Competency: To Change a Tracheostomy Tube 2025

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Indications for tracheostomy tube change include the following: Minimizing the risk of postoperative infection and granulation tissue formation. Verifying the formation of a stable tract for ancillary support staff. Downsizing the tracheostomy tube if the patient is clinically improving. Tube malfunction.
3:12 7:28 Any damage to the windpipe or trachea.MoreAny damage to the windpipe or trachea.
Caring for a patient with a tracheostomy tube includes providing routine tracheostomy care and suctioning. Tracheostomy care is a procedure performed routinely to keep the flange, tracheostomy dressing, ties or straps, and surrounding area clean to reduce the introduction of bacteria into the trachea and lungs.
Once the patient can tolerate the corked tracheostomy tube for a minimum of 48 to 72 hours, without any respiratory distress or swallowing issues, the tube is removed, and a small dressing is applied over the tracheocutaneous fistula, enabling it to close on its own in a few days.
Caring for Your Tracheostomy Suction your tracheostomy tube. This clears the secretions from your airway so its 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.
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Keep inner cannula of dual tracheostomy tube in situ at all times. Check patency of single-lumen tracheostomy tube regularly. Clean inner cannula every 8 hours at a minimum, and as needed. Maintain humidification. Maintain hydration (secretions should be loose and thin).
Routine tracheostomy management consists of: Equipment environment. Supervision and monitoring. Humidification. Suctioning. Management of abnormal secretions. Tracheostomy tube tie changes. Tracheostomy tube changes. Stoma care.
Tracheostomy care Clean, replace, and suction the tube. Keep the air you breathe moist. Clean the hole with water and mild soap or hydrogen peroxide. Change the dressing around the hole.

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