Name Date Unit Position Instructor/Evaluator: Position SKILL 32-4 Nasopharyngeal and Oropharyngeal Suctioning Steps Comments Needs Excellent Satisfactory Practice Reviewing Pertinent Information 1. Assess signs and symptoms of upper and lower airway obstruction requiring suctioning including wheezes, crackles, or gurgling on inspiration or expiration; restlessness; ineffective coughing; tachypnea; hypertension or hypotension; cyanosis; decreased level of consciousness; and excess nasal secretions, drooling, gastric secretions, or vomitus in the mouth. 2. Check patient’s chart for low platelet count, use of anticoagulants, and recent history of epistaxis or nasal trauma. 3. Determine factors that normally influence upper or lower airway functioning such as the following: Fluid status • Lack of humidity • Infection • Preparing for Suctioning 4. Wash hands. 5. Gather supplies needed: Suction source • Extension tubing connected to suction device • Sterile suction kit • Sterile water-soluble lubricant • Small bottle of sterile water or normal saline • if not included in kit Gown, mask, goggles, or face shield • 6. Prepare the equipment: Ensure that suction is working. •
Name Date Unit Position Instructor/Evaluator: Position Excellent Satisfactory Needs Practice SKILL 32-4 Nasopharyngeal and Oropharyngeal Suctioning Steps Comments Reviewing Pertinent Information 1. Assess signs and symptoms of upper and lower airway obstruction requiring suctioning including wheezes, crackles, or gurgling on inspiration or expiration; restlessness; ineffective coughing; tachypnea; hypertension or hypotension; cyanosis; decreased level of consciousness; and excess nasal secretions, drooling, gastric secretions, or vomitus in the mouth. 2. Check patient’s chart for low platelet count, use of anticoagulants, and recent history of epistaxis or nasal trauma. 3. Determine factors that normally influence upper or lower airway functioning such as the following: • Fluid status • Lack of humidity • Infection Preparing for Suctioning 4. Wash hands. 5. Gather supplies needed: • Suction source • Extension tubing connected to suction device • Sterile suction kit • Sterile water-soluble lubricant • Small bottle of sterile water or normal saline if not included in kit • Gown, mask, goggles, or face shield 6. Prepare the equipment: • Ensure that suction is working.
SK_Chapter32-04.docx