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Hey guys quick question!I have a patient that has an extra long trach, and when doing trach care the brush gets stuck inside the trach..almost as if the brush is too big for the inner cannula.... Anyone ever have this experience? Am I supposed to be using a different kit?
Also what is everyone's policy on trach care? I am doing a PI on it and wanted to get some info.. Do you do it q 8 hours ... once a day or whatever if the patient has an old trach with minimal secretions that gets suctioned once a day if that...
Thanks guys
Is it the old metal trach and inner cannula? Are you soaking it in peroxide then rinsing with sterile water before using the brush? I guess if you still can not get inside the tip you could use the cotton tip applicators to clean the tip.
All of our trachs are the plastic shileys with the disposable innuer cannula. We change those once a shift with site care which is q12 hours in reality but I think it is q8h by policy, and then change the trach ties prn. Done in 10 minutes top. so much easier than the older trachs.
I have a patient right now who also uses a Shiley #6 Extended. They are disposable and should not be washed and reused.
As for policy, we change the inner cannula once a shift, which is once every 12 hours. Obviously if the patient has a lot of secretions or really thick secretions we will change it more often. Trach ties are PRN.
LisaRn21
75 Posts
Hey guys quick question!
I have a patient that has an extra long trach, and when doing trach care the brush gets stuck inside the trach..almost as if the brush is too big for the inner cannula.... Anyone ever have this experience? Am I supposed to be using a different kit?
Also what is everyone's policy on trach care? I am doing a PI on it and wanted to get some info.. Do you do it q 8 hours ... once a day or whatever if the patient has an old trach with minimal secretions that gets suctioned once a day if that...
Thanks guys