Health care professionals’ compliance to tracheal suctioning policy at a tertiary care hospital

Objective: To assess the compliance of tracheal suctioning practices against the standard guidelines of a tertiary care hospital, with regard to the participants’ professional characteristics.Methods: Using cross sectional study design, forty health care professionals (HCPs) were assessed twice, using a quantitative structured observational design, for tracheal suctioning practices, in one of the surgical care units of the tertiary care hospital. Tracheal suctioning policy which was used as a tool, its inter-rater reliability was tested and each step showed the Kappa value of 0.65 to 1.000. Data was analyzed using epidata info version 3.5.1 and SPSS version 19.Results: From a total of 80 observations, 30% showed compliance, 50% partial compliance whereas, 20% indicated non-compliance.Conclusion: The study results highlight the need for improving the overall compliance with the tracheal suctioning guidelines of evidence based practices to minimize the adverse effects and enhance patient safety related to tracheal suctioning practices. The current study also provides an opportunity to motivate the HCPs compliant in the practices of tracheal suctioning by appreciate their competence

Practices of tracheal suctioning technique among health care professionals: Literature review

The current study aims to assess tracheal suctioning practices among health care practitioners; nurses, critical care technicians and physiotherapist. Employing literature review as the methodology, multiple databases were searched focusing on three phases of tracheal suctioning (a) the pre suctioning phase, (b) the suctioning phase, (c) the post suctioning phase and complications related to tracheal suctioning. It was concluded that to provide quality care it is important that the evidence based practice guidelines should be followed

Bomb blast in a tertiary care hospital, the challenges faced during management of victims in a resource limited country

Abstract Introduction: A bomb blast in a hospital results in a many fold increase in the casualties. The affected health care in the region is the next challenge faced by the administration of the city. We discuss the challenges faced after a bomb blast in the civil hospital of Quetta, Pakistan on 8 August 2016. Methods: A retrospective review of the medical records of patients who were transferred by air to the Aga Khan University Hospital Karachi over a period of 86 h after the blast in Quetta. Results: Seventy-five patients were received in three separate waves; those received in the first wave were sicker than the following waves. Errors in triage and communication which could have been prevented were identified. Conclusion: Security of hospitals needs to be improved to avoid such incidents in future. The teams involved in the management of these incidents should be trained about triage and communication and its importance. There is need for designated trauma centers to take care of these incidents

Practices of tracheal suctioning technique among health care professionals for hospitalized adult patients at tertiary care hospital Karachi, Pakistan

Abstract Background Tracheal suctioning is one of the critical nursing interventions which facilitate effortless breathing patterns through effective secretion management. However; it is associated with mild injury to the life threatening arrhythmias and, sometimes with cardiac arrest. Therefore, it requires competence to carry out this intervention in order to prevent complications in patients. Objectives This study aimed to assess the compliance of tracheal suctioning practices against the standard guidelines of AKUH, with regard to the participants\u27 professional characteristics and the nursing working shifts. Method Forty health care professionals (HCPs) were assessed twice, using a quantitative structured observational design, for tracheal suctioning practices, in one of the surgical care units at a tertiary care hospital (TCH). The study used Aga Khan University Hospital (AKUH) tracheal suctioning policy as a tool, the inter-rater reliability of which was tested and each step showed the Kappa value of 0.65 to 1.000. Ethical approval was also obtained from the AKUH ethics review committee (ERC), prior to the study. Data was analyzed using epidata info version3.5.1 and SPSS version 19. Background Tracheal suctioning is one of the critical nursing interventions which facilitate effortless breathing patterns through effective secretion management. However; it is associated with mild injury to the life threatening arrhythmias and, sometimes with cardiac arrest. Therefore, it requires competence to carry out this intervention in order to prevent complications in patients. Objectives This study aimed to assess the compliance of tracheal suctioning practices against the standard guidelines of AKUH, with regard to the participants\u27 professional characteristics and the nursing working shifts. Method Forty health care professionals (HCPs) were assessed twice, using a quantitative structured observational design, for tracheal suctioning practices, in one of the surgical care units at a tertiary care hospital (TCH). The study used Aga Khan University Hospital (AKUH) tracheal suctioning policy as a tool, the inter-rater reliability of which was tested and each step showed the Kappa value of 0.65 to 1.000. Ethical approval was also obtained from the AKUH ethics review committee (ERC), prior to the study. Data was analyzed using epidata info version3.5.1 and SPSS version 19. Findings The study findings indicate a low level of compliance in tracheal suctioning practices among HCPs. From a total of 80 observations, only 30% of the observations showed compliance; however, 50% of the observations depicted partial compliance whereas, 20% indicated non-compliance at all. This study also highlighted a significant difference in the level of compliance with regard to working shifts (P=0.026). Conclusion The study results highlight the need for improving the overall compliance with the tracheal suctioning guidelines to minimize the adverse effects and enhance patient safety related to tracheal suctioning practices. The current study also provides an opportunity to motivate the HCPs compliant in the practices of tracheal suctioning by appreciate their competence

Practices of tracheal suctioning technique among health care professionals for hospitalized adult patients at tertiary care hospital Karachi, Pakistan

The current study aims to assess tracheal suctioning practices among health care practitioners; nurses, critical care technicians and physiotherapist. Employing literature review as the methodology, multiple databases were searched focusing on three phases of tracheal suctioning (a) the pre suctioning phase, (b) the suctioning phase, (c) the post suctioning phase and complications related to tracheal suctioning. It was concluded that to provide quality care it is important that the evidence based practice guidelines should be followed