Use only with mature tracts

Regular cleaning of your SCOOP catheter helps ensure proper function.   The catheter may be removed as often as twice a day to as little as once a week.  Daily or twice daily catheter removal reduces risk of mucus ball formation and is recommended.  Your doctor will help you customize your cleaning schedule.

Review all steps before you begin.

1. Gather the following Materials:
       - second clean SCOOP catheter
       - nasal cannula
       - cotton-tipped applicators
       - mild skin soap (e.g. Ivory bar soap)
       - antibacterial soap (e.g. Hibiclens or PhisoHex)
       - sterile water soluble jelly (e.g. Surgilube)
       - clean, disposable latex or vinyl gloves
2. Wash your hands and position yourself in front of a mirror with good lighting.
3. Put on a nasal cannula, disconnect the SCOOP oxygen hose from the catheter, and connect the oxygen to the nasal cannula.  Adjust the oxygen flow rate to the prescribed nasal cannula rate.
4. Use a cotton-tipped applicator and mild soap to clean mucus crusts from around the tract opening.  Blot the area dry with tissue.
5. Put on clean, disposable gloves.
6. Apply a small amount of water soluble jelly to the tip of the clean second SCOOP catheter.
7. Disconnect the bead chain necklace and remove the first catheter from the tract opening.
8. Insert the second clean catheter. The tip should be placed into the tract opening, and the catheter gently pushed straight bak.  Do not try to direct the catheter downward . . . it will direct itself.  If resistance is met, twirl the catheter as it is inserted.  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.
   
9. Reconnect the bead chain necklace. When properly reinserted, the SCOOP label on the catheter will be upright and readable.
   
10. Reconnect the SCOOP oxygen hose to both the oxygen source and the catheter and return to your SCOOP resting flow rate.  Remove the nasal cannula - the exchange is complete.
11. Rinse mucus off the soiled catheter using running water.  Clean the entire length of the catheter, paying special attention to the tip.  Run the cleaning rod through the inside of the catheter until it is clean.
12. Wash the catheter with antibacterial soap and warm running water.  Rinse thoroughly to remove all soap residue and dry with a clean paper towel.  Store the catheter in a clean, dry place out of direct sunlight.

Clean mucus from tract opening.	Remove catheter from tract.
Insert clean catheter.	Clean soiled catheter.

Be sure "SCOOP" label is upright and readable.

Patient Precautions

1. Do not remove or reinsert your SCOOP catheter while your tract is immature (not fully healed) without the assistance of your doctor.
2.  SCOOP catheters may be Cleaned in Place or removed for cleaning per your physician's instructions.
3. Call your doctor immediately if you have any of the following problems:
   - SCOOP catheter comes out before the tract is mature (fully healed)
   - increasing cough or sputum
   - increasing shortness of breath
   - blueness of the lips or fingernails
   - extreme nervousness
   - redness, swelling or pain at the tract opening
   - fever > 99.5 degrees
4. Read and memorize the Ten SCOOP Rules below.
5. Complete and return the enclosed catheter registration card.
6. Do not boil or soak the catheter in disinfectant solutions (e.g. hydrogen peroxide).  These may damage the plastics.
7. Replace SCOOP catheters and hoses every three months.   Beyond three months the plastics may begin to yellow and become brittle. Any SCOOP product which is brittle, cracked, broken, kinked or develops a yellow-brownish discoloration should be immediately replaced  You should not wait for your doctor or home care provider to remind you to replace your catheters and hose.  Use your SCOOP Patient Record as a replacement reminder by entering the dates when your catheters and hoses are first used.

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 a 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 top 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.