Tracheostomy Care II: Procedure

Here is a step-by-step procedural guide for tracheostomy care.

First, open the package with the new disposable inner cannula without contaminating it.

Hold and stabilize the outer cannula and faceplate. Release the lock, remove the old inner cannula, and discard it in a plastic bag.

Then, discard the gloves, put on sterile gloves, and insert the new inner cannula.

Clean the stoma using a saline-dipped applicator, then gently pat the skin with a dry gauze sponge to remove excess moisture.

Slide the tracheostomy dressing under the faceplate to reduce skin irritation.

To replace the tracheostomy collar, seek help from another nurse.

Both nurses should wear clean gloves. One nurse will hold the faceplate to prevent accidental extubation while the other nurse removes the collar.

Open the new tracheostomy collar package, apply it around the patient's neck, and secure it with Velcro tabs.

Assess the collar's fit by ensuring one finger's width gap between the neck and the collar.

Finally, remove the gloves, goggles, mask, perform hand hygiene, and document the procedure.