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Tracheostomy
Instructed patient it is important to keep the tube free of thick mucus. You should always carry an extra tube with you in case your tube gets plugged. Once you put in the new tube, clean the old one and keep it with you as your extra tube.
Instructed patient when you cough, have a tissue or cloth ready to catch the mucus coming from your tube. Is important to keep the tube free of thick mucus. You should always carry an extra tube with you in case your tube gets plugged.
Instructed patient if your trach tube comes out Don’t panic! Stay calm. Your stoma will stay open. If you do not know how to put the tube back in or you can’t get it in, have someone take you to the nearest Emergency Department, or go to your family doctor’s office. Take your extra trach tube with you.
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.
If the inner cannula is designed for reuse, clean it in a solution of equal parts hydrogen peroxide and 0.9% sodium chloride. Wear sterile gloves and maintain aseptic technique. Remove encrusted secretions from the lumen of a metal tube with sterile pipe cleaners or a soft sterile brush. For a plastic tube, use only sterile pipe cleaners to prevent damage by a brush. After cleaning, thoroughly rinse the inner cannula with 0.9% sodium chloride solution.
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 what to do if a person has trouble breathing The most common reason for breathing problems, other than an illness, is If you have trouble passing the catheter into the trach and it feels tight, put a few drops of saline into the tube and try to suction again. Do not force the catheter; it may push the plug in further. If you are unable to remove the mucus plug, change the trach tube and try to suction again.
Instructed patient about some common ways to keep the air you breathe moist are:putting a wet gauze or cloth over the outside of your tube. Keep it moist, ,using a humidifier in your home when the heater is on and the air is dry. A few drops of salt water (saline) will loosen a plug of thick mucus. Put a few drops in your tube and windpipe, then take a deep breath and cough to help bring up the mucus.
Instructed patient to note the amount, color, consistency, and odor of tracheal and stomal secretions. Confirm the tracheostomy tube size and whether it's cuffed or fenestrated.
Instructed patient to secure the new ties to the tracheostomy tube flanges before removing the old ones. Insert your little finger between the tie tapes and your patient's neck to check the fit and ensure his comfort.