Home
Forms Library
Tracheostomy checklist

Tracheostomy checklist 2025

tracheostomy checklist Preview on Page 1

See details

4 out of 5

46 votes

The document is a skills checklist for tracheostomy suctioning, outlining the necessary steps and procedures to be performed by a licensed medical professional. It includes instructions for hand hygiene, equipment preparation, suctioning technique, observation of secretions, and proper disposal of materials. The checklist also emphasizes the importance of documentation and provides space for signatures from both the preceptor and preceptee to confirm competency in performing the skill.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out tracheostomy checklist with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the tracheostomy checklist in the editor.
Begin by entering the student's name and school in the designated fields at the top of the form.
Proceed to each skill listed, starting with 'Wash hands.' Mark this as completed once performed.
For each subsequent skill, follow the instructions carefully. For example, ensure the student is in an upright position and that all equipment is assembled while maintaining sterility.
As you complete each skill, document your observations regarding secretions' color, amount, consistency, and odor in the provided space.
Once all skills are performed, have both preceptor and preceptee sign and date at the bottom of the form to confirm competency.

Start using our platform today for free to streamline your tracheostomy checklist process!

See more tracheostomy checklist versions

We've got more versions of the tracheostomy checklist form. Select the right tracheostomy checklist version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2007	4 Satisfied (46 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is it safe to sign my tracheostomy checklist electronically?

You need to use only trustworthy software solutions with strong data protection compliance to approve your paperwork electronically. DocHub is just the type of software you need! It stores data on Amazon Web Servers and complies with all necessary security standards and eSignature laws, so it’s a trustworthy way to electronically sign your tracheostomy checklist or other documents with this tool.

Can I print my tracheostomy checklist and finish it by myself?

When you go for analog ways of completing your tracheostomy checklist, you can easily download your file for printing. Search DocHub’s Forms & Templates catalog to locate the exact file template you require and open it for editing or download it on your device in the format of your liking. It is easy to complete your form electronically and place your handwritten signature on it after printing or eSign your file with DocHub.

What are the requirements for tracheostomy?

Situations that may call for a tracheostomy include: Medical conditions that make it necessary to use a breathing machine (ventilator) for an extended period, usually more than one or two weeks. Medical conditions that block or narrow your airway, such as vocal cord paralysis or throat cancer.

What items are required to be in a patients room 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 patients bed. A tracheostomy patient must be assessed every two hours to determine if suctioning is required.

What are the six indications of tracheostomy?

Indications for emergent tracheostomy include: Acute upper airway obstruction with failed endotracheal intubation (foreign body, angioedema, infection, anaphylaxis, etc.) Post-cricothyrotomy (if a cricothyrotomy has been placed it should be immediately formalized into a tracheostomy once an airway has been secured)

What is the immediate post op care for a tracheostomy?

The tracheal stoma in the immediate post-operative period requires regular assessment and wound management including once daily dressing change following cleaning of the stoma area or more frequently if required. The comfort of the patient is imperative throughout the post-operative period.

What is the priority nursing assessment in the care of a patient who has a tracheostomy quizlet?

The priority assessment in the care of a patient with a tracheostomy focuses on airway and breathing. These assessments supersede the nurses assessments that may also be necessary, such as nutritional status, speech, pain, and swallowing ability.

What is the nurses priority when performing tracheostomy care?

Nursing care plan goals and objectives for a client who had undergone tracheostomy include maintaining a patent airway through proper suctioning of secretions, providing an alternative means of communication, providing information on tracheostomy care, and preventing the occurrence of infection.

What would be the care required for a patient with a tracheostomy?

In general, the trach tubes with an inner cannula must be cleaned regularly to prevent the buildup of dried mucus. The skin around your stoma and your neck must also be cleaned 2-3 times a day to remove dried mucus and to avoid excess moisture on your neck that can cause a rash.

What is the nursing responsibility after tracheostomy?

Nurses provide tracheostomy care for clients with new or recent tracheostomy to maintain patency of the tube and minimize the risk for infection (since the inhaled air by the client is no longer filtered by the upper airways). Initially a tracheostomy may need to be suctioned and cleaned as often as every 1 to 2 hours.

Tracheostomy checklist 2025

Here's how it works

How to use or fill out tracheostomy checklist with our platform

See more tracheostomy checklist versions

Complete this form in 5 minutes or less

Got questions?

Is it safe to sign my tracheostomy checklist electronically?

Can I print my tracheostomy checklist and finish it by myself?

What are the requirements for tracheostomy?

What items are required to be in a patients room with a tracheostomy?

What are the six indications of tracheostomy?

People also ask

What is the immediate post op care for a tracheostomy?

What is the priority nursing assessment in the care of a patient who has a tracheostomy quizlet?

What is the nurses priority when performing tracheostomy care?

What would be the care required for a patient with a tracheostomy?

What is the nursing responsibility after tracheostomy?

Related links

Try more PDF tools

Tracheostomy checklist 2025

Here's how it works

How to use or fill out tracheostomy checklist with our platform

See more tracheostomy checklist versions

Complete this form in 5 minutes or less

Got questions?

Is it safe to sign my tracheostomy checklist electronically?

Can I print my tracheostomy checklist and finish it by myself?

What are the requirements for tracheostomy?

What items are required to be in a patients room with a tracheostomy?

What are the six indications of tracheostomy?

Related Searches

People also ask

What is the immediate post op care for a tracheostomy?

What is the priority nursing assessment in the care of a patient who has a tracheostomy quizlet?

What is the nurses priority when performing tracheostomy care?

What would be the care required for a patient with a tracheostomy?

What is the nursing responsibility after tracheostomy?

Related links

Try more PDF tools