I was hoping that some assurance from some other nurses would make me feel a little more confident before I start my new job on Monday. I took on a job taking care of a 16 year old boy with a tracheostomy. I very nervous because I have only changed a trach once, and suctioned one twice. Is it normal to be so scared of trachs when you are first starting out? In your opinion, is somebody who has only worked with a trach 3 times qualified to handle this type of job? I may be over reacting just out of pure nervousness; I know the steps of changing in an emergency, and I know how to suction..How did you feel with your first few trach patients?? And what is an estimate of how often a trach emergency occurs?