Instructed patient how do I care for my skin around my trach tube. Clean your skin at least once each day. You may need to clean it more often if you cough up a lot of thick mucus. You may need someone to help you clean your skin. Wash your hands and put on gloves. This will prevent infection. Suction the area around your stoma. This will help remove mucus .Clean your skin around the stoma, clean the tube flanges, change wet or dirty trach ties., place a gauze between your skin and the flanges and check your skin every day for signs of infection. Look for redness or swelling of the skin around your tube. Also look for pus, bleeding, or a rash.
Tracheostomy care Instructed patient caregiver Signs and symptoms of difficulty breathing are: Retractions Pulling of the skin between the ribs, under the breastbone or around the trach itself. Also symptoms of difficulty breathing are: Sweaty and pale skin, a person is sweaty and pale and seems to be working hard to breathe while at rest, dusky lips or nail beds. The lips or nail beds look dark, dusky or blue.
Instructed patient how can I prevent infections. Wash your hands. Always wash your hands before and after you care for your trach. Clean your trach equipment as directed. Use clean or sterile trach care methods to clean your equipment. Clean the area around your trach as directed. The area around your trach is called the stoma. Use a trach cover as directed. Do not use a trach cover unless your healthcare provider says it is okay. A trach cover sits over the opening to your trach tube. It prevents dirt and other foreign bodies from getting into your airway.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Seeing mucus in the opening of the trach tube or hearing mucus in the airway Increased respiratory rate or effort Retractions (which is seen when the skin between the ribs pulls in while breathing.
Instructed patient on signs and symptoms that indicate a need for suctioning include: Nasal flaring (which is seen when the nostril flares out when a person breaths in) Change in skin color from normal to pale or blue Changes in activity, such as if a child is upset or inconsolable, or appears to be sleepy Increased coughing.
Instructed patient to always keep supplies at your patient's bedside for suctioning; tube and stoma care; delivery of oxygen, heat, and humidity; tracheostomy tube replacement; and artificial ventilation.