catheter-teaching-guide
Tracheostomy
Instructed patient Don't lavage with 0.9% sodium chloride solution during suctioning unless you need to clear a blockage of clots or mucus.
Patient was instructed on proper suctioning technique. To take a deep breath before applying suction to prevent depleting lung from oxygen.
Instructed that a tracheostomy is used to bypass an upper airway obstruction, prevent aspiration, manage tracheobronchial secretions, or allow for prolonged mechanical ventilation.
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.
Instructed patient to begin assessing his tracheostomy by inspecting the stoma site, which is typically slightly larger than the tracheostomy tube.
Instructed patient that when on your assessment findings (coarse breath sounds, noisy breathing, and prolonged expiratory sounds) indicate that your airway needs clearing, suction it using sterile technique. Hyperoxygenate him before and after suctioning and between passes to compensate for suctioning-induced hypoxemia.
Instructed patient Don't let condensation accumulate in the oxygen delivery tubing.
Instructed patient Don't allow a humidifier to empty.
Instructed caregiver to call patient's doctor if patient have: fever or chills, redness, swelling, or pain that is getting worse. Bleeding or drainage from the hole.
Instructed caregiver include ensuring that the tracheotomy tube is securely in place and is patent.