Changing of Tracheostomy Tube Station

Changing of Tracheostomy Tube Station

Changing a Tracheostomy Tube
Purpose

  • Change the client’s tracheostomy tube.
  • Prevent respiratory infection.
  • Maintain adequate ventilation.
  • Prevent any tracheal damage.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Tracheostomy care and suctioning supplies (See Tracheostomy Care procedure).
  • Tracheostomy tube.*
  • 5 to 10 ml syringe.
  • Water-soluble lubricant.
  • Stethoscope.
  • Disposable gloves.

* Note: Use sterile tube as ordered by the physician.

Policies

PHI Patient Care & Clinical Policies

Cardiovascular

Endocrine

Eye Care/Ear Care

Gastrointestinal

Immunology/Oncology

Infection Control

Intravenous Therapy

Medication Administration

Miscellaneous

Musculoskeletal/Orthopedic

Neurological

Respiratory

Specimen Collection

Urinary/Renal

Wound Care

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Ventilation Station

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Ventilation Station

Tracheostomy Suctioning

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Tracheostomy Suctioning Station

Nasopharyngeal and Nasotracheal Suctioning

Purpose

  • Maintain a patient airway.
  • Facilitate air exchange by removing or mobilizing secretions from upper and lower airways.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Suction machine and connector tubing.
  • Gloves (two sterile, or one sterile and one disposable).
  • Sterile suction catheter (size 12-16 Fr. for adult; 6-12 Fr. for child).
  • Sterile normal saline or water (approximately 100ml).
  • Water soluble lubricant.
  • Sterile basin.
  • Oxygen, if needed by client.
  • Nasal or oral airway as indicated.

 

Tracheostomy Care

Tracheostomy Care

Purpose

  • Prevent infection of tracheostomy site to minimize tracheal trauma.
  • Maintain airway patency.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Tracheostomy suction supplies.*
  • Bedside table or workspace.
  • Towel.
  • Hydrogen peroxide.
  • Normal saline.
  • Three 4″ x 4″ gauze pads (or more if stoma has much drainage).*
  • Four cotton-tipped swabs.*
  • Split 4″ x 4″ pad (pre-cut tracheostomy dressing).*
  • Basin.*
  • Small brush.*
  • Tracheostomy ties.
  • Scissors.
  • Two pairs of disposable gloves.*

* If tracheostomy care is to be done with sterile technique, these items must be sterile.
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G-Tube Site Care

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G-Tube site Care Station


Changing a Gastrostomy Tube

 

Purpose

  • Ensure proper replacement of a gastrostomy tube through a gastrostomy opening with minimal discomfort.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Foley catheter (recommended size 22 to 28 Fr. with 5 to 30 ml balloon per physician�s order).
  • 1-inch paper tape.
  • Precut (split) gauze sponge.
  • Two pairs of disposable gloves.
  • 10 to 30 ml syringe.
  • 10 ml syringe catheter-tip or Y-connector.
  • One clamp.

* Note: If the physician orders a tube other than a Foley catheter, the physician is responsible for placement.

 

Tracheostomy Care Station

Training Video Library

Tracheostomy Care Station

Tracheostomy Care

Purpose

  • Prevent infection of tracheostomy site to minimize tracheal trauma.
  • Maintain airway patency.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Tracheostomy suction supplies.*
  • Bedside table or workspace.
  • Towel.
  • Hydrogen peroxide.
  • Normal saline.
  • Three 4″ x 4″ gauze pads (or more if stoma has much drainage).*
  • Four cotton-tipped swabs.*
  • Split 4″ x 4″ pad (pre-cut tracheostomy dressing).*
  • Basin.*
  • Small brush.*
  • Tracheostomy ties.
  • Scissors.
  • Two pairs of disposable gloves.*

 

* If tracheostomy care is to be done with sterile technique, these items must be sterile.

 

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Pulse Oximetry Station

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Pulse Oximetry Station

Pulse Oximetry

Purpose

  • Perform a cost-effective and non-invasive measurement of arterial oxygen saturation.
  • Explain an immediate and ongoing method to assess client response to treatment.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Pulse oximeter.
  • Sensor (clip on or disposable adhesive sensor).
  • Cutaneous sensor probe.

 

Pediatric Station