Gather all necessary equipment for tracheostomy care
2
Ensure that the patient is comfortable and explain the steps of the procedure
3
Don appropriate personal protective equipment (PPE)
4
Assess the patient's respiratory status and tracheostomy site
5
Cleanse hands and put on clean gloves
6
Prepare a clean area with all the equipment needed
7
Remove and dispose used dressings and secretions, ensure clean gloves are used
8
Inspect the stoma site for signs of infection or irritation
9
Clean the tracheostomy site from the stoma outward, using mild soap and water
10
Decision task: Decide whether suctioning is needed
11
If suction is needed, use aseptic technique and proper suction depth
12
Clean the inner cannula with hydrogen peroxide if it is not disposable
13
Rinse the inner cannula with sterile saline if it is not disposable
14
Reinsert cleaned or new inner cannula and secure it
15
Apply new sterile dressing around the tracheostomy tube
16
Remove gloves, clean hands and apply new gloves
17
Reposition the patient comfortably and provide oral care if needed
18
Document the procedure including the patient’s response and condition of stoma site
19
Dispose of used equipment and cleanse work area
20
Approval: Doctor
Gather all necessary equipment for tracheostomy care
Ensure that all necessary equipment for tracheostomy care is gathered. This task is essential for providing adequate care to the patient with a tracheostomy. It includes gathering items such as tracheostomy dressings, sterile saline, mild soap, water, clean gloves, hydrogen peroxide, sterile dressings, and suctioning equipment if needed. Are all the necessary equipment gathered? If not, what items are missing?
1
Yes
2
No
Ensure that the patient is comfortable and explain the steps of the procedure
Before proceeding with tracheostomy care, it is important to ensure that the patient is comfortable and informed about the procedure. Sit down with the patient and explain the steps involved in tracheostomy care. Address any concerns or questions they may have. Providing comfort and information to the patient helps establish trust and cooperation. Is the patient comfortable and aware of the procedure? If not, what concerns or questions are they experiencing?
1
Yes
2
No
Don appropriate personal protective equipment (PPE)
Put on the appropriate personal protective equipment (PPE) before performing tracheostomy care to ensure the safety of both the caregiver and the patient. This includes wearing gloves, a gown, and a mask if necessary. By wearing PPE, you are preventing the spread of infection. Have you donned the appropriate PPE? If not, what specific items are missing or not worn?
1
Yes
2
No
Assess the patient's respiratory status and tracheostomy site
Before proceeding with tracheostomy care, assess the patient's respiratory status and the tracheostomy site. Observe the patient's breathing, note any abnormalities, and inspect the tracheostomy site for signs of infection or irritation. This assessment helps determine the appropriate care needed and identifies any potential complications. What is the patient's respiratory status? Are there any signs of infection or irritation at the tracheostomy site? If yes, describe the findings.
Cleanse hands and put on clean gloves
Thoroughly cleanse your hands and put on clean gloves before initiating tracheostomy care. Hand hygiene is crucial to prevent the spread of infection, and wearing clean gloves ensures a sterile environment for the procedure. Have you cleansed your hands and put on clean gloves? If not, please do so.
1
Yes
2
No
Prepare a clean area with all the equipment needed
Set up a clean and organized area for tracheostomy care. Ensure that all the necessary equipment and supplies are readily accessible and within reach. An organized and clean workspace helps to enhance efficiency and minimize the risk of cross-contamination. Have you prepared a clean area with all the equipment needed? If not, please do so.
1
Yes
2
No
Remove and dispose used dressings and secretions, ensure clean gloves are used
Remove any used dressings and secretions from the tracheostomy site, ensuring that clean gloves are used throughout the process. Proper removal and disposal of dressings and secretions maintain cleanliness and prevent the risk of infection. Remove the used dressings and secretions? If not, why?
1
Yes
2
No
Inspect the stoma site for signs of infection or irritation
Thoroughly inspect the tracheostomy stoma site for any signs of infection or irritation. Look for redness, swelling, discharge, or any other abnormalities. This step helps identify any issues that need to be addressed and ensures proper care is provided. Have you inspected the stoma site for signs of infection or irritation? If yes, describe the findings. If no, provide a reason.
Clean the tracheostomy site from the stoma outward, using mild soap and water
Cleanse the tracheostomy site starting from the stoma outward using mild soap and water. Gently clean the area, removing any accumulated debris or secretions. This cleaning process helps maintain hygiene and prevent infection. Have you cleaned the tracheostomy site using mild soap and water? If not, please do so.
