Enhancing Patient Welfare:
Interprofessional Health Education Through Simulation
Interprofessional Suctioning Module:
Endotracheal Suctioning
Required Equipment:
-vacuum source
-calibrated, adjustable regulator
-collection bottle & connecting tubing
-sterile disposable gloves
-sterile suction catheter of appropriate caliber
-sterile water/normal saline and sterile cup/bowl
-protective equipment (goggles, mask, gown)
-oxygen source with a calibrated metering device
-manual resuscitation bag
-stethoscope
Optional Equipment:
-ECG monitor
-pulse oximeter
-sterile sputum trap for culture specimen
-closed suction system
-oxygen insufflation device
INDICATIONS
PRECAUTIONS
CONTRAINDICATIONS
Increased pulmonary
secretions:
• course breath sounds
• reduced/absent breath
sounds
• spontaneous coughing
• ineffective cough
• increased peak
inspiratory
pressures/decreased
tidal volumes
• worsening 02 sat/ABGs
• to obtain sputum sample
• to stimulate cough reflex
• hypoxic respiratory
drive
•  O2 saturation (> 4%)
• atelectasis
• mucosal fragility
• benign arrhythmia
• bronchospasm
• use aseptic technique
•  10-12 seconds
• severe  O2 saturation
(< 92%)
•  intracranial pressure
(ICP)
• haemoptysis
• malignant arrhythmia
• hyperinflation post
CABG and head injury
Suctioning Setup in Hospital/Clinic
Medical Gas
Wall Outlets:
Suction
Oxygen
Air
Vacuum Regulator
Tools: 0.9% sterile NaCl, sterile cup, gloves, sputum
cup, normal saline, mucogel, tonsil tip, catheter, syringe
Suction catheter/tonsil tip
ICU Patient in the Simulation Lab
Suctioning Setup in the Simulation Lab
Power ON/OFF
Hold 10 s to turn off
Alarm Silence
Endotracheal Suctioning Video Demonstration