Which nursing actions are included when providing tracheostomy care to a patient?
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Tracheostomy care is provided on a routine basis to keep the tracheostomy tube’s flange, inner cannula, and surrounding area clean to reduce the amount of bacteria entering the artificial airway and lungs. See Figure 22.9[1] for an image of a sterile tracheostomy care kit. Replacing and Cleaning an Inner CannulaThe primary purpose of the inner cannula is to prevent tracheostomy tube obstruction. Many sources of obstruction can be prevented if the inner cannula is regularly cleaned and replaced. Some inner cannulas are designed to be disposable, while others are reusable for a number of days. Follow agency policy for inner cannula replacement or cleaning, but as a rule of thumb, inner cannula cleaning should be performed every 12-24 hours at a minimum. Cleaning may be needed more frequently depending on the type of equipment, the amount and thickness of secretions, and the patient’s ability to cough up the secretions. Changing the inner cannula may encourage the patient to cough and bring mucus out of the tracheostomy. For this reason, the inner cannula should be replaced prior to changing the tracheostomy dressing to prevent secretions from soiling the new dressing. If the inner cannula is disposable, no cleaning is required.[2] Checklist for Tracheostomy Care With a Reusable Inner CannulaUse the checklist below to review the steps for completion of “Tracheostomy Care.” Stoma site should be assessed and a clean dressing applied at least once per shift. Wet or soiled dressings should be changed immediately.[3] Follow agency policy regarding clearing the inner cannula; it should be inspected at least twice daily and cleaned as needed. StepsDisclaimer: Always review and follow agency policy regarding this specific skill.
Sample DocumentationSample Documentation of Expected FindingsTracheostomy care provided with sterile technique. Stoma site free of redness or drainage. Inner cannula cleaned and stoma dressing changed. Patient tolerated the procedure without difficulties. Sample Documentation of Unexpected FindingsTracheostomy care provided with sterile technique. Stoma site is erythematous, warm, and tender to palpation. Inner cannula cleaned and stoma dressing changed. Patient tolerated the procedure without difficulties. Dr. Smith notified of change in condition of stoma at 1315 and stated would assess the patient this afternoon. What is included in the nursing care of the patient with 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.
Which nursing actions are included when providing tracheostomy care to a patient quizlet?Terms in this set (19). Auscultate the lungs and check the heart rate.. Prepare by turning suction on to between 80 and 120 mm Hg pressure.. Hyper oxygenate using 100% oxygen.. Don sterile gloves.. Guide the catheter into the tracheostomy tube using a sterile-gloved hand.. What are the steps in providing tracheostomy care?Caring for Your Tracheostomy. 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 one of the most important things to maintain when providing tracheostomy care?Home Care Instructions & Recommendations:
Clean the inner cannula two to three times per day. Check and clean the tracheostomy stoma. If necessary, suction the tracheal secretions. Assess for symptoms of infection, which may include a higher temperature, more secretions, and change in color or odor of secretions.
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