BD par IA: Here's a breakdown of the proper tracheostomy care procedure in bullet points, emphasizing key steps: **I. Preparation:** * **Hand Hygiene:** * Thoroughly wash hands with soap and water or use an alcohol-based hand sanitizer. * **Gather Supplies:** * Sterile gloves * Sterile saline solution * Sterile suction catheters * Sterile gauze pads or trach care kit * Clean inner cannula (if applicable) * Tracheostomy ties or Velcro collar * Sterile water or normal saline for cleaning * Suction machine with appropriate tubing and collection container. * **Patient Preparation:** * Explain the procedure to the patient (if conscious). * Position the patient appropriately (semi-Fowler's or Fowler's, if possible). * Asses the patients oxygen saturation and heart rate. **II. Suctioning (if needed):** * **Oxygenate:** * Pre-oxygenate the patient before suctioning. * **Sterile Technique:** * Don sterile gloves. * Connect the suction catheter to the suction tubing. * **Catheter Insertion:** * Gently insert the catheter into the tracheostomy tube. * Apply intermittent suction while withdrawing the catheter. * Do not suction for more than 10-15 seconds at a time. * **Rinse:** * Rinse the catheter with sterile saline between suction passes. **III. Inner Cannula Care (if applicable):** * **Removal:** * Carefully remove the inner cannula. * **Cleaning:** * Clean the inner cannula with sterile saline solution and a brush. * Rinse thoroughly with sterile saline. * **Reinsertion:** * Reinsert the clean inner cannula and lock it in place. **IV. Stoma Site Care:** * **Inspection:** * Inspect the stoma site for redness, swelling, drainage, or signs of infection. * **Cleaning:** * Clean the stoma site with sterile saline solution and sterile gauze pads. * Cleanse from the stoma outward in a circular motion. * Dry the skin with sterile gauze. * **Dressing (if applicable):** * Apply a clean, dry sterile gauze dressing around the stoma. **V. Tracheostomy Tie/Collar Change:** * **Secure Old Ties:** * Secure the new ties before removing the old ones to prevent dislodgement of the tracheostomy tube. * **Removal:** * Carefully remove the old ties. * **Application:** * Apply the new ties or Velcro collar, ensuring they are snug but not too tight (two fingers should fit comfortably under the ties). * **Confirmation:** * Ensure the trach tube is secure. **VI. Post-Procedure:** * **Patient Assessment:** * Assess the patient's respiratory status, including oxygen saturation and lung sounds. * **Disposal:** * Dispose of used supplies according to hospital policy. * **Documentation:** * Document the procedure, including the patient's response, any observations, and the type and amount of secretions suctioned.

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Here's a breakdown of the proper tracheostomy care procedure in bullet points, emphasizing key steps: **I. Preparation:** * **Hand Hygiene:** * Thoroughly wash hands with soap and water or use an alcohol-based hand sanitizer. * **Gather Supplies:** * Sterile gloves * Sterile saline solution * Sterile suction catheters * Sterile gauze pads or trach care kit * Clean inner cannula (if applicable) * Tracheostomy ties or Velcro collar * Sterile water or normal saline for cleaning * Suction machine with appropriate tubing and collection container. * **Patient Preparation:** * Explain the procedure to the patient (if conscious). * Position the patient appropriately (semi-Fowler's or Fowler's, if possible). * Asses the patients oxygen saturation and heart rate. **II. Suctioning (if needed):** * **Oxygenate:** * Pre-oxygenate the patient before suctioning. * **Sterile Technique:** * Don sterile gloves. * Connect the suction catheter to the suction tubing. * **Catheter Insertion:** * Gently insert the catheter into the tracheostomy tube. * Apply intermittent suction while withdrawing the catheter. * Do not suction for more than 10-15 seconds at a time. * **Rinse:** * Rinse the catheter with sterile saline between suction passes. **III. Inner Cannula Care (if applicable):** * **Removal:** * Carefully remove the inner cannula. * **Cleaning:** * Clean the inner cannula with sterile saline solution and a brush. * Rinse thoroughly with sterile saline. * **Reinsertion:** * Reinsert the clean inner cannula and lock it in place. **IV. Stoma Site Care:** * **Inspection:** * Inspect the stoma site for redness, swelling, drainage, or signs of infection. * **Cleaning:** * Clean the stoma site with sterile saline solution and sterile gauze pads. * Cleanse from the stoma outward in a circular motion. * Dry the skin with sterile gauze. * **Dressing (if applicable):** * Apply a clean, dry sterile gauze dressing around the stoma. **V. Tracheostomy Tie/Collar Change:** * **Secure Old Ties:** * Secure the new ties before removing the old ones to prevent dislodgement of the tracheostomy tube. * **Removal:** * Carefully remove the old ties. * **Application:** * Apply the new ties or Velcro collar, ensuring they are snug but not too tight (two fingers should fit comfortably under the ties). * **Confirmation:** * Ensure the trach tube is secure. **VI. Post-Procedure:** * **Patient Assessment:** * Assess the patient's respiratory status, including oxygen saturation and lung sounds. * **Disposal:** * Dispose of used supplies according to hospital policy. * **Documentation:** * Document the procedure, including the patient's response, any observations, and the type and amount of secretions suctioned.Here's a breakdown of