Hygienic Manipulation Evaluation System during Endotracheal Suctioning using Bilateral Dorsum Manus Total Travel Distance*

Endotracheal suctioning is a life-threatening technique which requires correct decision-making and immediate reaction to maintain airway clearance. To avoid risks of suctioning, the Closed Suction System (CSS) have been developed. However, there is no consensus regarding the priority use of the CSS compared to the Open Suction System (OSS); the usage of the OSS is still common for long-term ventilator users for economical reason. Education is a key factor to prevent secondary infection by suctioning. Therefore, this paper aims to focus on the prevention of secondary infection by the OSS, and to develop a quantitative evaluation system for aseptic technique using bilateral dorsum manus total travel distance.

[1]  S. Bayram,et al.  Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: A randomized controlled trial. , 2019, Nurse education today.

[2]  A. Ebadi,et al.  Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial , 2016, Anesthesiology and pain medicine.

[3]  Longitudinal effects of single‐dose simulation education with structured debriefing and verbal feedback on endotracheal suctioning knowledge and skills: A randomized controlled trial , 2017, American journal of infection control.

[4]  J. Gal,et al.  Ventilator-associated pneumonia and the importance of education of ICU nurses on prevention – Preliminary results , 2016, Interventional medicine & applied science.

[5]  J. Harris,et al.  Molecular analysis of endotracheal tube biofilms and tracheal aspirates in the pediatric intensive care unit , 2017, Advances in pediatric research.

[6]  Gerald Cannon,et al.  A multi-method study to determine the effectiveness of, and student attitudes to, online instructional videos for teaching clinical nursing skills. , 2009, Nurse education today.

[7]  A. Kuriyama,et al.  Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis , 2015, Intensive Care Medicine.

[8]  A. Elmansoury,et al.  Closed suction system versus open suction , 2017 .

[9]  D. Brooks,et al.  Assessing the Clinical Competence of Health Care Professionals Who Perform Airway Suctioning in Adults , 2019, Respiratory Care.

[10]  Wei-Chiang Lin,et al.  Effects of Closed Endotracheal Suctioning on Systemic and Cerebral Oxygenation and Hemodynamics in Children , 2018, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[11]  J. Wilkinson,et al.  Endotracheal suctioning practices of nurses and respiratory therapists: How well do they align with clinical practice guidelines? , 2015, Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR.

[12]  G. Barnaud,et al.  Influence of tracheal suctioning systems on health care workers' gloves and equipment contamination: a comparison of closed and open systems. , 2011, American journal of infection control.

[13]  M A Woo,et al.  Comparison of Internet versus lecture instructional methods for teaching nursing research. , 2000, Journal of professional nursing : official journal of the American Association of Colleges of Nursing.

[14]  Anna C Fisk The Effects of Endotracheal Suctioning in the Pediatric Population: An Integrative Review , 2018, Dimensions of critical care nursing : DCCN.