For every 1,000 Americans, about 404 made an emergency room visit to a community hospital in 2018. That’s more than 40% of the total population. And this number doesn’t even include millions of hospital inpatient stays or outpatient procedures, further emphasizing the importance—and challenges—of providing quality care every time someone walks in or is wheeled in the door.
Even though every ER bay contains in-wall suction, that’s of little use if someone goes down in the waiting room or hallway. Critical care practitioners realize it’s important to have suction technology available in whatever location it’s needed. A portable suction machine can not only improve patient care, but it can also save lives. Here are four important places where hospitals should have the devices:
1. In Emergency Rooms
Trauma rooms may have in-wall suction, but other parts of the ER do not. How many times have you served ER patients on gurneys in the hallway? If they aspirate, you need suction stat. Portable suction lends itself to providing critical care wherever and whenever it’s needed. If someone in the waiting room codes or experiences an episode of syncope, you need to be able to quickly grab a portable suction machine to have on hand if the situation requires it.
2. On Crash Carts
Every crash cart should include an emergency portable suction device. It’s just as important to patient safety as a defibrillator. If a coding patient needs their airway cleared and is away from bedside in-wall suction, you can’t transport them down the hall or around the corner to the closest in-wall suction. Instead of taking the patient to a suction port, you should bring the suction to the patient. An emergency medical suction device mounts easily to the side of the crash cart and can be plugged in right along with the defibrillator, so you always have suction at hand.
3. In the ICU
During superstorm Sandy in 2012, New York City utilities company ConEd shut off the electricity, and New York University Langone Medical Center’s auxiliary generator failed to start. The hospital scrambled to stabilize 215 patients--including many from intensive care units--so they could be transported to other facilities.
Any ICU nurse understands how vital suction is to patient care. While we all like to believe we can rely on our facility’s backup generator to kick in if the power goes off, equipping intensive care floors with portable medical suction machines minimizes the risk of aspiration if the generator fails during a power outage.
4. At Nurse Stations
What do you do when a visitor collapses in the waiting room? If you’re lucky, the episode is a result of nothing more than low blood sugar, and you’re able to get them on their way. But occasionally, a non-patient goes down due to a serious medical condition. In that situation, a portable suction device can play a key role in stabilizing the visitor until they can be transported to the ER for an evaluation.
5. Patient Surge Areas
We have seen many non-patient treatment areas within hospitals and facilities outside of hospitals converted to patient care during the current COVID-19 pandemic. Many of these facilities have been forced to quickly purchase portable suction to provide the essential medical vacuum necessary to maintain a ventilator patient.
It is best to have an equipment cache available to outfit such a surge facility rather than attempting to obtain equipment during times of spiking demand.
Have you seen an emergency occur outside a patient room where in-wall suction wasn’t available? What was your solution? Tell us in the comments.
Editor's Note: This blog was originally published in September, 2020. It has been re-published with additional up to date content.