We learned in school the most important to least important issues in nursing. Breathing was #1.
One of my guys I take care of has a trach with a #6 canula. He has quite a bit of phlem coming out of his trach and his mouth. He's on a tussin, but I'm wondering if his secretions are normal for a person on trach care. I do suctioning X2 during my shift (and sometimes more if he requests it) and tube feeding along with it. He is very time consuming, and I'm just wondering if trach patients are time consuming period
. I've learned to suction him after feeding, or else I end up doint suctioning, feeding, then suctioning again.
Also, what do you think about suctioning. When I do it, I'm worried about 1) how deep I go, and 2) the small amount of saline getting into his lungs, possibly causing pnemonia. But there is a special thing called a saline fish (SALINE INTRODUCED DOWN THE TUBE TO CLEAR SECRETIONS?) that is used frequently which would cause even more liquid to be possibly introduced into the lungs.
Isn't this a possible nursing dilema?