Trach humidification

Posted

I was at a long term care facility and I saw a man with a trach that didn't have a trach collar with humidification. I was taught that a trach should have a passy muir valve, HME, cap or have a trach collar with humidification. I asked the nurse and she said the humidification was only used at night. I thought this would cause secretions to become dry and thick. I was surprised that the secretions were thin. He has a GT so he is well hydrated. Is this acceptable practice?