NasoPharyngeal and Other Suctioning Skills

Video

Another suctioning video from ATI explaining Nasopharyngeal suctioning, as well as Nasotracheal suctioning. See the link below:

More Suctioning Skills

Access Pre and Post Procedure Assessment, Documentation, and Client Education Tips Below:

Pre-procedure: 

  • Assess for S/S of Hypoxia & Risk Factors for Airway Obstruction
    • Is client exhibiting signs of restlessness, increased B/P, tachypnea w/shallow depth, tachycardia, SpO2 < 90%, adventitious breath sounds, visual secretions, or have an absence of a spontaneous cough?
    • Is the client exhibiting accessory muscle use or have a pale skin color?
    • Has the client had any nasal bleeding, prior neck or nose surgeries or injuries, a bleeding disorder, or deviated septum?
    • Does the client have COPD, Dysphagia, decreased gag or cough reflex, impaired mobility, or pulmonary infection.
  • Documentation Example
    • Client is restless; skin pale, warm, and moist; turgor good without tenting; and accessory muscles being used. B/P 168/90, RR 28 and shallow; SpO2 86%; breath sounds adventitious in LLL and RLL, others clear; pulse 120; visible thick, yellow secretions; absent spontaneous cough.
  • Client Education Example
    • Mr. Doe, my name is Jill. The physician has ordered airway suctioning for you today. This will help to clear the mucous from your airway and relieve breathing problems. Temporary coughing, sneezing, gagging, or SOB is normal. It is important for you to cough out the secretions and continue to cough throughout the procedure.

Post-Procedure

  • Compare Assessments Before and After Suctioning
    • Is the client still restless? Has skin color improved? Are accessory muscles still being used? Has B/P decreased? Is RR and depth WNL? Is pulse WNL? Has SpO2 increased? Are breath sounds clear? Is client able to cough up secretions?
  • Documentation Example
    • Nasopharyngeal suctioning completed using sterile technique and 14 Fr catheter. 40 cc’s of thick, yellow secretions obtained. No odor. Client states, “I feel like I can breathe easier.” Secretions are mobilized and airway is maintained free of secretions, as evidenced by clear lung sounds in all areas, SpO2 of 92%, RR 18, B/P 120/80, and ability to effectively cough up secretions. Tolerated procedure well without C/O pain or discomfort. NADN.
  • Client Education Example
    • Encouraged client to continue to cough and deep breathe q hour and increase fluid intake.
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