hyperoxygenate using resuscitator, 1st, ONCE INTUBATED: prepare suction machine, 2nd, ONCE INTUBATED: wear gloves, 3rd, ONCE INTUBATED: turn on suction machine, 4th, ONCE INTUBATED: attach top of catheter to suction tubing, 5th, ONCE INTUBATED: hyperventialte using resuscitator bag, 6th, ONCE INTUBATED: insert and advance catheter into ET tube without suction, 7th, ONCE INTUBATED: apply suction intermittently while withdrawing, 8th, ONCE INTUBATED: coil catheter between fingers while pulling out, no more than 10 secs, 9th, ONCE INTUBATED: hook back to resuscitator bag after catheter has been removed , 10th, ONCE INTUBATED: rinse and flush, 11th, ONCE INTUBATED: repeat suctioning until secretions are removed, 12th, ONCE INTUBATED: suction oral route, 13th, ONCE INTUBATED: complete suctioning, disconnect catheter, wrap catheter around gloved hand, pull glove off inside out, 14th, ONCE INTUBATED: turn off machine , 15th.

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