Prepping for Oral Airway Suction- A Nurse’s Essential Pre-Procedure Checklist

A nurse is preparing to suction a client’s oral airway. This critical procedure is often necessary in medical settings to ensure the client’s safety and comfort. Suctioning is a process of removing excess mucus, blood, or other fluids from the airway to prevent aspiration and maintain a clear breathing passage. In this article, we will explore the importance of this procedure, the steps involved, and the potential complications that may arise.

The primary goal of suctioning a client’s oral airway is to maintain a patent airway and prevent respiratory distress. This is particularly important in patients who are unable to cough effectively, such as those with altered consciousness, severe weakness, or neurological impairments. By removing any obstructions, the nurse can ensure that the client can breathe freely and avoid complications such as pneumonia or aspiration pneumonia.

Before beginning the suctioning procedure, the nurse must gather all necessary equipment. This typically includes a suction machine, a sterile suction catheter, gloves, and a face mask. It is crucial to ensure that all equipment is in good working order and that the suction catheter is sterile to prevent infection.

Once the equipment is prepared, the nurse should assess the client’s condition and obtain informed consent if necessary. The nurse should also ensure that the client is in a comfortable position, with the head of the bed elevated to facilitate the procedure. In some cases, the nurse may need to reposition the client to access the oral airway more effectively.

The nurse should wash their hands thoroughly and put on gloves before beginning the procedure. Next, they will don a face mask to protect themselves from any potential exposure to bodily fluids. The nurse will then insert the suction catheter into the client’s mouth, being careful to avoid causing discomfort or injury. The catheter is gently advanced until it reaches the desired depth, typically the oropharynx.

Once the catheter is in place, the nurse will activate the suction machine, ensuring that the pressure is set at an appropriate level. The catheter is then moved gently back and forth to remove any obstructions. It is important to be gentle during this process to avoid causing damage to the airway or other structures.

After the suctioning is complete, the nurse will remove the catheter and discard it in a proper biohazard container. They will then clean the client’s mouth with a moistened gauze pad and assess the client’s respiratory status. If the client’s condition has improved, the nurse can proceed with additional care or discharge the client. If the client’s condition remains unchanged or worsens, further evaluation and intervention may be necessary.

While suctioning is a vital procedure for maintaining a clear airway, it is not without potential complications. These may include injury to the airway, bleeding, or aspiration. To minimize the risk of complications, the nurse should be well-trained in the technique and use proper technique throughout the procedure. Additionally, it is important to monitor the client closely before, during, and after the procedure to ensure their safety and well-being.

In conclusion, a nurse preparing to suction a client’s oral airway plays a crucial role in ensuring the client’s respiratory health and overall well-being. By following proper technique, using the appropriate equipment, and monitoring the client closely, the nurse can effectively perform this procedure and prevent potential complications. Suctioning is an essential skill for any nurse to possess and is a testament to the dedication and compassion of the nursing profession.