Tracheostomy

• Tracheostomy care is done using sterile technique every shift
• Tracheostomy Care

  • Air is not filtered and humidified therefore, a mist collar or a 4 x 4 gauze may be held in place with a cotton tie over the stoma to filter the air as it enters. 
  • Soak inner cannula in antiseptic soak with half strength hydrogen peroxide, rinse well with NSS
  • Tie new tie before removing the old tie to prevent accidental dislodgement 
  • Dry by tapping only, DO NOT use gauze
  • Suction as needed and do oral care frequently
• Tracheostomy Care

  If the outer cannula is dislodged, retract stoma and NOTIFY physician
• Parts of Tracheostomy:

  • Obturator - guide; must always be available at bedside
  • Inner Cannula -  cleaned during tracheostomy care
  • Outer Cannula - inserted first
  • Tracheostomy ties - secures the outer cannula; changed every