Hygienic Manipulation Evaluation System during Endotracheal Suctioning using Bilateral Dorsum Manus Total Travel Distance

Endotracheal suctioning is a life-threatening technique which requires correct decision-making and immediate reaction to maintain airway clearance. To avoid risks of suctioning, the Closed Suction System (CSS) have been developed. However, there is no consensus regarding the priority use of the CSS compared to the Open Suction System (OSS); the usage of the OSS is still common for long-term ventilator users for economical reason. Education is a key factor to prevent secondary infection by suctioning. Therefore, this paper aims to focus on the prevention of secondary infection by the OSS, and to develop a quantitative evaluation system for aseptic technique using bilateral dorsum manus total travel distance.