I need some advice on suctioning trachs - page 2
According to the nursing book I studied, I am suppose to insert the suction tube with no suction and then twirl the tube between my thumb and index finger and suction on the way out of the trach and... Read More
Apr 3, '10I am curious as to how often most patients in the home have to be suctioned. For example, there is a 6 year old patient who needs to be suctioned every 30-60 minutes. There is a 21 year old patient that only gets suctioned once at night. He doesn't need to be suctioned at all during the day!!!! Anyway, I am wondering how often your patients need to be suctioned? Does age have anything to do with it? Thanks
Apr 5, '10This is determined by amount of secretions. Patients that constantly produce secretions will need more frequent suctioning. I've had patients that needed almost constant suctioning as well as those who needed none. Depends on the individual.
Apr 5, '10What Caliotter said, there's a huge variation from 1 person to another, just as the size and type of trach and vent circuit if they are on a vent.
In my experiences, suctioning at less than 2 hour intervals is more common than someone, such as your 21 yr. old, who needs suction only once in 24 hours. Adults generally need less suction at night. Everyone seems to have more secretions when they laugh, cry, are eating if they are on a po diet, increased humidity, illness (ie a cold or flu) and seasonal allergies. One lady I've known for a long time gets p--- at me because I say something funny while she is eating-- (but sometimes she thinks I'm funny when I'm not trying to be ).
It's interesting-- if you are with a patient a while you might know they are coming down with something before they do by sometimes subtle changes in amount, consistency, color their secretions. Yes, that's what we deal with very often in home health patients. I did have one nurse co-worker a while back who wanted to hold the full cannister up to the ceiling light to determine "yellow" or "green". I said no, I'm good but thanks anyway.
Apr 5, '10Thanks caliotter3 and nursel56.:redpinkhe Yes, when the 6 year old starts crying he really starts getting lots and lots of secretions. So it's usually about 2 hour intervals for most patients. Thanks so much for the information.
May 3, '10As stated, you can't argue with Mom's successes but we are taught to only suction on the way out. My patient is on a vent and is 45 years old. He has 24/7 private duty nursing care and is frequently suctioned. We change his suction catheter every 24 hours routinely. When suctioning him, he asks that we suction for no more than 11 seconds at a time for his breathing sake, which is understandable. I get best results by twisting the catheter with suction on the way out. Sometimes after I find the spot that is suctioning all the secretions, I will let off the pressure, put the catheter back in and go over that spot to be sure I have suctioned everything out. Hope this helps you some.