Changing trachs on adult vent pts in the home

Thank you all for the information. I am a home health nurse who works as an independent provider and not with an agency. I have a client who was discharged from the hospital in late August after a trach placement in June. His trach had never been changed and the wife had been given no instructions of what to do in the home in an emergency. When I arrived (days later after a weekend with no nursing in the home) I asked the wife where the ambu bag was and she said she had not unpacked it yet from the hospital. I have had to do alot of teaching with the family and with the LPN who is the weekday shift nurse. If you have any other websites that would give me further instructional pieces for the family and/or the LPN that would be great.

omg this scrares me.