HINT: How do I perform inline suctioning using a closed system?
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HINT: What is the correct catheter size when suctioning a tracheostomy?
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The onset of the 'viral season' is a good time to promote the routine and ‘as needed’ maintenance of all home care equipment, including suction and other respiratory equipment that may be contaminated/infected. A suction machine is a device used to help clear the airway of mucus which is especially important to keep clean as the close proximity of dirt and bacteria to a child's airway may increase the risk of a child becoming sick.
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This QuickHiT! came from a consult initiated by a home care nurse who texted Connected Care Live! for clarification about the use of normal saline drops via tracheostomy. In this situation, the child's family had previously learned to routinely instill saline prior to suctioning but this practice differed from the nurse's employer's policy.
This Quick hit alert was identified by a family caregiver in the home setting. It was identified that the pressure gauge of the suction machine (portable or standing) should be checked every time a child is suctioned. Dials and settings on suction machines (older and newer types) can change or “slip” between uses resulting in inadequate suction power.
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