Suctioning Oropharyngeal

Procedure for oropharyngeal suctioning

1.  Observe for signs and symptoms that oropharyngeal suctioning is needed (e.g., gurgling, restlessness, excess oral secretions, drooling, secretions or vomitus in mouth).
2.  Position patient and place towel, cloth, or drape across patient's neck and chest.
3.  Perform hand hygiene. Apply gloves and mask or face shield.
4.  Fill cup or basin with approximately 100 ml of water or normal saline.
5.  Turn on suction equipment and set vacuum regulator. Connect one end of connecting tubing to suction machine and other end to Yankauer suction catheter. Check equipment function by suctioning small amount of water or normal saline from cup or basin.
6.  Remove patient's oxygen mask (if present), but keep it near patient's face. Nasal cannula may remain in place.
7.  Insert catheter into mouth along gum line to pharynx. Move catheter around mouth until secretions are cleared. Encourage patient to cough. Replace oxygen mask.
8.  Rinse catheter with water until connecting tubing is clear. Turn off suction. Wash patient's face if secretions are present on skin.
9.  Observe respiratory status. Repeat procedure, if indicated. May need to use standard suction catheter to reach into trachea if respiratory status is not improved.
10. Place towel, cloth, or drape in trash or laundry. Position patient to promote drainage.
11. Discard water and cup appropriately. Rinse basin in warm soapy water; dry it with paper towels. Place catheter in clean dry area.
12. Dispose of gloves and mask or face shield appropriately. Perform hand hygiene.
13. Position patient and provide oral hygiene as needed.
14. Compare assessment findings before and after procedure