RESPIRATORY CARE: Open Suction Checkoff

[zobeckd]

Let see...a new bottle is not opened at every suctioning and it can be use for at least the shift... From the camera angle it may appear the catheter touched the sx tubing but it did not. When judging in real check offs I find myself moving around the room to get a better perspective. In real life, this length of time would be excessive but for demonstration purposes we went extra slow. I did not see her sterile hand be contaminated by the stethoscope

[zobeckd]

Let see...a new bottle is not opened at every suctioning and it can be use for at least the shift... From the camera angle it may appear the catheter touched the sx tubing but it did not. When judging in real check offs I find myself moving around the room to get a better perspective. In real life, this length of time would be excessive but for demonstration purposes we went extra slow. I did not see her sterile hand be contaminated by the stethoscope.

[jpnnh]

Is this a joke?? NUMEROUS ERRORS. She used a non-sterile bottle of saline as it had been opened & 3/4 was missing...she hit the sx hose with the tip of sterile catheter when removing it from inside packet...she bagged pt and then opened equip by then any pre-oxygenation was long gone & after sx she hooked up TP instead of bagging pt...her hand was contaminated & she took t her stethoscope to listen. Very poor technique! I would fail her and the moderator as he didn't see anything wrong

[squallFF9]

@jpnnh Okay... the stethoscope would have been sterilized in between patients... so how is that contaminating?

I think you have a little bit too much time on your hands, this is for demonstration purposes!

So obviously it's absolutely impertinent that the saline had been opened.

Good demonstration!

[ruthven78]

@jpnnh - sheesh you didnt critique her on not listening long enough in each field of the lung....maybe we should fail you as critic for not catching that....this was obviously for demonstration and not an actual proficiency check off. I rewatched multiple times and the only part that contacts the stethescope is the suction tubing, not the catheter, so the catheter was not contaminated.

[jpnnh]

Is this a joke?? NUMEROUS ERRORS. She used a non-sterile bottle of saline as it had been opened & 3/4 was missing...she hit the sx hose with the tip of sterile catheter when removing it from inside packet...she bagged pt and then opened equip by then any pre-oxygenation was long gone & after sx she hooked up TP instead of bagging pt...her hand was contaminated & she took t her stethoscope to listen. Verry poor technique! I would fail her and the moderator as he didn't see anything wrong

[zobeckd]

Very good question. There are two reasons. One by starting with both sterile gloves you can adjust any of the sterile items with either hand. For instance, if the suction catheter was picked up a bit awkward or your glove needs to be adjusted a bit. However, once it is contaminated that no longer can be done. Second reason is the kit comes with two sterile gloves. It is good to know that I am being viewed in Europe. Where about are you? I hope these videos are helpful.

[CmdrCrank]

@zobeckd

Well I'm from the Western end Germany and here we don't have such a profession as respiratory therapists, most of the procedures you explain and show are done by ICU/Critical Care Nurses and are part of the ICU Nursing agenda. And I really like this videos to get a greater horizon, but they aren't much different in Germany

[CmdrCrank]

I have a very detailed question as an oncoming ICU Nurse from Europe, why do you use the sterile glove on the left (dirty) hand if you contaminate the hand a small moment after you put the glove on?

[ThePickle87]

one of the best suctioning videos ive seen! Great Job!

[zobeckd]

Thanks to everyone for posting encouraging remarks. I will continue add more videos in hopes that these will help students and therapists to do their job better. If possible let me know where you are from.

[mctanmc]

i love you guys! i may have forgotten what i learned in my lab session and you helped me to refresh my memory. thanks a lot ! muack muacks!!

[itsmemeDDP]

Thanks for taking the time to post these videos for everyone to learn. This was well done and best of luck in your teaching careers.

[CappsGrad]

This is really cool I will be entering a RT program next year ive been trying for a while trying to get some idea of procedures training thanks.

[medicaldud]

Ur doing GREAT!!!!

Do u know much about IPV?

Intrapulmonary Percussive ventilation?

Maybe u cd do a video of that too.