wg56180

If a patient pulls out their trach, have someone call RT and in our facility, whoever finds the patient puts it back in. Hopefully you have an obturator taped above bedside and/or a replacement trach. Put the obturator in the trach, lube it up, slip it back in, take out the obturator and inflate the cuff (if there is a cuff). Then tie that sucker in! Ideally this is all done in a sterile manner, but depending on their respiratory status, that might not be the case.

I agree with the above. Ensure the patient's spO2 is adequate, position the patient in tripod or elevate head of bed, use medications like morphine or lorazepam to decrease anxiety/air hunger, and call the md for a more frequent PRN order. Good luck!