What are 5 nursing considerations when caring for a patient with a tracheostomy?
Procedure
- Introduce self and verify the client’s identity using agency protocol.
- Observe appropriate infection control procedures such as hand hygiene.
- Provide for client privacy.
- Prepare the client and the equipment.
- Suction the tracheostomy tube, if necessary.
- Clean the inner cannula.
What are the steps to tracheostomy care?
Your doctor will change the entire trach tube when necessary.
- 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.
Do you suction before trach care?
Tracheostomy suctioning removes thick mucus and secretions from the trachea and lower airway that you are not able to clear by coughing. Suctioning is done when you wake up in the morning and right before you go to bed in the evening. Suctioning is also done after any respiratory treatments.
How do nurses suction Trach?
Utilizing a non-touch technique gently introduce the suction catheter tip into the tracheostomy tube to the pre-measured depth. Apply finger to suction catheter hole & gently rotate the catheter while withdrawing. Each suction should not be any longer than 5-10 seconds.
How often should you suction a trach?
Suction the trach 3 to 4 times a day, or more if needed. For example, two of the times could be before you go to bed and when you wake up in the morning. You will need suction catheters, a suction machine, saline fluid, a small cup, and a mirror.
What should be at the bedside of a patient with a tracheostomy?
All tracheostomy patients must have suction equipment and emergency supplies at the bedside. Emergency equipment is usually in a clear bag on an IV pole attached to the patient’s bed. A tracheostomy patient must be assessed every two hours to determine if suctioning is required.
What should a trach patient have at bedside?
Recommended paediatric bedside equipment:
- Spare tracheostomy tube (same size) plus tapes.
- Half-size smaller tracheostomy tube plus tapes.
- Round-ended scissors.
- Spare tapes.
- KY Jelly.
- Syringe and saline.
- Suction catheter.
What supplies are needed for tracheostomy care?
What supplies do I need for trach care?
- One trach tube the same size as your current tube and 1 trach tube that is 1 size smaller.
- Obturator for each trach tube and an empty syringe.
- One set of trach ties or a trach holder.
- Portable suction machine with battery backup and tubing that connects to the suction machine.
