I tried posting this before but there was a lot of confusion. Ill be more detailed this time. I am a new nurse work on a rehabilitation unit and we do not see many tracheostomies. Our doctor has written an order for the tracheostomie tube to be discontinued. None of the nurses on the floor including me do not want to remove it ourselves but the doctor who is here m-f 9-5 keeps insisting we remove it ourselves. I think that it might be beyond our scope of practice. Is it within a nurses scope of practice to discontinue a tracheostomie tube.