NurseSim

Performing Tracheostomy Care – Changing an Inner Tube

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Tracheostomy inner tubes are very specific to the style of tracheostomy and the reason behind the tracheostomy creation. Outer tubes remain in situ and are changed by a nurse specialised in performing this procedure. Inner tubes need to be changed and cleaned at least daily (JBI 2014). Before performing this procedure, it is imperative that the nurse has a good understanding of the principles relating to safe management, changing and cleaning of tracheostomy inner tubes, and infection control, including ANTT. Understanding the pathophysiology related to a tracheostomy is crucial in order to accurately assess and manage the stoma.

Nurses need to follow manufacturer’s guidelines, industry policies, National Safety and Quality Health Service Standards (second edition), organisational guidelines and procedural direction to safely perform this procedure.

Caution must be used when caring for a person with a tracheostomy in regards to safety and airway management. Emergency equipment should be at the client’s bedside at all times (Xue 2013).

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