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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