Oropharyngeal suctioning is a procedure used to remove secretions from the oral cavity and pharynx. Secretions can block the trachea and obstruct the normal airflow, which can lead to an insufficient oxygen supply. Normally, clients cough to remove these secretions, but some individuals are too weak or cannot cough, so these clients require suctioning to clear the airway. 

• difficulty coughing up secretions and swallowing
• decreased consciousness
• visible secretions that obstruct the airflow
• vomitus in the mouth
• noisy breath sounds

Finally, oropharyngeal suctioning is used to provide oral hygiene and prevent infection in individuals that have impaired swallowing or artificial airway.

• clean gloves
• mask and goggles, or face shield
• bath towels, cloth, or disposable paper drape
• disposable cup or washbasin
• tap water or normal saline
• the suction device and connecting tubing
• an oral airway and washcloth (if indicated)

1. The client should be in a semi-Fowler or sitting position with a bath towel, cloth, or paper draped over their chest.
2. Perform hand hygiene and apply clean gloves.
3. Use a face shield or mask and goggles because suctioning can cause splashing.
4. Fill the cup or washbasin with water or normal saline.
5. Insert the catheter and run it along the gum line to the pharynx where the secretions are suctioned out.
6. Rinse the catheter by placing it in the cup or wash basin because this prevents the catheter and connecting tubing from becoming clogged with secretions.
7. Once done, remove the bath towel, cloth, or disposable drape; reposition your client; and clean up supplies.
8. Remove the gloves, face shield, or mask.
9. Perform hand hygiene.

• the date and time of the procedure
• your observations