Final answer:
In an educational inservice about endotracheal suctioning using an open suctioning system, important concepts to include are: suctioning until pulmonary secretions are cleared, inserting the suction catheter to a predetermined length, replacing the suction catheter every 24 hours for long-term intubation, and adjusting the wall suction unit for negative pressure.
Step-by-step explanation:
When preparing an educational inservice about endotracheal suctioning using an open suctioning system, it is important to include the following concepts:
- The patient should be suctioned until pulmonary secretions have been cleared to ensure effective suctioning.
- The suction catheter should be inserted to a predetermined length—no more than 1 cm past the end of the endotracheal tube to avoid causing injury to the patient.
- If the patient's endotracheal tube has been in place for longer than 7 days, the suction catheter should be replaced every 24 hours to minimize the risk of infection.
- Prior to suctioning, the wall suction unit should be adjusted to deliver 130 to 150 mm Hg of negative pressure to ensure adequate suctioning.