Article
Audit of endotracheal tube suction in a pediatric intensive care unit
Clinical Nursing Research
(2015)
Abstract
We report outcomes of a clinical audit examining criteria used in clinical
practice to rationalize endotracheal tube (ETT) suction, and the extent these
matched criteria in the Endotracheal Suction Assessment Tool(ESAT)©.
A retrospective audit of patient notes (N = 292) and analyses of criteria
documented by pediatric intensive care nurses to rationalize ETT suction
were undertaken. The median number of documented respiratory and
ventilation status criteria per ETT suction event that matched the ESAT©
criteria was 2 [Interquartile Range (IQR) 1-6]. All criteria listed within
the ESAT© were documented within the reviewed notes. A direct link
was established between criteria used for current clinical practice of ETT
suction and the ESAT©. The ESAT©, therefore, reflects documented clinical
decision making and could be used as both a clinical and educational guide
for inexperienced pediatric critical care nurses. Modification to the ESAT©
requires “preparation for extubation” to be added.
Disciplines
Publication Date
2015
DOI
10.1177/1054773815598272
Citation Information
Davies, K., Bulsara, M., Ramelet, A., and Monterosso, L. (2015). Audit of endotracheal tube suction in a pediatric intensive care unit. Clinical Nursing Research, Online first, DOI: 10.1177/1054773815598272