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Oxygenation Oral Suctioning Checklist Complete

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Student Skills Checklist: NFDN 1002


OXYGENATION: Oropharyngeal Suctioning

Supplies required: Yankauer suction, suction tubing, specimen container (for Normal Saline/Sterile Water), clean
gloves, towel/drape, portable wall suction, mask, stethoscope, normal saline/or sterile water.

There is room for flexibility in regards to the order of this checklist. As long as safe patient practice is followed, the order
does not have to be exact.

Complete focused physical assessment and a full set of vital signs.


Assess for signs and symptoms of abnormal respiratory rate, adventitious sounds, pooling of secretions, drooling,
gurgling, restlessness, vomitus in mouth, and coughing without clearing secretions from airway.
Verify the suctioning orders in the physician’s orders.
Gather all necessary equipment and supplies for oropharyngeal suctioning.
Enter room, wash hands.
Provide privacy for by closing curtain or patient door.
Introduce self to patient and family, and identify patient using 2 patient identifiers.
Assess the patient’s understanding of the oropharyngeal suctioning, and encourage questions. Obtain consent.
Help patient into a semi-fowlers position or high-fowlers position, and slightly hyperextend the neck (unless
contraindicated). Stand on patient’s right side if right handed, or left side if left handed.
Place oximeter on patient finger to assess O₂ status while suctioning, and leave on while suctioning.
Place towel across patient’s chest.
Perform hand hygiene. Apply PPE as required, if splashing is likely.
Set up materials on bedside table for easy access.
Set up the equipment. Connect one end of the suction tubing to the suction machine and place the other end in a
convenient location near patient.
Open clean specimen container and pour 100 mL of Normal Saline or Sterile Water solution into clean specimen
container.
Attach the Yankauer to the suction tubing.
Put on disposable gloves.
Turn on suction device to ensure works. Set device suction to the appropriate intermittent negative pressure, ie: 100-
150 mm Hg for adults (check the chart for orders of required pressure, or set as per facility policies). Confirm that
suction is working with Yankauer attached.
Remove patient’s oxygen mask, if present, encouraging patient to take a deep breath prior to removing. Keep the
oxygen mask near the patient’s face in case they desaturate. If wearing a nasal cannula, keep in place.
Test Yankauer suctioning in the Normal Saline/Sterile Water, and plug the suctioning hole, and suction some fluid into
the line. Remove finger from plug if suctioning working.
Insert the Yankauer suction into the patient’s mouth, plug the suctioning hole on the Yankauer with gloved finger, and

NFDN 1002 CHECKLIST OXYGENATION: Oral Suctioning APRIL 2022 VOL 1.1.22
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move along the gum line to the pharynx. Move the Yankauer around the mouth until all secretions have been cleared.
Do not apply suction to the buccal mucosa. Remove finger from the suctioning hole.
Clear suctioning line with a small amount of Sterile Water/Normal Saline in between passes, and after suctioning
complete, until connecting tubing has been cleared of secretions.
Wash patient’s face if secretions are present on their skin.
Replace patient’s oxygen mask. Observe the respiration rate and the O₂ sats throughout.
Encourage patient to cough, and repeat suctioning if needed.
Remove towel on patient’s chest, and clean area, disposing of materials in appropriate receptacle.
Place patient at lowest bed setting, with side rails up, call bell within reach.
Remove Yankauer from suction tubing, and place on dry, clean towel. Discard the excess Normal Saline/Sterile Water
into the appropriate receptacle, and discard the container.
Position the patient in a comfortable position. Provide oral hygiene if needed.
Remove gloves/PPE and wash hands.
Document and report the patient’s response. Document the amount, consistency, color, and odor (if any) of the
secretions. Document vitals throughout and following.

Some facilities discard the tubing and the specimen containers every 24 hours, for Infection Control Practices.
Please follow your facility policies in regards to the discarding of the equipment.

Equipment needed for Yankauer Suctioning

References:

Essential Skills Video’s: Performing Oropharyngeal Suctioning.

Potter, P., Perry, A. G., Stockert, P., Hall, A. (2019). Canadian fundamentals of nursing (6th ed.). Astle, B. J., & Duggleby,
W. Elsevier Canada, pg. 983-988.

NFDN 1002 CHECKLIST OXYGENATION: Oral Suctioning APRIL 2022 VOL 1.1.22

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