Which statement demonstrates proper technique for tracheostomy suctioning?

• A. Don clean gloves before suctioning
• B. Don sterile gloves before suctioning
• C. Avoid gloves
• D. Use no gloves

Answer: (B)

Maintaining asepsis is essential when suctioning a tracheostomy. This is an invasive airway procedure, so the setup and technique must be sterile to prevent introducing bacteria into the airway. Donning sterile gloves before suctioning ensures that the suction catheter and all contact with the trachea remain free from contaminants, protecting the patient from infection and reducing the nurse’s exposure to secretions. Using clean gloves or no gloves would not provide the level of sterility required for this procedure, increasing the risk of infection. In practice, prepare a sterile setup, wear sterile gloves, and perform the suction with sterile equipment while limiting suction time and monitoring the patient closely.