1
Yes
2
No
Decision task: Decide whether suctioning is needed
Assess the patient's need for suctioning based on their respiratory status and the presence of secretions. Determine if suctioning is necessary to clear the airway and improve breathing. Is suctioning needed for the patient? If not, proceed to the next task. If yes, please elaborate.
1
Yes
2
No
If suction is needed, use aseptic technique and proper suction depth
If suctioning is deemed necessary, use aseptic technique and appropriate suction depth to remove secretions from the patient's airway. Follow proper procedures and precautions to ensure the safety and comfort of the patient. Are you using aseptic technique and maintaining the proper suction depth? If not, please explain.
1
Yes
2
No
Clean the inner cannula with hydrogen peroxide if it is not disposable
If the inner cannula of the tracheostomy tube is not disposable, clean it using hydrogen peroxide. This step helps maintain cleanliness and prevents the buildup of secretions. Is the inner cannula of the tracheostomy tube disposable? If not, have you cleaned it with hydrogen peroxide?
1
Yes
2
No
1
Yes
2
No
Rinse the inner cannula with sterile saline if it is not disposable
If the inner cannula of the tracheostomy tube is not disposable, rinse it with sterile saline to remove any residual hydrogen peroxide and ensure cleanliness. Have you rinsed the inner cannula with sterile saline? If the inner cannula is disposable, proceed to the next task.
1
Yes
2
No
Reinsert cleaned or new inner cannula and secure it
Once the inner cannula of the tracheostomy tube is cleaned or replaced, reinsert it into the tube and secure it properly. Ensure that the inner cannula is positioned correctly and any securing mechanisms are in place. Have you reinserted the cleaned or new inner cannula and secured it? If not, please do so.
1
Yes
2
No
Apply new sterile dressing around the tracheostomy tube
Apply a new sterile dressing around the tracheostomy tube to protect the site from contamination and maintain cleanliness. Ensure that the dressing is applied snugly but not too tightly. Have you applied a new sterile dressing around the tracheostomy tube? If not, please do so.
1
Yes
2
No
Remove gloves, clean hands and apply new gloves
After completing tracheostomy care, remove the gloves, cleanse your hands thoroughly, and apply a new pair of gloves. Proper hand hygiene and the use of clean gloves minimize the risk of infection and maintain a sterile environment. Have you removed the gloves, cleaned your hands, and applied new gloves? If not, please do so.
1
Yes
2
No
Reposition the patient comfortably and provide oral care if needed
Reposition the patient comfortably to promote their well-being. Use pillows or other support to optimize their positioning and ensure their comfort. Additionally, provide oral care if needed to maintain oral hygiene and prevent complications such as dry mouth or infection.
1
Comfortably repositioned
2
Use of pillows for support
3
Other support mechanisms
4
Not needed
1
Oral care needed
2
Oral care not needed
Document the procedure including the patient’s response and condition of stoma site
Document the tracheostomy care procedure by recording the patient's response and the condition of the stoma site. This documentation will ensure accurate and comprehensive records, facilitate communication between healthcare professionals, and track improvements or changes in the patient's condition.
1
Clean
2
Redness
3
Swelling
4
Discharge
Dispose of used equipment and cleanse work area
Properly dispose of all used equipment from the tracheostomy care procedure. Dispose of items according to the designated waste disposal protocols to maintain a clean and safe environment. After disposal, cleanse the work area to remove any potential contamination and ensure cleanliness.
1
Dispose of used equipment
2
Cleanse work area
Approval: Doctor
Will be submitted for approval:
Gather all necessary equipment for tracheostomy care
Will be submitted
Ensure that the patient is comfortable and explain the steps of the procedure
Will be submitted
Don appropriate personal protective equipment (PPE)
Will be submitted
Assess the patient's respiratory status and tracheostomy site
Will be submitted
Cleanse hands and put on clean gloves
Will be submitted
Prepare a clean area with all the equipment needed
Will be submitted
Remove and dispose used dressings and secretions, ensure clean gloves are used
Will be submitted
Inspect the stoma site for signs of infection or irritation
Will be submitted
Clean the tracheostomy site from the stoma outward, using mild soap and water
Will be submitted
Decision task: Decide whether suctioning is needed
Will be submitted
If suction is needed, use aseptic technique and proper suction depth
Will be submitted
Clean the inner cannula with hydrogen peroxide if it is not disposable
Will be submitted
Rinse the inner cannula with sterile saline if it is not disposable
Will be submitted
Reinsert cleaned or new inner cannula and secure it
Will be submitted
Apply new sterile dressing around the tracheostomy tube
Will be submitted
Remove gloves, clean hands and apply new gloves
Will be submitted
Reposition the patient comfortably and provide oral care if needed
Will be submitted
Document the procedure including the patient’s response and condition of stoma site
