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Tracheostomy Suctioning Sterile?

Geriatric   (33,205 Views 31 Comments)
by aimessue aimessue (New Member) New Member

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You are reading page 3 of Tracheostomy Suctioning Sterile?. If you want to start from the beginning Go to First Page.

6,267 Visitors; 517 Posts

Forgot this one of Debi. This is how tracheostoma patients prefer to clear their secretions.

That's it for my anti-smoking soapbox. Apologies for sidetracking the thread. But, for those who do smoke, remember these suctioning threads and start checking out your catheter preferences.

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debRN0417 has 31 years experience and works as a Lifelong RN working toward retirement maybe someda.

1 Like; 5,812 Visitors; 511 Posts

There are relatively few, and I mean few facilities here that will take a trach patient because of the cost, not only for supplies involved but because of staffing. I can only speak to the facilities I have been involved with, and I guess you could say we're beind the times in a lot of things. Thank you for the information. It is very helpful.

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Oprn54 has 16 years experience and works as a LTC RN.

789 Visitors; 8 Posts

Typically in the nursing home setting trach care is a clean procedure, not sterile which is also the case with cathing a resident. You maintain as clean work area as possible, follow your standard precautions. Hospitals - sterile, long term care - clean.

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arabstarRN works as a RN.

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When my father in law was in ICU for almost three weeks after a severe stroke, he had a trach and at first, it was done using a sterile kit each time, however, that didnt last long before they hooked an inline catheter to his ventilator tubing and used that catheter at least once an hour, if not more depending on his needs as he had a lot of secretions. Yes it was his germs, but... my thought was, wouldn't it still breed bacteria? This was in ICU, and it was no different when he was moved to a rehab, where, unfortunately he wasn't able to come off the vent and since he had clearly stated many times he did not want to live that way or go into a nursing home, the family decided to remove the vent and discontinue treatments, place him on hospice and keep him comfortable.

I was taught in nursing school to use sterile techinque for any invasive procedure unless specifically stated it could be a clean procedure (trach care at home being done by patient or the patient's family, etc.), but I have also had nurses tell me, "That is NCLEX world, real world doesn't always work that way." so my best advice is do what you know is right, what will allow you to keep your job without putting your job at risk, what will protect your patients and yourself and what will not put your license on the line (these are in no particular order as they are all important to me). That is what I intend to do at my job that I start soon...

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CapeCodMermaid has 30+ years experience and works as a DNS.

18 Likes; 1 Follower; 59,175 Visitors; 6,004 Posts

Typically in the nursing home setting trach care is a clean procedure, not sterile which is also the case with cathing a resident. You maintain as clean work area as possible, follow your standard precautions. Hospitals - sterile, long term care - clean.

Hate to disagree but.....there aren't many things we do in LTC that require sterile technique, but catheterizing a resident is definitely a sterile procedure.

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diane227 has 32 years experience and works as a I am about to embark on a new adventure as a state.

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You should use sterile technique. It is the best practice. You don't want to introduce bacteria into the trachea and thus the lungs. Who ever thinks this is a non-sterile procedure is mistaken.

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I know this is a really old thread but I still want to say "You can not do a sterile procedure in a non-sterile environment". What you can do is varying imitations of it though. The room, your clothers, the bed and sheets, his clothes, his roommates... are not sterile. Read your facilities Policy and Procedure manual. The manual contains alot of good info on almost anything you will do in a SNF.

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