I work in a MSICU with a lot of vent patients. Anyway, what REALLY gets me to almost want to puke is oral secretions. We have tons of pts on vents and tracheal secretions dont bother me(because they are usually contained within the ballard suction equipment), but when I get tons of THICK, NASTY,Bubble blowers on the vent, that i have to suck out of their mouth, that grosses me OUT!!!!!!!!!!! I most often have to use visual thoughts (eg., I am back in Jamacia snorkling, Ha Ha ) so I dont dwell on the GROSS thoughts of oral or tracheal secretions!!!!!!!!!