Does anyone have any tips on suctioning for a 3 y/o patient? I am new to pediatrics (most of my experience is med/surg), and I have a patient who has a history of mucous plugs and uses a vibra-vest and periodic suctioning (due to partial paralysis). I work in home health, so I work with this patient every week. They usually suction only his nares with a BBG nasal aspirator tip (or a "mushroom tip"). He has orders for PRN suctioning. The mother would like me to do this orally, and the nurse I did orientation with agreed with the mother. However, I don't see any benefits to suctioning orally as opposed to nasally (without the BBG adaptor). I think that trying to suction a 3 y/o orally would just be even more traumatizing, and more difficult. The nurse who was in charge of my orientation did not seem to know very much about suctioning, so I could really benefit from some advice from other Peds nurses. I am very comfortable with suctioning in adults, but not with children. Any advice?