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Describe the steps for removing the inner cannula during tracheostomy care.
Press to flip
Twist and remove inner cannula, place it in hydrogen peroxide, remove old dressing and check for drainage, discard old dressing, and re-sanitize hands.
What supplies are necessary for tracheostomy care?
New set of trach ties or trach collar, sterile normal saline, hydrogen peroxide, sterile tracheostomy kit, two pairs of sterile gloves.
Why is it important to twist and remove the inner cannula carefully?
To avoid damaging the cannula and causing discomfort or injury to the patient.
Describe the initial steps to prepare for tracheostomy cleaning.
Open working table for larger surface, identify patient, wash hands, inform patient of procedure, loosen mist collar for ease of removal, loosen caps of sterile normal saline and hydrogen peroxide, open tracheostomy kit.
What should be done if additional Q-tips are necessary during the cleaning procedure?
Add extra Q-tips at the beginning of the cleaning process.
How can you ensure that the reinserted inner cannula is properly locked in place?
Ensure the blue dots align and confirm by hearing or feeling a click.
List the specific items to be arranged on the sterile field for tracheostomy care.
Pipe cleaners, sterile tweezers, brush, twill tape, sterile 4x4s, new drain sponge, Q-tips, three containers for solutions.
Why is it important to remember that the 1-inch border around a sterile field is non-sterile?
To prevent contamination of the sterile area and maintain a clean environment for the procedure.
When replacing the dressing, what is the key consideration to ensure the trach is always secured?
When changing trach ties, ensure the trach is secured at all times and that the new trach collar fits 1-2 fingers between the collar and the skin.
What is the correct orientation for placing a sterile drape on the patient's chest?
Shiny side down.
How should the inner cannula be cleaned?
Brush inside and outside of the tracheostomy tube, rinse with sterile normal saline, dry with sterile 4x4s and pipe cleaners, inspect for damage or lint, and reinsert and lock the inner cannula in place ensuring blue dots align and a click is heard/felt.
What final steps should be taken post-procedure to ensure patient safety and comfort?
Dispose of gloves and used supplies, ensure patient comfort by raising the rail, having the call light within reach, and positioning the patient comfortably.
What should be done with the brush after cleaning the inner cannula?
Rinse the brush with sterile normal saline and dry with sterile 4x4s and pipe cleaners.
During which step is it crucial to pour solutions and avoid splashing?
During the arrangement of supplies on the sterile field.
Outline the procedure for cleaning around the tracheostomy.
Use three Q-tips moistened with sterile normal saline, clean around tracheostomy and face plate, dispose of used Q-tips, add extra Q-tips if necessary.
How should you arrange supplies on a sterile field?
Arrange supplies without leaning over the field, pour solutions (hydrogen peroxide, sterile normal saline), and be cautious to avoid splashing.
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