help me please i'm in deep water

First, check your facilities policy and procedure manual. Or, walk to the library and look it up. If that fails, ask a respiratory therapist. And, by the way, watch your spelling...it's the first thing people judge you by.

For fast references go to Google.com and type in a search phrase "endotracheal suctioning" and just choose...

Good luck.

Simple endotracheal suction technique can be found in any of the places mentioned. Why not give some newer important info like why we should stop routinely using NS lavage prior to suctioning. There are some good research articles out there on this subject.

Try AACN (American Association of Critical Care Nurses) or ask a clinical nurse specialist.
In our ICU, it is the policy to first, auscultate the lungs, then next to hyperoxygenate (NOT
hyperventilate or bag with ambu, unless pt. is not on a ventilator; then it is ok to oxygenate with
ambu bag). NO SALINE to be used. When O2 sat is
high, then go ahead and suction with the in-line suction cath (or the old-fashioned kit, if no
in-line available.In that case, you would also be using the ambu bag to hyperoxygenate, but do so non-vigorously) Do a max of 3 passes with catheter, always use sterile technique. Hyperoxygenate again after procedure, then return O2 to ordered setting if it doesn't do it automatically. Ausc. lungs again, document.Is this what you were looking for?