GIVING A BACK MASSAGE

Name of Student: ___________________________ ___________________________ Year & Section: ____________________________ ____________________________ Date: C.I.:

Goal: To remove secretions from oropharyngeal and nasalpharyngeal airways. Procedure A !e to A !e to "erfor "erform #it$ m a%%i%tance 1. Determine need for suctioning. Administer pain medication before suctioning to postoperative patient. 2. E plain procedure to patient. !. Assemble e"uipment. #. $erform hand hygiene. %. Ad&ust bed to comfortable wor'ing position. (ower side rail closer to you. ). $lace patient in a semi*+owler,s position if he-she is conscious. An unconscious patient should be placed in the lateral position facing you. .. $lace towel or waterproof pad across patient,s chest. /. Turn suction to appropriate pressure. a. 0all unit: Adult: 1112121 mm 3g 4hild: 5%2111 mm 3g 6nfant: %125% mm 3g b. $ortable unit Adult: 1121% mm 3g 4hild: %211 mm 3g 6nfant: 22% mm 3g 5. 7pen sterile suction pac'age. 8et up sterile container9 touching only the outside surface9 and pour sterile water into it. 11. Don sterile gloves. The dominant hand that will handle catheter must remain sterile while the non* dominant hand is considered clean rather than sterile. 11. 0ith sterile gloved hand9 pic' up sterile catheter and connect to suction tubing held with unsterile hand. 12. :oisten catheter by dipping it into container of sterile saline. 7cclude ;*tube to chec' suction. 1!. Estimate the distance from earlobe to nostril9 and place thumb and forefinger of gloved hand at that point on catheter. 1#. Gently insert catheter with suction off by leaving the vent on the ;*connector open. 8lip catheter gently along the floor of an unobstructed nostril toward trachea to suction the nasopharyn . 7r insert catheter along side of mouth toward trachea to suction the oropharyn . <ever apply suction as catheter is introduced. 1%.Apply suction by occluding suctioning port with your thumb. Gently rotate catheter as it is being withdrawn. Do not allow suctioning to continue for more than 1121% seconds at a time. 1).+lush the catheter with saline and repeat suctioning as needed and according to patient,s toleration of the procedure. 1..Allow at least a 21* to !1*second interval if additional suctioning is needed. The nares should be alternated when repeated suctioning is re"uired. Do not force the catheter through the nares. Encourage patient to

&na !e to "erform

cough and breathe deeply between suctionings. 1/.0hen suctioning is completed9 remove gloves inside out and dispose of gloves9 catheter9 and container with solution in proper receptacle. $erform hand hygiene. 15.=se auscultation to listen to chest and breath sounds to assess effectiveness of suctioning. 21.>ecord time of suctioning and nature and amount of secretions. Also note the character of the patient,s respirations before and after suctioning. 21.7ffer oral hygiene after suctionings '('A) SC(*E +INA) *A'ING (egend: 2 2 Able to perform 1 2 Able to perform with assistance 1 2 =nable to perform ?????????????????????????????????????????????? 86G<AT=>E 7+ 8T=DE<T 7@E> $>6<TED <A:E