What is the correct sequence of actions for suctioning a client with a tracheostomy?

The correct sequence of actions for suctioning a client with a tracheostomy focuses on ensuring both safety and efficacy in the procedure. The process should begin by adjusting the suction apparatus to the appropriate level, which is typically between 80 to 120 mmHg for adult patients. This step is crucial as it prevents excessive suction pressures that could harm the airway.

Following the adjustment, donning sterile gloves is essential for infection control, as it minimizes the risk of introducing pathogens into the tracheostomy site or the airway. Once gloved, checking catheter function is next; this step ensures that the suction catheter is clear and functioning properly before inserting it into the tracheostomy.

Hyperoxygenation of the client is a critical step as well, typically done prior to suctioning to prevent hypoxia. This is accomplished by providing supplemental oxygen for a few breaths to the patient, which helps maintain oxygen levels during the suctioning process.

Then, the catheter is inserted without suction initially, allowing for a clear pathway to reach secretions in the airway. Suctioning is typically applied only when necessary, as prolonged suctioning can lead to airway trauma and hypoxia. This methodical sequence is important to safely manage the airway and minimize the risk of complications