Clinical Assessment Preparation

CPNE Study Guide using assigned device (e.g., closed or open): • Explain the procedure to the patient • Maintain sterile technique throughout suctioning • Monitor oxygen saturation during the procedure • Set suction pressure • Verify patency of the catheter • Hyperoxygenate at prescribed liter flow as needed • Insert catheter gently into trachea • Close control valve after device has been inserted • Rotate catheter continuously during suctioning • Suction for no more than 15 seconds at a time • Have patient take deep breaths after suctioning • Repeat steps if additional suctioning is needed Oral suction using oral suction device: • Explain the procedure to the patient • Monitor oxygen saturation during the procedure • Set suction pressure • Verify patency of the suction device • Insert suction device gently into oral cavity • Close control valve after suction device has been inserted • Suction for no more than 15 seconds at a time • Have patient take deep breaths after suctioning • Repeat steps if additional suctioning is needed Bulb syringe suction: • Deflate bulb syringe prior to insertion • Insert bulb syringe into the patient’s mouth • Insert bulb syringe into nares • Aspirate secretions • Document:  Education provided  Learner understanding of education provided Assessment before interventions: • Respiratory status • Tracheal suction

Respiratory rate within established parameters of +/- 2 respirations/ minute for patients 2 years or older or +/- 6 respirations/minute for patients under 2 years • Respiratory depth

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