Get the free Tracheostomy Suctioning Documentation Record (page 1 of 2)

Tracheostomy Suctioning Documentation Record (page 1 of 2) Student Name Parent/ Guardian Order Start DateDateDOB Phone Order Exp DateTimeSecretionsSecretions AmountSecretions ColorPulse Ox %School/

How to fill out tracheostomy suctioning documentation record

How to fill out tracheostomy suctioning documentation record

1. Begin by recording the patient's name and ID number at the top of the documentation record.
2. Note the date and time of the suctioning procedure.
3. Indicate the type of suctioning performed (e.g., oral, nasotracheal, or tracheostomy).
4. Document the suction pressure used during the procedure.
5. Record the amount and characteristics of secretions (color, consistency, and odor).
6. Note the patient's response to the suctioning (e.g., improved breathing, decrease in respiratory distress).
7. Document any complications encountered during the procedure (e.g., bleeding or hypoxia).
8. Include the signature and designation of the individual performing the suctioning.
9. Make sure to update any relevant patient information in the medical records system.

Who needs tracheostomy suctioning documentation record?

1. Patients with tracheostomies who produce excessive secretions.
2. Individuals who have difficulty clearing secretions due to a compromised airway.
3. Patients requiring respiratory support and monitoring for complications.

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What is tracheostomy suctioning documentation record?

A tracheostomy suctioning documentation record is a formal log that healthcare providers use to document the procedure, observations, and outcomes related to suctioning a tracheostomy patient.

Who is required to file tracheostomy suctioning documentation record?

Healthcare professionals performing the suctioning procedure, such as nurses and respiratory therapists, are required to file the tracheostomy suctioning documentation record.

How to fill out tracheostomy suctioning documentation record?

To fill out the documentation record, include the patient's details, the date and time of the procedure, the suctioning technique used, the amount and characteristics of the secretions, patient tolerance, and any complications that arose.

What is the purpose of tracheostomy suctioning documentation record?

The purpose of the documentation record is to ensure accurate tracking of the suctioning procedure, to maintain high standards of patient care, to provide legal protection, and to facilitate communication among the healthcare team.

What information must be reported on tracheostomy suctioning documentation record?

The information that must be reported includes the patient's name, ID, date and time of procedure, type of suctioning performed, amount and type of secretions, patient response, and any relevant notes or observations.