Trach ties...

Depends on what type of pt your talking about. You absolutely dont pull the foam through the flanges on a peds pt. The Velcro is reinforced at the attached end which prevents tearing. The foam alone may tear easier.

Depends on what type of pt your talking about. You absolutely dont pull the foam through the flanges on a peds pt. The Velcro is reinforced at the attached end which prevents tearing. The foam alone may tear easier.

This exactly. I just can't understand why they do it.

Well, just a couple years ago, nursing school was still teaching twill trach ties!

I've never seen it done with the foam pulled through...what a pain! I'm gonna go with improper training and/or odd parental preference?

does the pt. have the wrong size trach ties?

there should be instructions for the particular type the pt.

is using, on the plastic packaging or the box

personally, i cannot imagine having to use both hands to handle

the ties and still stabilize the tube at the same time

i had zero trach related training in school

Right size trach ties. I've seen this a lot on quite a few different patients. Just can't figure out where its coming from. I can't find any logic behind it at all.

Right size trach ties. I've seen this a lot on quite a few different patients. Just can't figure out where its coming from. I can't find any logic behind it at all.

the only thing i can think of is that this is done in an attempt to avoid having the plastic (the back of the velcro strap) touch the skin, but usually the split gauze covers this area anyway

do these pt.'s not use trach sponges around the stoma?

would be interesting to find out the rationale behind this, because i sure can't think of

anything that makes sense either

I wonder if someone did it thinking it would leave an "air gap" between the trach flange and the skin, to aid in healing of a red/raw stoma region?

I would definitely question it every time I saw it, as in flat out asking the previous caretaker (parent or nurse) what the purpose was of doing it that way.

I've seem it so much. But as you all know, if I ask the nurse...they may take it the wrong way or take it as complaining. I figure the ties are still secure in a way so its not causing harm at the moment. But if I have to do an emergency trach change on a wiggly kid, it will take that much longer to get the tie off.

I've seem it so much. But as you all know, if I ask the nurse...they may take it the wrong way or take it as complaining. I figure the ties are still secure in a way so its not causing harm at the moment. But if I have to do an emergency trach change on a wiggly kid, it will take that much longer to get the tie off.

emergency = scissors

emergency = scissors

Of course, assuming they aren't misplaced. On this case, I walk in and the kid is plugged or desatting and nothing is in its place. But yes, scissors if they are available.

Of course, assuming they aren't misplaced. On this case, I walk in and the kid is plugged or desatting and nothing is in its place. But yes, scissors if they are available.

yeah that

like a family member saying, "oh i borrowed the scissors, they're around somewhere"

i carry a pair in my bag

it depends.

If its Dale Pedi Ducks or Pedistars,i would not understand why they do it. They do have the adjustable velcro in the back of the neck,in addition to the sides.

Those are the best brand in my opinion.

This other brand i cannot STAND and with those you have to pull the foam through or else the trach will definately fall out.

This bran does not have velcro in the back of the neck like Dale does,only velcro on the sides.

I think they are from Pepper Medical

We cannot adjust it from the back,only the sides