patient-unable
Tracheostomy
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 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.
Instructed patient to begin assessing his tracheostomy by inspecting the stoma site, which is typically slightly larger than the tracheostomy tube.
Instructed patient that when on your assessment findings (coarse breath sounds, noisy breathing, and prolonged expiratory sounds) indicate that your airway needs clearing, suction it using sterile technique. Hyperoxygenate him before and after suctioning and between passes to compensate for suctioning-induced hypoxemia.
Instructed patient Don't let condensation accumulate in the oxygen delivery tubing.
Instructed patient Don't allow a humidifier to empty.
Instructed patient if you have a hard time breathing, you may have secretions in your trach tube. Take out the inner cannula to check for mucous and clean if necessary. Then replace it. If your breathing does not get better, keep using your humidity, and cough hard.