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Discussion

Trach care

Hi everybody or anybody! Just starting my last semester of the LPN program and we just picked up trach care. I know that this question is quite general but, I have found that exploring responses from experienced nurses helps my general comprehension of given topics. I have heard that this semester is absolutely crazy and I want to stay ahead of the game. I was just wondering if anyone has advice, tips or 'things that I should consider' when caring for a patient with a tracheostomy (cuffed or uncuffed).

Thank you in advance

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    • Featured Replies

    Don't let the ties/velcro get loose.

    Keep an obturator nearby at all times.

    Keep the cleaning of the inner cannula sterile.

    Suction with sterile technique.

    Don't suction TOO deeply.

    Have a new, spare trach at the bedside.

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    • Author

    Thank you for the tips

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    Keep suctioning equipment available including extra cannulas at the bedside.

    Make sure the suction works!

    Never apply suction while going into the airway (I have seen this! :smackingf)

    Always remember to hyperoxygenate before and after.

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    • Author

    Again thanks for the tip(s). I love this team work thing....so much different from my last job

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    Oxygenate the pt before and in between suctioning. Also suction on the way out not while going in. There are several good videos on YouTube.

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