the proper tracheostomy care procedure in bullet points, emphasizing key steps: **I. Preparation:** * **Hand Hygiene:** * Thoroughly wash hands with soap and water or use an alcohol-based hand sanitizer. * **Gather Supplies:** * Sterile gloves * Sterile saline solution * Sterile suction catheters * Sterile gauze pads or trach care kit * Clean inner cannula (if applicable) * Tracheostomy ties or Velcro collar * Sterile water or normal saline for cleaning * Suction machine with appropriate tubing and collection container. * **Patient Preparation:** * Explain the procedure to the patient (if conscious). * Position the patient appropriately (semi-Fowler's or Fowler's, if possible). * Asses the patients oxygen saturation and heart rate. **II. Suctioning (if needed):** * **Oxygenate:** * Pre-oxygenate the patient before suctioning. * **Sterile Technique:** * Don sterile gloves. * Connect the suction catheter to the suction tubing. * **Catheter Insertion:** * Gently insert the catheter into the tracheostomy tube. * Apply intermittent suction while withdrawing the catheter. * Do not suction for more than 10-15 seconds at a time. * **Rinse:** * Rinse the catheter with sterile saline between suction passes. **III. Inner Cannula Care (if applicable):** * **Removal:** * Carefully remove the inner cannula. * **Cleaning:** * Clean the inner cannula with sterile saline solution and a brush. * Rinse thoroughly with sterile saline. * **Reinsertion:** * Reinsert the clean inner cannula and lock it in place. **IV. Stoma Site Care:** * **Inspection:** * Inspect the stoma site for redness, swelling, drainage, or signs of infection. * **Cleaning:** * Clean the stoma site with sterile saline solution and sterile gauze pads. * Cleanse from the stoma outward in a circular motion. * Dry the skin with sterile gauze. * **Dressing (if applicable):** * Apply a clean, dry sterile gauze dressing around the stoma. **V. Tracheostomy Tie/Collar Change:** * **Secure Old Ties:** * Secure the new ties before removing the old ones to prevent dislodgement of the tracheostomy tube. * **Removal:** * Carefully remove the old ties. * **Application:** * Apply the new ties or Velcro collar, ensuring they are snug but not too tight (two fingers should fit comfortably under the ties). * **Confirmation:** * Ensure the trach tube is secure. **VI. Post-Procedure:** * **Patient Assessment:** * Assess the patient's respiratory status, including oxygen saturation and lung sounds. * **Disposal:** * Dispose of used supplies according to hospital policy. * **Documentation:** * Document the procedure, including the patient's response, any observations, and the type and amount of secretions suctioned.
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Here's a breakdown of the proper tracheostomy care procedure in bullet points, emphasizing key steps: **I. Preparation:** * **Hand Hygiene:** * Thoroughly wash hands with soap and water or use an alcohol-based hand sanitizer. * **Gather Supplies:** * Sterile gloves * Sterile saline solution * Sterile suction catheters * Sterile gauze pads or trach care kit * Clean inner cannula (if applicable) * Tracheostomy ties or Velcro collar * Sterile water or normal saline for cleaning * Suction machine with appropriate tubing and collection container. * **Patient Preparation:** * Explain the procedure to the patient (if conscious). * Position the patient appropriately (semi-Fowler's or Fowler's, if possible). * Asses the patients oxygen saturation and heart rate. **II. Suctioning (if needed):** * **Oxygenate:** * Pre-oxygenate the patient before suctioning. * **Sterile Technique:** * Don sterile gloves. * Connect the suction catheter to the suction tubing. * **Catheter Insertion:** * Gently insert the catheter into the tracheostomy tube. * Apply intermittent suction while withdrawing the catheter. * Do not suction for more than 10-15 seconds at a time. * **Rinse:** * Rinse the catheter with sterile saline between suction passes. **III. Inner Cannula Care (if applicable):** * **Removal:** * Carefully remove the inner cannula. * **Cleaning:** * Clean the inner cannula with sterile saline solution and a brush. * Rinse thoroughly with sterile saline. * **Reinsertion:** * Reinsert the clean inner cannula and lock it in place. **IV. Stoma Site Care:** * **Inspection:** * Inspect the stoma site for redness, swelling, drainage, or signs of infection. * **Cleaning:** * Clean the stoma site with sterile saline solution and sterile gauze pads. * Cleanse from the stoma outward in a circular motion. * Dry the skin with sterile gauze. * **Dressing (if applicable):** * Apply a clean, dry sterile gauze dressing around the stoma. **V. Tracheostomy Tie/Collar Change:** * **Secure Old Ties:** * Secure the new ties before removing the old ones to prevent dislodgement of the tracheostomy tube. * **Removal:** * Carefully remove the old ties. * **Application:** * Apply the new ties or Velcro collar, ensuring they are snug but not too tight (two fingers should fit comfortably under the ties). * **Confirmation:** * Ensure the trach tube is secure. **VI. Post-Procedure:** * **Patient Assessment:** * Assess the patient's respiratory status, including oxygen saturation and lung sounds. * **Disposal:** * Dispose of used supplies according to hospital policy. * **Documentation:** * Document the procedure, including the patient's response, any observations, and the type and amount of secretions suctioned.

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