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JOSE RIZAL UNIVERSITY

College of Nursing & Health Sciences

Name of Student: Nellena Kaye F. Pedrigal Date Performed: October 21, 2023

Year/Section/Group No.: BSN3_302N/Group 3 Grade:

ORO-NASOPHARYNGEAL SUCTIONING
Rationale
A. Knowledge: Preparation and Planning
1. Assess patient’s respiratory function and patency of nostrils It is important for diagnosing,
treating, monitoring, and
preventing respiratory
conditions and complications.

Baseline respiratory
assessment including an
oxygen saturation level can
alert the health care provider to
worsening condition
2. Explain the procedure entails to the patient/S.O. To let the client know what
procedure that we are going to
do, reduce their anxiety and
have a clear communication
3. Prepare necessary supplies and bring at bedside: To ensure efficiency, safety,
a. Suction apparatus organization, and patient
b. Sterile suction catheter with suction port comfort during the procedure
c. Sterile saline/sterile water
d. Sterile container
e. Sterile gloves
f. Clean towel
g. Stethoscope
4. Wash hands To prevent the spread of
microorganisms
B. Skills: Performing the Procedure
5. Properly position the patient: It can help prevent aspiration,
a. For conscious patient improve oxygenation, and
▪ Semi-fowler’s position with head turned to one side for oral facilitate easier access to the
suctioning. area being suctioned, leading
▪ Semi-fowler’s position with neck hyperextend for nasal to better outcomes for the
suctioning. patient.
b. For unconscious patient
▪ Lateral position facing the nurse.
6. Place a towel on the pillow or under the patient’s chin. Improve patient comfort,
promote hygiene and safety
and protect bed linen
7. Turn the suction “ON”: to the appropriate pressure if applicable. To have appropriate step to
ensure successful and safe
suctioning, and to provide
high-quality patient care.
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8. Pour sterile water or NSS into sterile container. To prevent infection, maintain
aseptic technique, facilitate
suctioning, and promote patient
safety.

Normal saline is used to clean

tubing after each suction pass.
To maintain sterility.
9. Peel back the wrapper of the catheter until the adapter is exposed. It helps maintain the sterility of
the catheter, facilitate easy
insertion, promote aseptic
technique, and ensure safety
for the patient.
10 Pre-oxygenated patient with 100% oxygen for 1-2 minutes. To help prevent hypoxemia,
. and ensure proper oxygenation.
11 Apply a sterile glove to your dominant hand and clean glove with It helps to maintain sterility,
. non-dominant hand. Remove the wrapped around the catheter with the prevent contamination, facilitate
non-dominant hand (un-sterile hand). Coil the catheter around your insertion, and promote aseptic
dominant hand (sterile hand) using fingers as you remove it from the technique.
wrapper.
Reduces transmission of
microorganisms protect nurse
from bodily secretions
12 Holding the sterile suction catheter with dominant hand, connect the It is important to maintain
. distal end of the catheter to the suction that is held with the sterility, prevent contamination,
non-dominant hand. facilitate suctioning, and
promote patient safety
13 Approximate the distance between the patient’s earlobe and tip of the It is an important step during
. nose to thyroid cartilage and place thumb and forefinger of dominant suctioning that helps ensure
hand at that point about 6-8 inches. accurate placement,
consistency, efficiency, and
patient comfort.
14 Moisten the catheter tip with sterile solution. Apply suction with catheter To help ensure lubrication,
. tip in the solution. sterilization, effectiveness, and
safety.

To prevent irritation and

discomfort to the client while
suctioning. Lubricating the
catheter for easier insertion.
15 Suction: It helps prevent trauma or injury
. ▪ For nasopharyngeal suctioning, gently insert catheter into one to the patient's airway and
nostril. Guide the catheter medially along the floor of the nasal ensures effective suctioning
cavity. Don not force the catheter. If one nostril is not patent, try without causing harm.
the other. Do not apply suction during insertion.
▪ For Oropharyngeal suctioning, gently insert the catheter into one Application of suction pressure
side of the mouth and slide the catheter to the oropharynx. Do while introducing catheter into
not apply suctioning during insertion. nasal mucosa increases risk for
damage and increased
hypoxia
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16 Apply suction by occluding the suction control port with the thumb of It helps to effectively remove
. non-dominant hand. Gently rotate the catheter with the thumb and index secretions from the airway
finger of the dominant hand as you withdraw it. while minimizing the risk of
trauma or injury to the patient.
17 Flush the catheter with sterile solution by placing it in the solution and It helps to promote airway
. apply suction. hygiene and prevent infection
or other complications, while
also ensuring the continued
effectiveness of the suctioning
procedure.
18 If the patient is able, ask them do deep breathe and cough between It can help to improve the
. suctions. If suctioning needed, repeat step (from moistens the catheter effectiveness of the procedure
tip). and ensure that all secretions
are effectively removed from
the airway
19 When procedure is completed, turn “OFF” suction machine. Dispose To prevent the spread of
. gloves and catheter properly. Wash your hands. infection and maintain patient
safety.
20 Offer oral hygiene. Place patient in comfortable position. Empty suction It is important components of
. collection bottle frequently. comprehensive suctioning care
and can help to prevent
complications, promote patient
comfort, and maintain safety.

Promote hygiene and reduces

oral infection
21 Use auscultation to listen to the chest to assess the effectiveness of To determine if there are any
. suctioning. Record the time of suctioning, amount, consistency, color remaining secretions that may
and odor of secretions, and the patient’s response to the procedure. require further suctioning.
Empty suction bottle at the end of every shift. Recording the time of
suctioning, amount,consistency,
color, and odor of secretions
helps in tracking the patient's
progress and detecting any
changes in their respiratory
status.
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Clinical Instructor’s Comments / Suggestions:

______________________________________________________________________________________________.

Students’ Comments / Suggestions:

_____________________________________________________________________________________________.

____ Nellena Kaye F. Pedrigal______ _________________________

Student’s name & signature C.I.’s name & signature