Final answer:
Before suctioning a client with a tracheostomy, a nurse must confirm the patient's identity and procedure details, assess the airway and aspiration risks, and prepare necessary equipment and assistance.
Step-by-step explanation:
Suctioning a tracheostomy is a critical procedure, and there are several important steps a nurse must follow to ensure the safety and well-being of the patient. First and foremost, verification of the patient's identity, the procedure, and consent are paramount to avoid medical errors. During the 'Time Out' phase, all team members, including nurses and anesthesiologists, must review crucial points aloud, confirming that the planned care is correct for the patient in question.
Additionally, the patient's airway must be thoroughly evaluated. This includes assessing the risk of aspiration and making sure that the necessary equipment for maintaining an open airway is available and functioning properly, such as a pulse oximeter to monitor the oxygen saturation levels of the patient.
Ensuring appropriate equipment and assistance are readily available is vital, particularly if the airway becomes compromised. This could include having the Heimlich maneuver equipment, suctioning devices, or other necessary items to provide immediate care if an emergency arises. Safety protocols, such as the correct labeling of specimens and ensuring that the sponge, needle, and instrument counts are complete, should also be adhered to before proceeding with suctioning.