Sputum technology examination process is as follows
Preparation
The operator is dignified, neatly dressed; environment preparation: room temperature, sufficient light, quiet environment; nurses are prepared to clean clothes and hats, dignified, trimmed fingernails, no jewelry
Goods preparation
Center negative pressure device or negative pressure suction device, treatment tray, suction tube 2, gauze, stethoscope, sterile saline and distilled water tank, hand disinfectant, medical wastebaskets, non-medical wastebaskets; check the medical advice, check the goods; trolley into the ward, self-introduction, pre-operation verification (including wristbands); assessment: condition, Consciousness state, auscultation (to determine the amount and location of sputum), buckle the back, explain the purpose of sputum aspiration
Take a comfortable position, high-flow oxygen inhalation; connect the power supply, check the suction device, adjust the negative pressure; wash hands, put on a mask; take out the connecting tube of the suction device, fix it; open the front of the suction tube package, wear sterile gloves on one hand, spread the sterile towel, coiled the suction tube in the hand, and the tail end connects with the connecting tube of the suction device; open the Open the clean and sterile saline cylinder; suction sterile saline, moisten the front end, and check the suction force and whether the suction tube is smooth
Assessment
Patient's age, condition, diagnosis, state of consciousness, psychological condition, ability to understand and cooperate with the patient's sputum indications, and ability to clean respiratory secretions, lung auscultation is performed on time prior to suctioning, and lung auscultation can be performed without sputum suctioning on request. The patient's age, diagnosis, state of consciousness, psychological condition, ability to understand and cooperate, ability to clear respiratory secretions, ability to perform lung auscultation before sputum aspiration on time, lung auscultation can be performed without sputum aspiration on demand. The depth of intubation should be determined. The patients with cardiac monitoring should be observed for vital signs, color, oxygen saturation, and respiration.
Center suction device
Fixed suction device a connection between the pipeline (vacuum tube, drainage tube) a open dust plug a plug to check whether the pipeline connection is correct, tight a negative pressure (at this time you can hear the "hoo-hoo" sound, that is, negative pressure) a folded closed drainage tube. ) a folded closed the drainage tube, "hoo-hoo" sound disappeared (proving that the suction device is well connected, no air leakage, good performance)
Operation
Packing up the use of objects, garbage placed in a classified manner, handing out the precautions, and often visit the ward to observe respiratory conditions and record the nature, color and amount of sputum. The nature, color and volume of the sputum.