TRACHEOSTOMY CARE
Supplies
- Sterile cotton swabs
- Medical weave-gauze
(‘unfilled’ gauze – do not use cotton-filled gauze)
- Sterile water
- Hydrogen peroxide
- Trach ties (cut to
appropriate length)
- Two sterile cups or clean
disposable paper cups
- Sterile gloves if available
- Medical moisture barrier pad
Procedure
- Wash your hands - sterile gloves recommended
- Lay moisture barrier pad
(medical pad) on a counter or table top
- Lay supplies on pad
- Pour 1/2 strength hydrogen
peroxide into one cup and sterile water into the other
- In 1/2 strength hydrogen
peroxide soak 4 swabs
- With a rolling motion gently
clean the skin around the trach tube working from the center of the stoma
outward
- Use one swab for each quarter
around the stoma and under the flange of the tube
- Do not allow any liquid to
get into trach tube or stoma area under the tube
- Rinse the area with swab
soaked in sterile water
- Pat dry with gauze pad or
clean-dry swabs
- Check the skin under the
trach ties – wash, dry and cream as needed
- Change the trach ties as
required
- Gently tuck gauze around and
under the trach tube
- Pre-cut trach gauze is
U shaped if it is not
readily available use two weaved-gauze pads – place one under each wing
of the tube
- Be careful that the gauze
does not cover the trach tube opening blocking air flow
- Change the dressing
when moist to prevent skin irritation
- Monitor skin for signs of
infection
- If stoma area becomes
red, swollen, inflamed, warm to touch or has a foul odor, call your
doctor
- Before applying any
ointments near the tracheostomy call your doctor
- If an antibiotic or
anti fungal ointment is prescribed by the doctor, gently apply a thin
layer with a cotton swab
- When applying
prescribed ointments apply away from the trach stoma
Note:
Daily use of hydrogen peroxide may cause skin irritation for some
patients. Saline wash is recommended.
INNER CANNULA CARE
Inner cannulas:
·
Disposable inner cannulas should be changed and
discarded daily.
Reusable cannulas:
·
This cannula should be cleaned 1 to 3 times a day -
more often if needed.
·
Do not leave the inner cannula out for more than 15
minutes as harmful tissue-drying could occur
Supplies
- 1/2 strength hydrogen
peroxide
- Sterile water or normal
saline
- Two clean disposable cups or
sterile containers
- Inner cannula brush
(tracheostomy brush or sterile pipe cleaner)
- Medical (unfilled) gauze pad
- Medical moisture barrier pad
Cleaning kits are available for inner cannula trach care. Check with
your supply vendor.
Procedure
- Wash your hands, use sterile
gloves - if available
- Lay moisture barrier pad on
counter or table top
- Lay supplies on pad
- Pour 1/2 strength hydrogen
peroxide into a bowl or cup
- Pour saline or sterile water
into the other
- Remove the inner cannula
- Place the inner cannula into
1/2 strength hydrogen peroxide
- Allow to soak it for a few
seconds
- Use the brush to clean
secretions on the inside and outside of cannula
- Place the cannula into the
saline or sterile water solution to soak for a few seconds then rinse
- Dry off excess water with
clean lint-free cloth or sterile gauze
- Suction through the outer
cannula if needed
- Gently replace inner cannula
into the tracheostomy tube
- Be sure the cannula is
"locked" in place in the tracheostomy tube
- Remove gloves and wash your
hands
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info@wrighttrachsolutions.com
Tel: 305-289-7369
Florida USA
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