Nursing Care Related to the
Cardiovascular and Respiratory Systems 2-40 |
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2-40. PERFORMING TRACHEOSTOMY CARE
Changing the tracheostomy dressing, cleansing the skin around the stoma, and cleaning the inner cannula are collectively referred to as tracheostomy care.
a. Assemble necessary equipment and supplies.
b. Explain the procedure to the patient and establish a method of communication.
c. If suctioning is required, perform that procedure prior to beginning tracheostomy care. It is routine to perform tracheostomy care after suctioning.
d. Position the patient in semi-Fowler's position if permissible.
e. Wash your hands and set up the equipment using aseptic technique.
f. Put on exam gloves and remove soiled tracheostomy dressing. Tracheostomy secretions should be considered contaminated and handled accordingly.
g. Remove and discard exam gloves and put on sterile gloves.
h. Clean inner cannula, if present.
i. Cleanse the tracheostomy incision and surrounding area with antiseptic swabs.
j. Reinsert the inner cannula and lock in place.
k. Apply sterile tracheostomy dressing. Use precut, non-raveling sterile 4x4. Place it with the slit toward the chin, allowing the uncut portion to absorb secretions.
l. Reapply ties.
Figure 2-6. Tracheostomy dressing.
m. Remove and discard gloves or return all equipment to the appropriate location.
n. Record procedure in Nursing Notes. |
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