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Endotracheal tube, securing - Intensive Care & Coordination ...

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St Vincent’s Hospital <strong>Intensive</strong> <strong>Care</strong> Services Page 4 of 16<br />

Securing an ETT: <strong>Intensive</strong> <strong>Care</strong> Clinical Practice Manual, Policy / Procedure R 4.1<br />

7.0 APPLICATION OF PRINCIPLES<br />

PLEASE NOTE THAT THE ETT MUST BE SECURED BY HAND BY A<br />

DEDICATED NURSE OR DOCTOR WHEN THE TUBE IS BEING TIED OR RE-<br />

TIED. FOR THE SAKE OF CLARITY ALL THE FOLOWING<br />

ILLUSTRATIONS DO NOT SHOW THE ASSISTANT’S HAND.<br />

7.1 EQUIPMENT REQUIRED FOR TRACHY TAPE METHOD<br />

Trachy tape (long enough to pass around the neck and tie several knots).<br />

Scissors<br />

Two foam pads.<br />

7.2 PROCEDURE FOR TRACHY TAPE METHOD<br />

. Pass the tape around the neck and then tie it firmly between the nose and <strong>tube</strong><br />

with a Surgeon’s knot (i.e. an initial double throw of the tape so that the correct<br />

tension can be maintained).<br />

Securing an ETT Policy / Procedure R 4.1 Page 4 of 16<br />

ICU Clinical Practice Manual Implemented July 2006, Review July 2009.

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