length of catheter to be inserted from the tip of
the nose to the ear lobe to the thyroid cartilage.
17. Grasp catheter about 6 inches from the tip.
leaving the vent open
19. Apply suction intermittently by putting thumb over the
control vent intermittently while moving the catheter
around gently to aspirate mucus (not to exceed 15 seconds
interval and allow 2 - 3 minutes rest periods).
20. Withdraw catheter (suction on) with a rotating motion.
21. Suction sufficient water through catheter to clear tubing.
22. Rinse the catheter.
23. Put catheter in a bottle with antiseptic solution.
24. Change to another suction catheter for the mouth.
25. Attach catheter to suction tubing and turns suction machine
on
26. Put catheter tip in water to draw a small amount of water
through it to lubricate the tip.
27. Suction the sides of the mouth, cheeks, and under the
tongue in the same manner as procedure # 19 and 20.
28. Rinse the catheter
29. Put catheter in a bottle with antiseptic solution.
30. Turns suction equipment off.
C. AFTER CARE
31. Put patient in a comfortable position.
32. Perform after care of all articles and equipment used.
D. DOCUMENTATION
33. Documents the procedure and all nursing assessment:
a. Time suctioning was done.
b. Note color, consistency and amount of secretions
suctioned.
c. Effect of the procedure to the patient.