Changing outer canula of trach

im assuming you meant inner cannulas, as we dont change outer cannulas. And yes it is within your scope to do so. If unsure how I would have someone show you how to first tho.

Changing the trach is within the scope of practice in NJ, but I had to take a course and pass a written and clinical exam before my company would let me do it.

In clinical on Friday (I'm in LPN school), I changed the inner cannula of a trach patient. The patients floor nurse was an LPN.

Its within the scope of practice in CT for an LPN to change the inner cannula.

I am not sure. The RT's change outer cannulas at my facility, either because it needs to be done or the pt decannulated CAT

On freshly trached patients the hole can close up in a couple of seconds if you take the outer cannula out and don't watch what you're doing. So I'm an RN and I don't do that. Besides the ones I get are stitched in place because they're fresh. So I can't do that. Now if the doc will quit leaving strings half a foot long coming out of the suture I'll be thrilled, the darn things get in my way.

Inner cannula changes are sterile in hospital, aseptic at home, can involve flinging snot if it don't wash off like it's supposed to, and yeah, you can do it if they show you how. We did it on dummies in school and boy it ain't much like the real thing. Snot makes it quite a bit more difficult.

i hope someone can help me with this question. i am an lpn in a state run facility in pa. is it within the lpn's scope of practice to change an outer canula of a tracheostomy? they want us to do this there, i just want to make sure it is under my scope of practice and im not going to put my nursing license in jeopardy.

thank you!

:up:in the pennsylvania code under the regs for nursing scope of practice, subchapter d. interpretations subheading 21.414. interpretations regarding the functions of licensed practical nurses, t does state that (if there has been adequate education and training) that it is within the lpn scope of practice to change an outer tracheostomy tube after the stoma is healed. web reference http://www.pacode.com/secure/data/049/chapter21/subchapdtoc.html

hope this helped!

I am a pediatric homecare nurse (LPN) in PA. Yes, changing the trach is within our scope of practice. I take care of many trached and vented babies and we change their trach's once a week.