Yankauer Suction Cath
- 0Mar 11, '06 by TLC RNDo any of you have a formal or informal protocol of how to handle or replace the yankauer suction catheters? I am working in an ICU as a student and noticed the cath will be under the pillow, hanging on the bedrail, in the wrapper, outside the wrapper, on the floor etc. I was just wondering if anyone had guidelines on how to store it while it was not in use and if you were to be washed and gloved before using it.
Thanks for any input.
- 0Mar 11, '06 by TweetyGood question. We ususally return them to the wrapper when not in use. Sometimes patients use them themselves and indeed leave them lying anywhere. Since it's not a sterile procedure and just cleans up trach and oral secretions, I've never paid it much mind. I replace them when sediment piles up. I don't wash them with each use, but definately don gloves.
- 0Mar 11, '06 by PedsER-RNQuote from tootyx121i've never seen a formal p/p on handling/replacing yankeurs in my facility. if i am caring for a pt who needs sxn, i try to keep it b/w the stretcher frame and the mattress, in the little plastic wrapper. in some situations, the wrapper gets lost, so then the sxn cath is touching the sheets or it's hooked on the sxn canister. if it touches the floor, i replace it. using one that's touched our floors would be like licking a trash can-there's all sorts of stuff that comes into contact with the floors, and if i were a pt, i sure wouldn't want that in my mouth!do any of you have a formal or informal protocol of how to handle or replace the yankauer suction catheters? i am working in an icu as a student and noticed the cath will be under the pillow, hanging on the bedrail, in the wrapper, outside the wrapper, on the floor etc. i was just wondering if anyone had guidelines on how to store it while it was not in use and if you were to be washed and gloved before using it.
thanks for any input.
- 0Mar 11, '06 by leslie :-Di think one needs to use common sense in knowing when to change it. i too keep the catheter in its' wrapper. and i would never let it touch the floor either. plus if the pt has been vomited and i'm doing a clean sweep, depending on the characteristics of the emesis, i often change it then too.
- 0Mar 11, '06 by thumperRNWe usually try to put a piece of tape on it somewhere with the date on it and change it every 24 hours unless it needs it sooner. I usually just keep in the wrapper, too. If the wrapper is lost we still try to store it on top of the container. Since it's not sterile, it's not really an issue of infection control unless of course it's sitting in the urinal.
- 0Mar 12, '06 by LilRedRN1973We have yankaurs that have little plastic sleeves you push down when you want to use them and then push back up to cover the part that actually goes inside the patient's mouth. We put a "Change" and whatever the next day sticker is, so they get changed at least once a day. I will also replace it if it falls on the floor without being covered up or if it gets clogged up with dried sputum, etc.
Melanie = )
- 0Mar 12, '06 by GompersThis is what we do in my NICU - we have a similar product called a "Little Sucker" :chuckle
It comes in a plastic baggie, so we tape this to the bed and store the device there between suctions. If we lose the bag, we just use another baggie - usually the ones pharmacy sends our meds in, or those lab collection baggies. To keep the device clean, we clear it out by suctioning sterile water through it after each use. Then we'll wipe the outside of it clean with a sterile gauze pad. I know it doesn't all have to be sterile, it's just that what we have on hand happens to be sterile.
They stay pretty clean with this technique, and we rarely have to replace them. Ours are pretty expensive little things and we don't often get new shipments, so we typically give one to each baby (if even necessary, usually it's to larger babies or those medically paralyzed) and that's it. If we have dish soap available, we'll hand wash them with hot water over the sink and air dry.
And while I know adults have different secretions than babies, there are still some pretty disgusting things that you can suction out of a sick infant!
- 0Mar 12, '06 by pugmumWe suck a bit of NS through after we are done suctioning to clear the catheter and tubing, then put the Yaunker back in its wrap then in the holder. If it hits the floor or any other surface, it gets tossed. Its not sterile, but you want to think about where that suction tip was before it touches the pts. mouth....if you wouldn't put it in your mouth, don't put it in theirs.
So if its dirty or plugged, it gets replaced and we keep it in its wrapper.
- 0Mar 12, '06 by Nightwatcher735As described in some of the earlier posts, there are commercially-available "holsters" now for Yanks. In my RT days, we always basically did the NS flush thing and replaced it in the wrapper at the BS with one extra step- after the flush, we'd wipe the exterior of the tip with an alcohol swab, then put it in the wrapper.
That's an excellent point about thinking about where it's been before it touches the pt. If you think about it, the NS flush alone doesn't do much for the exterior of the catheter, and if it's all crudded up when you put it back in the wrapper, you could be growing an interesting "science project" in there between uses! Once the inside of the wrapper's good and contaminated, you're back to square one!