Nursing Skills

Tracheostomy Care

Tracheostomy Care

Nursing management of a surgically created opening in the trachea to maintain an airway.

Suctioning Procedure

  • Hyper-oxygenate patient before suctioning.
  • Apply suction only during withdrawal of the catheter, not while inserting.
  • Limit suction passes to 10-15 seconds to prevent hypoxia.
  • Monitor heart rate and O2 saturation throughout.

Stoma Maintenance

  • Clean stoma site with saline using sterile cotton swabs.
  • Change tracheostomy ties/holder when soiled or every 24 hours.
  • Place clean gauze dressing under the faceplate.
  • Monitor for skin breakdown under the ties or dressing.

Emergency Preparedness

  • Keep a spare tracheostomy tube of the same size at the bedside.
  • Ensure obturator is immediately available for reinsertion.
  • Keep ambu-bag with mask connected to 100% O2.

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