Patient Workbook and Guide for SCOOP® - MSP - Cleaning In Place

Instructions for Cleaning Your SCOOP Catheter in Place

Regular cleaning of your SCOOP catheter will ensure proper functioning while the tract is healing. Cleaning twice daily is recommended; however, your doctor may tell you to clean your catheter more often. Always use nasal prongs when cleaning your SCOOP catheter.

Review all steps before you begin

1. Gather all your cleaning supplies and position yourself near a sink and mirror with good lighting.
2. Wash your hands with soap and warm water.
3. Using a cotton swab (Q-Tip) and water, clean mucus crusts from skin around the catheter. If soap is necessary, use an antibacterial soap and rinse the soap residue off the skin. Do not use creams or ointments around the tract opening. Blot the area dry with tissues.
4. Wash the cleaning rod with antibacterial soap, and rinse well to remove all soap residue.
5. Disconnect the catheter from the SCOOP oxygen hose and squirt 2.0 cc’s of saline into the catheter. The squirts may cause coughing.
6. Run the cleaning rod down the inside of the catheter 3 times, all the way down until the handle prevents it from going any further.
7. Squirt 2 more cc’s of saline down the catheter. Reconnect the SCOOP oxygen hose to the catheter.
8. Wash and store the cleaning rod in a clean, dry place. Remember not to stretch the rod but just pat it dry.
9. Place strips of first aid plastic, paper tape or Op-Site (medical grade) on both sides of the SCOOP flange, over the bead chain necklace for added security. This is especially important at night and is normally done only during Phase III of the program.

Instructions for Removal and Reinsertion of Your SCOOP Catheter

It is recommended that you only remove and reinsert your catheter 2 times per day. If additional cleaning is necessary, your doctor may advise you to combine catheter removal and reinsertion with cleaning in place. Removal and reinsertion requires a clean second catheter. Use nasal oxygen at all times when removing and reinserting your SCOOP catheter.

Review all steps before you begin

1. Gather your cleaning supplies, including a second SCOOP catheter, and position yourself near a sink and mirror with good lighting.
2. Wash your hands with soap and warm water.
3. Using a cotton swab (Q-Tip) and water, clean mucus crusts from the skin around the catheter. If soap is necessary, use an antibacterial soap and rinse all the residue off the skin. Do not use creams or ointments around the tract opening.
4. Apply a small amount of water soluble jelly (i.e. K-Y Jelly) to the tip of the clean catheter.
5. Disconnect the bead chain necklace and SCOOP hose from the catheter. Remove the first catheter from the tract opening. The catheter should only be out momentarily.
6. Insert the clean catheter. Place the tip into the tract opening and gently push the catheter straight back. If resistance is met, twirl the catheter as it is inserted. Do not try to direct the catheter downward...it will direct itself. It is normal to experience a tickle cough as the catheter enters the trachea. If you cannot insert the catheter within 5 minutes, call your doctor immediately and put your nasal cannula back on, at your prescribed flow rate.
7. Reconnect the bead chain necklace. When properly inserted, the SCOOP label on the catheter flange will be upright and readable.
8. Reconnect the SCOOP oxygen hose. The exchange procedure is now complete.
9. Clean the soiled catheter. Start by cleaning all the mucus from the catheter tip with plain warm water. Use an antibacterial soap, such as Hibiclens, and water to disinfect the catheter. Run the cleaning rod through the inside of the catheter several times. Rinse the catheter, outside and inside, thoroughly to remove all soap residue and blot the catheter dry with a paper towel. Do not boil the catheter or place it in extremely hot water (over 120o F). If the water is too hot for your hands, it’s too hot for the catheter. Do not soak the catheter in any disinfecting solution.Store the clean SCOOP catheter and cleaning rod in original package in a clean, dry place, out of direct sunlight.

Replace your SCOOP catheters and hose routinely every 90 days. Longer use of the catheter may result in the catheter becoming stiff or brittle. This can lead to chronic tract discomfort. The catheter should be replaced immediately if the catheter develops visible cracks, breaks, permanent kinks or foul odor.

The SCOOP Oxygen Hose

An oxygen hose has been specially designed to provide you with maximum comfort and safety. A security clip connects the hose to your clothing. The clip provides safety from tugging and pulling on your catheter, and it is designed to be worn on the right side. The SCOOP hose is required to properly attach your SCOOP catheter to your oxygen source. The upper segment of the SCOOP oxygen hose should be worn under your shirt, blouse, sweater, etc. This helps to provide a more secure connection between the SCOOP oxygen hose and the SCOOP catheter, and improved comfort and convenience. There are 9 different size hose combinations to accommodate all sizes of patients.

Hose Fitting

The hose length is measured in 2 segments. The upper length is measured from the hub of the catheter to the right hip. The lower length is measured from the hip to the portable oxygen source placed on the floor next to you. The lower length should drape just a few inches off the floor.

Instructions

1. Attach the suspender clip to the top of your pants, shorts, skirt or pajama bottoms on the right side.
2. Run the hose under your shirt, blouse, t-shirt or pajama top.
3. Insert the small male connector on the end of the hose into the female connector on the SCOOP catheter.
4. Connect the large end of the oxygen hose to your oxygen supply. Be sure that all connections fit tightly and are secure. If they are not, check with your doctor or homecare dealer.
5. Replace your SCOOP hose every 90 days or immediately if it becomes cracked, kinked, broken or develops a bad odor. SCOOP Oxygen Hose Fitting & Use Checkpoints

Serious Symptoms

Call your doctor if you experience any of the following:

1. PreSCOOP Stent or SCOOP catheter comes out of your tract and you can’t reinsert it.
2. Increased swelling of the neck and face.
3. Severe or increasing cough.
4. Severe or increasing shortness of breath.
5. Extreme nervousness.
6. Increased sputum production.
7. Blueness of the lips or fingernails.
8. Tenderness of the tract opening.
9. Fever greater than 99.5o F.

Be sure to record your doctor’s phone number in the front of this booklet.

Ten SCOOP Rules

1. The SCOOP catheter should never be out of your tract for more than a few minutes, or the tract may begin to close.
2. Always keep the SCOOP catheter clean to ensure proper function.
3. If you believe the SCOOP catheter isn’t working properly, first clean it. If you still believe the catheter isn’t working, put on nasal prongs and call your doctor. Do not remove the catheter.
4. If your humidifier pop-off is making noise, clear any hose blockage and clean the SCOOP catheter.
5. The SCOOP catheter must never be removed or inserted while oxygen is flowing through it.
6. Always keep your tract opening clean and dry. Do not use any antibiotic, ointment or cream around the tract opening.
7. Always keep the SCOOP oxygen hose under your shirt, blouse, t-shirt or pajama top and clipped to the right side of your pants, shorts, skirt or pajama bottoms.
8. Don’t pull, twist, crush, cut, glue, boil, alter or abuse any SCOOP product. Treat your SCOOP transtracheal system like a lifeline.
9. Replace SCOOP catheters and hoses routinely every 90 days. Any SCOOP product that is cracked, broken, develops a permanent kink or foul odor should be immediately replaced and discarded.
10. When traveling, always take catheter cleaning supplies, your nasal prongs and a spare SCOOP catheter and hose with you.