Title

COMPARISON OF AIRWAY MANAGEMENT PRACTICES BETWEEN REGISTERED NURSES AND RESPIRATORY CARE PRACTITIONERS

Authors

Authors

M. L. Sole;M. Bennett

Comments

Authors: contact us about adding a copy of your work at STARS@ucf.edu

Abbreviated Journal Title

Am. J. Crit. Care

Keywords

VENTILATOR-ASSOCIATED PNEUMONIA; SUCTIONING TECHNIQUES; PREVENTION; SECRETIONS; REDUCE; Critical Care Medicine; Nursing

Abstract

Background Airway management, an essential component of care for patients receiving mechanical ventilation, is multifaceted and includes oral hygiene and suctioning, endotracheal suctioning, and care of endotracheal tubes. Registered nurses and respiratory care personnel often share responsibilities for airway management. Knowledge of current practices can help facilitate evidence-based practices to optimize care of patients receiving mechanical ventilation. Objectives To describe current practices for airway management of intubated patients and determine if practices differ between registered nurses and respiratory care practitioners. Methods A descriptive, comparative design was used. Registered nurses and respiratory care practitioners who provided direct care to intubated patients receiving mechanical ventilation were recruited to complete an online survey of self-reported practices. Results A total of 85 participants completed the survey. Most were experienced caregivers with a bachelor's degree and certification or registration in their field. Selected practices have improved, including increasing oxygen saturation before endotracheal suctioning, maintaining pressure of endotracheal tube cuffs, and providing oral hygiene and suctioning. The practices of registered nurses and respiratory care practitioners differed in many ways. The nurses assumed responsibility for oral antisepsis, whereas the respiratory care practitioners managed the endotracheal tube. The 2 groups shared responsibility for oral and endotracheal suctioning. Knowledge of current guidelines for endotracheal suctioning was lacking. Conclusions Practices in airway management have improved, but opportunities exist to develop shared policies and procedures based on current evidence.

Journal Title

American Journal of Critical Care

Volume

23

Issue/Number

3

Publication Date

1-1-2014

Document Type

Article

Language

English

First Page

191

Last Page

200

WOS Identifier

WOS:000338931200006

ISSN

1062-3264

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