Table 2 CCNs’ practices in relation to evidence prior to, during and post ETS (N = 80)
From: Adherence of critical care nurses to endotracheal suctioning guidelines: a cross-sectional study
Practice period | Item | Variable | no (%) |
|---|---|---|---|
Prior ETS | 1. Auscultating the patient’s chest before ETS? | Yes | 24 (30%) |
No | 56 (70%) | ||
2. Explaining the procedure to the patient? | Yes | 16 (20%) | |
No | 64 (80%) | ||
3. Putting the patient in a suitable position? | Yes | 55 (68.8%) | |
No | 25 (31.2%) | ||
4. Pre-suctioning hyper-oxygenation/ hyperinflation | Given | 24 (30%) | |
Not given | 56 (70%) | ||
5. NS instillation | Yes | 52 (65%) | |
No | 28 (35%) | ||
6. Diameter of suction catheter/ETT | >Half of ETT | 34 (42.5%) | |
≤ Half of ETT | 46 (57.5%) | ||
During ETS | 7. Number of suction passes | > 2 times | 45 (56.2%) |
≤ 2 times | 35 (43.8%) | ||
8. Length of total suction time applied to airway | More than 15 seconds | 46 (58.8%) | |
Less than 15 seconds | 34 (41.2%) | ||
9. Adjusting the correct aspirator pressure level of suction pressure | < 80 / > 150 mmHg | 80 (100%) | |
80–150 mmHg | 0 (0%) | ||
10. Time of suction applied | during insertion | 27 (33.8%) | |
during withdrawal | 53 (66.2%) | ||
11. Humidification by passing saline through the suction catheter | Yes | 24 (30%) | |
No | 56 (70%) | ||
12. Resting of the patient for 30—60 s in between consecutive suctions | Yes | 46 (57.5%) | |
No | 34 (42.5%) | ||
Post ETS | 13. Patient reconnected to oxygen post suction | > 10 seconds | 48 (60%) |
within 10 seconds | 32 (40%) | ||
14. Postsuctioning hyper-oxygenation/hyperinflation | Given | 21 (26.2%) | |
Not given | 59 (73.8%) | ||
15. Giving oral care | Yes | 44 (55%) | |
No | 36 (45%) | ||
16. Auscultating the patient’s chest after ETS? | Yes | 33 (41.2%) | |
No | 47 (58.8%) | ||
17. Patient reassured | Yes | 28 (35%) | |
No | 52 (65%) | ||
18. Monitoring vital signs | Yes | 41 (51.2%) | |
No | 39 (48.8%) | ||
19. Hands washed post-suctioning | Yes | 45 (56.2%) | |
No | 35 (43.8%) | ||
20. Appropriate removing of used items | Yes | 62 (77.5%) | |
No | 18 (22.5%) |