I'm a new nurse working in home-health and I have 2 pediatric patients who have trachs. Each day I have to do trach cares which involves changing trach ties. What is the easiest way to change (velcro) trach ties on a child who won't sit still. Is it ok to change them while sitting watching tv? Or will the trach fall out easily? I'm very frustrated since it's difficult to hold the trach while getting the ties adjusted correctly. And it doesn't help when one girl has hair down her back and is unable to hold her head still!
Please help me master this skill!!