AIMS
To be able to provide effective care for people with tracheostomies
LEARNING OUTCOMES
By the end of this course you will be able to:
- Understand what a tracheostomy is
- Know why they are used in practice
- Be aware of the possible complications, and how to deal with them
- Understand the relevance of the legislation that covers tracheostomies
- Recognise the steps and equipment for the procedure
- Understand how to keep the stoma and cannula clean and aseptic
- Know how and when to use suctioning to keep the airway clear
- Be aware of the dangers of thickened mucus, and how to treat it
LESSONS AND TOPICS
Tracheostomy
- What is a Tracheostomy?
- Reasons for a Tracheostomy
- Is a Tracheostomy Permanent?
- Living with a Tracheostomy
- Safety
The Procedure
- Inductions
- Types of Tubes
- Removal of the Inner Cannula
- Essential Bedside Equipment
- Potential Complications and Risk Management
Complications
- Early Complications
- Late Complications
Legislation
- Registered Nurse Responsibility
Cleaning the Cannula and Stoma
- Changing the Cannula
- Equipment
- Redressing the Stoma Site and Changing the Tube Holder
- Cleaning a Permanent Inner Tube
- Potential Complications
- Decannulation
Managing Excess Saliva
- Respiratory Secretions
- Endotracheal Suctioning
Treating Thick Mucus
- Tracheostomy Humidification
- Tips for managing Excessive Phlegm and Mucus
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