Tracheostomy Care and Suctioning - Clinical Nursing Skills |@LevelUpRN​

Ellis demonstrates how to clean a reusable inner cannula, care for a tracheostomy site, and suction a tracheostomy.

Our Critical Nursing Skills video tutorial series is taught by Ellis Parker MSN, RN-BC, CNE, CHS and intended to help RN and PN nursing students study for your nursing school exams, including the ATI, HESI and NCLEX.

#ClinicalSkills #NCLEX #tracheostomy #patientcare #ATI #Kaplan #LVN #PN #RN #nurseeducator #nurse #nursingstudent #murse #clinicals #clinicalnursingskills

00:00 What to expect Tracheostomy Care and Suctioning
0:33 Explaining the process Tracheostomy Care and Suctioning
1:10 Positioning patient for a Tracheostomy Care and Suctioning
1:33 Opening tray
1:46 Pouring saline
1:58 Removing inner cannula
2:14 Removing clean gloves
2:25 Donning sterile gloves
3:16 Showing tray contents
3:53 Removing previous dressing
4:06 Pouring saline
4:27 Cleaning stoma
5:10 Cleaning faceplate
5:20 Drying site
5:30 Cleaning inner cannula
6:00 Drying inner cannula
6:20 Reinserting inner cannula
6:40 Placing new gauze
7:00 Replacing ties
8:00 Replacing oxygen
8:13 Preparing for suction
8:58 Checking suction
9:30 Opening saline
9:42 Opening kit
9:58 Donning sterile gloves
11:04 Setting up saline container
11:20 Pouring saline
11:52 Connecting catheter to suction
12:46 Inserting catheter
13:10 Removing catheter
13:24 Rinsing catheter
13:40 Reoxyginating
14:05 Reinserting catheter
14:17 Removing catheter
14:29 Rinsing catheter
14:44 Reoxyginating
14:55 Cleaning up
15:09 Chatting about sterility
17:00 Checking a tie

🔥 Attention Future Nurses! 🔥 Ready to crush nursing school and ace the NCLEX? 🚀 Grab the Ultimate Nursing School Survival Kit now and unlock a FREE YEAR of Level Up RN Membership! 🩺 But that’s not all—you’ll also get a full year of Flashables (Digital Nursing Flashcards - NCLEX Edition) at NO extra cost! 🙌 This kit is your secret weapon to success, from day one of nursing school all the way to your NCLEX victory. 🌟

Want more ways to MASTER Clinical Skills? Check out our flashcards & videos!

👇👇👇👇👇👇👇👇👇👇
☝️👆☝️👆☝️👆☝️👆☝️👆

This is your one-stop-shop for materials to help you LEARN & REVIEW so you can PASS Nursing School.

🤔🤔🤔 DO YOU WANT TO PASS your classes, proctored exams and the NCLEX? 🤔🤔🤔 Our resources are the best you can buy. They are built with a single goal: help you pass with no fluff. Everything you need, and nothing you don’t. Don’t take our word for it, though! Check out our hundreds of ⭐️⭐️⭐️⭐️⭐️ reviews from nurses who passed their exams and the NCLEX with Level Up RN.

🗂️ Our Ultimate Nursing School Survival kit is your number 1 resource to get through nursing school and to pass the NCLEX. Whether you're just starting school or you’re already prepping for the NCLEX, this bundle of flashcards is the best you can buy. It covers all the information you need to know to pass all your exams and it has FREE shipping!

L👀king for EVEN MORE resources to survive Nursing School? Make your Nursing School experience your own! Life’s difficult enough—learning shouldn’t be.

✨Want perks? Join our channel!

📧 LOOKING FOR FREE RESOURCES TO HELP WITH YOUR EXAMS? Get exclusive tips, latest video releases and more delivered to your email!

⚕ 👩 LEVEL UP NURSE SQUAD 👩⚕️
All of the nurses at Level Up RN are here to help! Cathy Parkes started helping her fellow classmates back when she was in nursing school, tutoring so they could pass their exams and graduate. After she got her BSN and started working as an RN at Scripps Encinitas Hospital, she started this YouTube channel to help nursing students around the world. Since then she has built a team of top-notch dedicated nurses and nurse educators who are focused on improving nursing education and supporting career advancement for nurses everywhere. With flashcards, videos, courses, organizational tools and more, we are singularly focused on helping students and nurses Level Up on their exams and nursing careers.

