I know in the past NS bullets have been used to help clear thick secretions in trached/ vented pts. I know that EBP says we should NOT do this. I personally will not do it as an RN. If RT wants to do it then fine but I will not. What are some other ways to effectively remove thick secretions without a bullet? I have had a few trach pts that are unable to clear secretions and will end up with a plug or just be very junky and it can be very difficult to suction the secretions because they are sooo thick. *yuck* Any tips?
Here's a link for all those who question why bullets should not be used:
Free registration required to access--great CEU resource site. Karen
I know the AACN (American Association for Critical care nurses) also has that issued addressed in its procedure manual but right now I can't find my copy. Sorry
Last edit by NRSKarenRN on Apr 30, '11
: Reason: Added registration info