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[Music] you will need to change your childs trach at home usually every two weeks or however your doctor has instructed you will need same size trait size smaller trait suction catheter lubrication sterile water water and two syringes for cuffed traits only trach times scissors Ambu bag and wedge prepare your childs tract by checking to make sure you have the right size checking the obturator [Music] if your child has a cupped trach be sure to check [Music] three fill a syringe with the appropriate amount of water place ties on the new trick [Music] lubricate the end of the new trach and place it back in the box place supplies and trach in front of you within arms docHub place a roll under your childs neck to lift the chin for a cuffed trach remove the water from the cuff [Music] one caregiver will release the tides while the other caregiver holds the trach in place one caregiver will hold the childs chin up ah [Music] suction child if needed [Music] one caregiver takes off the ada