What can you teach a patient about tracheostomy?
You’ll learn how to:
- Suction your tracheostomy tube. This clears the secretions from your airway so it’s easier to breathe.
- Clean the suction catheter. This helps prevent infection.
- Replace the inner cannula.
- Clean your skin around your tracheostomy.
- Moisturize the air you breathe.
What is the goal for tracheostomy care?
The purpose of Tracheostomy Care is to present an overview of the nursing care of patients who have tracheostomies, to provide an update on guidelines for suctioning and to suggest preventive strategies to lower the risk of complications due to the presence of tracheostomy tubes.
What are nursing interventions for a patient with a tracheostomy?
When caring for a patient with a tracheostomy, nursing care includes suctioning the patient, cleaning the skin around the stoma, providing oral hygiene, and assessing for complications. Normal functions of the upper airway include warming, filtering, and humidifying inspired air.
What are the steps to tracheostomy care?
Cleaning the Trach
- Step 1: Gather the supplies.
- Step 2: Wash your hands.
- Step 3: Put on a clean pair of gloves.
- Step 4: Make cleaning solution.
- Step 5: Change inner cannula.
- Step 6: Insert clean inner cannula.
- Step 7: Clean trach area.
- Step 8: Change drain sponge.
Which of the following is the most important priority when caring for a patient for a newly placed tracheostomy?
Adherence to sterile technique is the most important factor in minimizing the patient’s risk for infection during tracheostomy care.
What are some complications that can occur when performing trach care?
Complications include infection, tracheomalacia, skin breakdown, and tracheoesophageal fistula. Tracheostomy emergencies include hemorrhage, tube dislodgement and loss of airway, and tube obstruction; such emergencies are managed more effectively when all necessary supplies are readily available at the bedside.
Why do nurses provide tracheostomy care?
Nurses provide tracheostomy care for clients with new or recent tracheostomy to maintain patency of the tube and minimize the risk for infection (since the inhaled air by the client is no longer filtered by the upper airways).
How do you manage a tracheostomy?
- Clearly explain the procedure to the patient and their family/carer.
- Perform hand hygiene.
- Use a standard aseptic technique using non-touch technique.
- Position the patient.
- Perform hand hygiene and apply non-sterile gloves.
- Remove fenestrated dressing from around stoma.
What are the nursing care plan goals and objectives for tracheostomy?
Nursing care plan goals and objectives for a client who had undergone tracheostomy include maintaining a patent airway through proper suctioning of secretions, providing an alternative means of communication, providing information on tracheostomy care, and preventing the occurrence of infection.
What are the guidelines for tracheostomy care for the child?
Demonstrate to family and other caregivers on all guidelines of tracheostomy care for the child which includes site assessment, suctioning techniques, site care, tracheostomy changes, and emergency protocols. Involving all family members and significant others may increase the level of support and reduces anxiety felt by the immediate family.
What are the benefits of a tracheostomy?
A tracheostomy can facilitate weaning from mechanical ventilation by reducing dead space and lowering airway resistance. It also improves client comfort by removing the endotracheal (ET) tube from the mouth or nose.
How can I prevent a tracheostomy patient from developing clogged secretions?
Provide warm, humidified air. A tracheostomy bypasses the nose, which is the body area that humidifies and warms inspired air. A decrease in the humidity of the inspired air will cause secretions to thicken. Also, cool air may decrease the ciliary function. Providing humidification of inspired air will prevent the drying and crusting of secretions.