Comprehensive oral care Q12 hours | Equipment | Procedure |
---|---|---|
1. Oral assessment | ā¢Flashlight ā¢Tongue depressor ā¢Gloves ā¢Face shield | ā¢Explain procedure to patient ā¢Gently open mouth or use mouth prop ā¢Inquire about mouth/throat pain (0ā10 NRS) ā¢Use CPOT tool to evaluate pain in non-verbal pt. ā¢Treat pain prior to proceeding |
2. Tooth brushing | ā¢Yankauer ā¢12 or 14 French flexible catheter ā¢Small soft-bristle or suction toothbrush ā¢Sponge swabs ā¢Sterile water ā¢Gloves ā¢Face shield | ā¢Explain procedure to patient ā¢Perform hand hygiene ā¢Elevate HOB 30ā45 degrees as tolerated ā¢Use oral prop to open mouth as needed ā¢Oral suction with Yankauer or sterile flexible catheter to remove secretions that may migrate down airway ā¢Moisten toothbrush with sterile water ā¢Connect suction toothbrush to continuous suction if applicable ā¢Brush accessible teeth and gums for 2 full minutes or 30ās per quadrant; brush in one continuous line LUQā>āRUQā>āRLQā>āLLQ ā¢Gently brush tongue |
3. Mouth and lip moisturizer | ā¢Swabs ā¢Mouth moisturizer/saliva replacement or sterile water ā¢Gloves ā¢Face shield | ā¢Explain procedure to patient ā¢Use oral prop to open mouth as needed ā¢Use 1ā3 swabs to apply moisturizer to oral mucosa, tongue, and lips |
4. Deep oral suctioning | ā¢Yankauer or flexible catheter ā¢Gloves ā¢Face shield | ā¢Explain procedure to patient ā¢Use oral prop to open mouth as needed ā¢Deep oropharyngeal suction (above the cuff) to remove pooled secretions |
Maintenance oral care Q4 hours and PRN | Equipment | Procedure |
Mouth and lip moisturizer | ā¢As above | ā¢As above |
Oral secretion removal | ā¢As above | ā¢As above |