What are 5 nursing considerations when caring for a patient with a tracheostomy?

Procedure

Clearly explain the procedure to the patient and their family/carer.
Perform hand hygiene.
Use a standard aseptic technique using non-touch technique.
Position the patient.
Perform hand hygiene and apply non-sterile gloves.
Remove fenestrated dressing from around stoma.

What are some nursing considerations when suctioning a patient?

6 Precautions to Take When Using the Suctioning Procedure in…

Conduct a Risk Assessment.
Prepare the Patient.
Do Not Suction Too Long.
Avoid Forcing the Catheter.
Monitor for Complications.
Choose the Right Equipment.

How do you suction a patient with a tracheostomy?

Steps to suction a tracheostomy Connect the suction catheter to the tubing on the suction machine. Dip the suction catheter tip into the clean tap water. Take 4 to 5 deep breaths. Gently put the suction catheter into the tracheostomy tube as far as you can without forcing it.

What should a nurse do before suctioning a tracheostomy?

Before connecting the catheter, the nurse should know how far to insert the catheter before beginning suctioning. Nurses should add ¼ inch to the length of the trach tube to determine how far to insert the catheter.

What safety precautions are necessary when caring for someone with a tracheostomy?

How do I take care of my tracheostomy tube?

Wash your hands thoroughly with soap and water.
Stand or sit in a comfortable position in front of a mirror (in the bathroom over the sink is a good place to care for your trach tube).
Put on the gloves.
Suction the trach tube.
If your tube has an inner cannula, remove it.

What must the nurse do when performing tracheostomy care?

Procedure

Introduce self and verify the client’s identity using agency protocol.
Observe appropriate infection control procedures such as hand hygiene.
Provide for client privacy.
Prepare the client and the equipment.
Suction the tracheostomy tube, if necessary.
Clean the inner cannula.

When suctioning a patient which of the following should be monitored?

Vitals should be monitored continuously, including heart rate, oxygen saturation, and intracranial pressure if transduced. Each pass should be less than 15 seconds in duration, and the patient should be allowed to recover between suction passes.

What are the standard precautions required for safe implementation of suctioning?

Standard precautions require the use of personal protective equipment ( PPE ) to prevent contamination and mucosal or conjunctival splash injuries, and is mandatory while suctioning a patient. This must include goggles and mask or face shield/gloves and gown/apron as per NSW 2007 Infection Control Policy.

What is the best position when performing tracheostomy suctioning?

Lay the patient flat on his/her back with a small towel/blanket rolled under the shoulders. Some patients may prefer a sitting position which can also be tried. Wet the catheter with sterile/distilled water for lubrication and to test the suction machine and circuit.

Do you need to Hyperoxygenate before suctioning?

Hypoxia is one of the most common suctioning complications. It’s also preventable in most scenarios. Hyperoxygenating a patient prior to suctioning can reduce the risk of hypoxia, as well as other suctioning complications.

How do you care for someone with a tracheostomy?

You may need someone to help you clean your skin.

Wash your hands and put on gloves.
Suction the area around your stoma.
Clean your skin around the stoma.
Clean the tube flanges.
Change wet or dirty trach ties.
Place a gauze between your skin and the flanges.
Check your skin every day for signs of infection.

How often to suction tracheostomy?

Suctioning is used to remove mucus from the tube and trachea to allow for easier breathing. Frequency of suctioning will vary between patients and will increase with respiratory tract infections. Generally the patient should be suctioned every 4 to 6 hours and as needed.

What is tracheostomy care procedure and how it works?

What is Tracheostomy Care Procedure and how it Works? Tracheostomy is a proven medical procedure that involves the creation of a hole in the neck for the purpose of placing a tube in the patient’s windpipe. This particular tube is inserted through an operated opening in the neck down the vocal cords.

How to take care of your tracheostomy?

Routine tracheostomy care should be done at least once a day after you are discharged from the hospital. Wash your hands thoroughly with soap and water. Stand or sit in a comfortable position in front of a mirror (in the bathroom over the sink is a good place to care for your trach tube). Put on the gloves.

What to expect with a tracheostomy?

After surgery, your neck may be sore, and you may have trouble swallowing for a few days. It may take 2 to 3 days to get used to breathing through the tracheostomy (trach) tube. You can expect to feel better each day, but it may take at least 2 weeks to adjust to living with your trach (say “trayk”).