JAZZLE GEORGE E.

OTEYZA NCMB 312 RLE

BSN 3Y1-3A LAB MODULE COURSE TASK

Tracheostomy

means the process of making incision through the neck into the trachea which opens airway and

helps in the breathing. Tracheostomy suctioning means it removes the thick mucus and secretions from the

Trachea and lower airway when patient is not able to clear their throats by coughing.

WHEN TO PERFORM IN WHOM WHEN NOT TO PERFORM

SUCTION SUCTION

1. Before Meals in patients with Obstruction of if patient is not pre oxygenated

the mouth or throat then risk of Hypoxia is high then
remove the suction tube.
2. Suction should be done Breathing difficulty is caused by Do not perform suction while
to patients when they Edema (swelling), injury or inserting Catheter. This causes
wake up in morning and pulmonary (Lung) condition increases the chance of injuring
before go to bed in problems. the Mucous membrane.
evening.
3. in some patients, mucus in patients who have Tracheal or Suctioning limit should not
plugs or increased Laryngeal surgery increase the 10 seconds.
sputum production may
cause decrease in
Oxygen levels and then
Suctioning should be
done.
4. when sputum sample is Due to swallowing problem in if patient develop cardiovascular
required but patient is patients have airway protection changes like cardiac arrythmia
unable to cough to from secretions or food. then suction is risk
provide enough sample
then Suctioning helps to
obtain sample.
5. Visible or audibleIn patients who have head or if infection developed due to
secretions in the airway neck surgery they need airway suction then immediately stop
protection and need suctioning suction
6. Oxygen desaturation and in patient who need long term if patient feels discomfort and
restlessness of patient ventilator support injury to the Tracheal mucosa
then suctioning should then suction is risk.
be done.
7. signs of Respiratory in Respiratory failure patients Endotracheal suction should not
distress like increased due to cardiac or respiratory perform routinely but only when
Respiratory rate, diseases mucus secretions are present.
Tachycardia, gasping,
 difficulty breathing then
suctioning should be
done.
8. Suspected Airway defects in Neuromuscular system installation of normal saline
obstruction in patient that controls breathing, injury to before the Endotracheal suction
suctioning should be chest patients should not be performed
done routinely.
9. increased resistance, patients with Artificial airway Patients who are not intubated
decreased SPO2, require suctioning while they are and have Coarse breath sounds
increased PEEP and on ventilator. then the patient should
increasing Fio2 are signs encourage to cough before
that indicate that suction.
suctioning must be done
in Intubated patient.
10. Endotracheal suctioning Acute respiratory distress complications like Atelectasis
should be done when and hemorrhage then suctioning
patient shows Sawtooth is risk.
pattern on flow volume
loop on ventilator
monitor.
 Nursing Intervention: Suctioning and Tracheostomy Care
In our online class, it is good to see such procedures and eventually learn it through the new normal.

Our institution really provides us the knowledge we need even though there is a pandemic crisis. I watched

videos regarding tracheostomy care and suctioning and closed suction systems. I was amazed by the

animation and knowledge brought by the videos. Even though there is a barrier between physical class and

for nursing students, we can find ways on how to learn such procedures. The first video I watched is about

tracheostomy care and suctioning. It was about a demo tackling a nursing intervention which is specifically

about tracheostomy care and suctioning. The video is very specific on what should we do. From the entry

to the patient’s room up to the end procedure. There is a specific part of the procedure that I took on very

well. 50% saline into the large compartment and other 50% to 2 compartments which is 25 and 25 plus with

hydrogen peroxide. We need to take in mid specific information like this and as a nurse it is important to

take note and it will be helpful for my future procedure as we go on with our duty. Before proceeding to

suctioning, I also take note that there is a different purpose of our both hands. Dominant hand should always

be sterile and other hand is clean. This will be proven helpful in the suctioning process. Suctioning and

tracheostomy care is very complex and quite hard to understand. But will the help of these videos and the

practical knowledge of our clinical instructors. I was enabled to learn such things even without actually

seeing it physically. I wish I could see the actual way but I with these kinds of videos I have a head start.

The 2nd video is about using Intersurgical’s Trach seal, closed suction systems. It is a video about

a comprehensive guide on setting up and using trachseal close suction system. As I search pictures about

these and what I’ve seen on videos, this is the usual thing that I watch on movies whenever a patient is

hospitalized. There is a tube-like that is inserted on a patient’s mouth. Usually for patient who are

unconscious. At first, I was like, I saw this procedure before and I knew it, it is the usual thing I’ve seen on

movies. I’m glad I took nursing as a college degree. I have come to realize that nursing is really a fun and

practical thing to do as nursing encompasses many things in life. I hope I can have the duty soon, so that I

can apply what I have learned in online class.