1. Enhancing Patient Welfare: Interprofessional Health Education Through Simulation Interprofessional Suctioning Module: Endotracheal Suctioning

2. Required Equipment: -vacuum source -calibrated, adjustable regulator -collection bottle & connecting tubing -sterile disposable gloves -sterile suction catheter of appropriate caliber -sterile water/normal saline and sterile cup/bowl -protective equipment (goggles, mask, gown) -oxygen source with a calibrated metering device -manual resuscitation bag -stethoscope

3. Optional Equipment: -ECG monitor -pulse oximeter -sterile sputum trap for culture specimen -closed suction system -oxygen insufflation device

4. INDICATIONSPRECAUTIONSCONTRAINDICATIONS Increased pulmonary secretions: course breath sounds reduced/absent breath sounds spontaneous coughing ineffective cough increased peak inspiratory pressures/decreased tidal volumes worsening 02 sat/ABGs to obtain sputum sample to stimulate cough reflex hypoxic respiratory drive  O 2 saturation (> 4%) atelectasis mucosal fragility benign arrhythmia bronchospasm use aseptic technique  10-12 seconds severe  O 2 saturation (< 92%)  intracranial pressure (ICP) haemoptysis malignant arrhythmia hyperinflation post CABG and head injury

5. Suctioning Setup in Hospital/Clinic

6. Medical Gas Wall Outlets: Suction Oxygen Air

7. Vacuum Regulator

8. Tools: 0.9% sterile NaCl, sterile cup, gloves, sputum cup, normal saline, mucogel, tonsil tip, catheter, syringe

9. Suction catheter/tonsil tip

10. ICU Patient in the Simulation Lab

11. Suctioning Setup in the Simulation Lab

12. Power ON/OFF Hold 10 s to turn off Alarm Silence

13. Endotracheal Suctioning Video Demonstration