trach question

I am an RN and if I had a question related to my scope of practice that I could not find a clear and specific answer to on my state Board of Registered Nursing web site, I would phone my state Board of Registered Nursing and ask my question, and would also ask my state Board of Registered Nursing where I could locate any written Board of Registered Nursing regulations related to my question. I would absolutely refuse to perform any action I was not certain is within my scope of nursing practice.

From the Indiana BON website

"Indiana's Nurse Practice Act was written to be intentionally broad and general so that as new skills and procedures become part of standard nursing practice, the laws maintain their relevance and applicability. Basically, each nurse licensed in Indiana is responsible for ensuring that he or she is adequately prepared, competent, and qualified to perform any particular skill or procedure that is utilized. In a sense, the nursing profession itself actually determines the scope of practice. For a particular skill or procedure, some relevant points to consider would be what other nurses and other facilities are doing with regards to that skill or procedure. Another point to consider is whether there is a well-developed system for ensuring that those performing a given skill or procedure have the adequate training and support to ensure consistent, safe and competent delivery of that skill or procedure."

Are you talking about extubating a patient, then re-intubating them?

according to your Nurse Practice Act it will likely depend upon your employer's policy. Do not let anyone push you into doing something you are not comfortable with-you have to be trained.