http://www.sh.lsuhsc.edu/cps/pandp/17.8.pdf Cardiopulmonary Services NICU Specific olicies roc17.

!N"#$%&C'!&( $U)! SUC$I#NIN*

urpose: $o facilitate removal of secret ions and maintain patency of the !$ tu+e. !,uipment: 1. Sterile suction catheter of appropriate si-e .not more than //0 the the si-e of the !$ tu+e1 /. Sterile disposa+le 2loves 0. Supplemental o3y2en source and o3y2en tu+in2 4. %esuscitation +a2 5. 6acuum source and connectin2 tu+in2 7. Sterile '/8 7. Syrin2e with sterile normal saline 8. ersonal rotective e,uipment Contraindications/'aards/Complications: 1. 'ypo3ia /. 6a2al stimulation: Cardiac arrhythmia 0. $racheitis. 4. "ama2e to mucosal mem+ranes. 5. &irway occlusions. 7. Sudden death. 7. )leedin2 disorders. rocedure: 1. !valuate patient to determine if suction is necessary .i.e. +reath sounds9 tactile fremitus9 etc.1. /. &ssem+le e,uipment 0. repare resuscitation +a2 .chec: that o3y2en is on1 and verify that suction is set at 78;88 mm'2. 4. <ash hands thorou2hly. 5. Carefully open catheter :it. 7. re;o3y2enate infant for a +r ief period .one or two minutes with the =i8/ increased +y 18;15> a+ove the delivered =i8/1. 7. ut 2love on dominant hand. 8. ic: up vacuum control end of catheter with 2loved hand then attach to vacuum connectin2 tu+in2. ?. "isconnect patient from ventilato r and instill 1//cc of sterile normal saline to irri2ate9 if necessary. 18. )a2 patient with increased =i8/ .5;18> a+ove set =i8/1@ o+serve color and o3y2enation trends durin2 the procedure. 11. Introduce catheter into !$$ and watch cm mar:in2s on catheter. Aatch cm mar:in2s form !$$ and catheter and pass 1 cm. &pply suction for no lon2er than 15 seconds. 1/. &2ain +a2 patient with increased =i 8/ .18 ; 15> a+ove set =i8/. #+serve patientBs heart rate9 color9 +reath rate9 etc. 10. &fter completion of endotracheal suction9 nares and oropharyn3 should +e suctioned 2ently prior to di sposal of the catheter. 14. #nce the catheter and 2love have +een disposed of9 the vacuum connectin2 tu+in2 should +e rinsed with sterile ' /8. $he o3y2en concentration must +e returned to pre;suctionin2 =i#/9 if indicated. 15. &uscultation will determine whether a second suctionin2 episode is indicated. 17. $he color9 consistency and amount of secretions aspirated should +e documented.

Cardiopulmonary Services NICU Specific olicies roc17.8 Infection Control: 1. Universal recautions should +e followed durin2 this procedure. /. &septic techni,ue should +e used. 0. ersonal protective e,uipment should +e worn. <ritten: Culy 1?8? %evised: &u2ust 1??7 %eviewed: &pril 1??8 %eviewed: &u2ust /888