Intro:
● Hello I’m Blank I’ll be your nurse for today, can you confirm your name and date of birth
for me. Ok thank you. Perform hand hygiene, provide privacy, verify providers
orders. So mr. Johnson, I’m going to be performing tracheostomy suctioning, and
tracheostomy care. This is to keep your airway clean and your stoma hygienic and
help with the risk of infection. Do I have your consent? And do you have any
questions?
● Raise bed to hip level, I’m going to put you in semi-fowler's position and auscultate
your lung sounds. There are some adventitious sounds therefore suctioning will
be beneficial. Put the barrier down on pt.
Part 1
● Increase O2 hyperoxigenate verbalize to pt. Perform hand hygiene. DON PPE
FACE MASK and GOWN
● OPEN SUCTION KIT POUR SALINE INTO BASIN (outside basin)
● DON STERILE GLOVES
● COIL catheter in DOM hand
Part 2
● Turn on suction to 120 mm hg
● Connect to suction catheter
● Dips tip of catheter into basin to flush and moisten
● Non Dom hand remove trach mask
Part 3
● Insert with dominant hand until resistance is met
● Withdraw suction ½ inch & apply suction intermittently rotate catheter as you pull
out, (each suction 10-15)
● RINSE CATHETER AND REPEAT (reapply oxygen between suction)
● DC suction catheter, turn off suction, discard supplies
CARE
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Part 2
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Part 3
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W/ Same sterile gloves discard stoma dressing ASSESS COCA
Remove sterile gloves
Perform hand hygiene
Open trach care kit (place drape) (pour saline into basin)
Don sterile gloves
Pre-moisten gauze and cotton tips
Non dom hand remove trach mask and unlock cannula then remove
Insert new inner cannula and make sure its locked and secure
Using cotton tips clean trach site using circular motion from in to out
Use gauze pads to clean outer cannula and stoma site, pat dry w/ dry gauze
Stabilize trach w/ non dom hand and place fenestrated gauze under the cannula
Replace trach ties w/ old one already on and then remove others (YOU ARE NON
STERILE HERE)
Part 4
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Discard everything
Perform hand hygiene
Auscultate lungs and return O2 to normal level
Raise side rails, bed locked and lowest position call light, hygiene