i am a picu rn, and i know that things are hugely different in the icu world of adults (no pun intended;)), but i'd like your input please. recently i have been told by some of our traveling rns that in some facilities, you suction etts by yourself. not trachs, not with inline suction set-ups, good old fashioned, pop em off and bag suctioning. first of all, how in the world do you remain sterile? what if the patient is on very high levels of vent support? i just cannot fathom how this is even a remotely safe thing to do. what if your patient crumps, or plugs the ett? so, what are your opinions/experiences? the whole idea just freaks me out, personally. what do you think?