00:00
Now, here's something to know. When you're applying suction here, we don't want to hold
down that button, that's our suction control. We don't want to keep that thumb on there
continuously. So let me pause here. When you're applying suction, you want to do it
intermittently. So, let's recap here, we have advanced the catheter, no suction. When
we're coming out, we want to make sure we do intermittent suction. So we simply do this
by lifting and not lifting our thumb. And we're doing this as we withdraw the catheter. So
that's really important. Now, as you are withdrawing the catheter, you may need to just
wrap it around your hand so we can withdraw the length here from the patient's nasal
cavity. Sometimes, we may have to repeat this procedure up to like 3 times using that sterile
saline. So it's important each pass that we put our catheter back into sterile saline and
clean that out. Now again, during this making sure you're checking the patient's breathing
and their oxygenation status. Also, if we have to do this multiple times you've got to give
your patient a rest. Right? No one wants that down their nasal or oral cavity all the time.
01:21
So make sure between each pass give your patient a rest and reassess. Now once we're all
don, we can pull off our sterile glove over the catheter itself, we can get rid of that. Now we
can remove or discard any of the PPE that maybe we used, we can perform our hand
hygiene, we can position the patient for comfort, make sure we lower that bed and put up
those side rails and make sure document the procedure. Now once we're don, make sure
you go ahead clean out that catheter then we can take our sterile glove over the catheter
and then just wrap this up, pull it over, and discard. And get rid of this. And again, make
sure you go back to your patient, make sure you're assessing, the patient feels comfortable
as much as possible. When we're done with all of these supplies here, it's a good idea to go
ahead, discard our PPE, remove any unnecessary supplies, we can perform our hand hygiene
here, and again position the patient for comfort. May not be a bad idea to keep their head
up a little bit if they can tolerate it because we are just down that respiratory tract. Lower
that bed, put up your side rails for safety, and also document the procedure.