If the inner cannula is designed for reuse, clean it in a solution of equal parts hydrogen peroxide and 0.9% sodium chloride. Wear sterile gloves and maintain aseptic technique. Remove encrusted secretions from the lumen of a metal tube with sterile pipe cleaners or a soft sterile brush. For a plastic tube, use only sterile pipe cleaners to prevent damage by a brush. After cleaning, thoroughly rinse the inner cannula with 0.9% sodium chloride solution.
Instructed patient how to reinsert the inner cannula and securely lock it into place.
Instructed patient to secure the new ties to the tracheostomy tube flanges before removing the old ones. Insert your little finger between the tie tapes and your patient's neck to check the fit and ensure his comfort.
Instructed patient to place a sterile split sponge under the tube flanges to absorb secretions.
Place the call bell where your patient can easily reach it.
Instructed patient Don't clean and reuse an inner cannula designed for one-time use.
Instructed patient Don't cut gauze and place it under the tracheostomy tube flanges; inhalation could draw fibers into the patient\'s trachea. Use a manufactured split sponge.
Instructed patient Don't lavage with 0.9% sodium chloride solution during suctioning unless you need to clear a blockage of clots or mucus.
Patient was instructed on proper suctioning technique. To take a deep breath before applying suction to prevent depleting lung from oxygen.
Patient advised to get a morrow and place it near suction machine so in that way he will see how to introduce suction catheter into tracheostomy tube without touching anything and in that way prevent contamination and further RTI.