[singweharmony]

This is so so helpful...I have my check off tomorrow

[candiceyoung]

I'm a stage 4 Larynx cancer survivor. And I've had this cleaning and suctioning many, many times during my year in hospital, and since of course. But I now do this myself. I' will be celebrating my 8 year cancerversay Oct 25th. All of you nurses and respiratory techs are amazing. Thank you all, , you're angels ❤❤oh and I cannot tell the way that suctioning feels, especially if you have to put saline in the stoma, the coughing is scary I'll be honest

[Rawkr]

Appreciate you sharing knowledge to nurses! A couple small tips from an RT.

When setting your suction pressure, measure it by occluding the suction tubing and not to open air. This measures how much potential suction pressure you're using on their airway to limit damage. Usually suction pressures are 80-100 for neonates, 100-120 for pediatrics, and 120-140 for adults.

Lastly, once you've passed your catheter down and hit resistance or they cough, pull back slightly* and then begin suctioning. This prevents accidental suctioning near the carina.

[aliciareed]

As a “covid” nurse with no clinicals - this is GOLD! Thank you so much!

[not.zack..]

EMT here. Fresh out of school with little (no) experience of trach care. Not something they teach you in school, but something they expect you to know in the field !! Moved my first trach pt yesterday, very very overwhelming, could feel my heart in my stomach while helping this gentlemen. I guess it’s something that comes with time; but definitely a helpful video in making me feel more comfortable while interacting with trach patients. Thank u!!

[jamesm]

Top 3 Nurse channels on youtube, thanks Ellis

[abigailmoten]

Thank you SO much for this! I’m a new grad nurse going into in home care for medically complex children, many of whom have trachs, GTubes, and Vents. I was so worried I didn’t remember exactly how to do trach care and this helped refresh my memory SO much. I cannot thank you enough, seeing a visual example helped so much more than reading my skills book, I just couldn’t visualize it on my own. I owe you!

[jeannineroberton]

Anytime you're working with vulnerable people the #1 priority is safety and sterile or clean work field. Thank you for the presentation.

[rayhansberger]

Canula appeared to go in upside down. Should be pointed towards the lungs when reinserted (not up the throat)

[MsLadytray]

I'm a newer nurse that started in a clinic, I am now a classroom nurse and one of my cases has a trach so needless to say I need to refresh, so I that I can provide quality care. Thank you so much for this. I will be watching this and follow along with my kit from school.

[vanessa_the_mindset_maven]

I really appreciate these videos! Even though I have been a nurse since 2011, I love to brush up on my skills. You can never know everything, I always say.Thank you!

[annaopoku]

Very well explained. Even a slow learner could understand. You spoke slowly and that was very good. GREAT JOB. KEEP IT UP.

[bassclefbaby]

Thank you! I have a trach. patient at clinical today and I wanted to solidify my skills before aiding in care in real-time. I appreciate you guys :)

[LasEnchiladas]

I am in my final year of Nursing school, this is one of the procedures we are learning in our Foundations 3 class....I found your video to be most helpful. Thank you so much! <3

[doremifasolatido-rozs]

Im here to refresh my knowledge on how to perform proper trache suctioning and care because soon im going to apply a job in an LTC for the first time and i probably encounter some patients on traches so thank you for this demonstration it's really helpful.

[comicalcosmonaut]

Hi quick question,

Wouldn't it be easier to use clean gloves to pour on the saline and h2o2 into the tray, remove the old dressing and throw it away, remove the inner cannula and place it in the tray, discard the clean gloves and THEN set that sterile drape first? Just so when you don sterile, you wouldn't need to break sterile to removing the old dressing

[susanmugo]

You did it really well .maintaining sterility by guarding the sterile hand🎉🎉🎉🎉🎉

[pianoprimo]

Great Video but the inner cannula was upside down when you removed and reinserted. Was it not?

[lindawolffkashmir]

The way I was instructed to clean the stoma and keep the field sterile was a double wipe system with the gauze. Use a mix of sterile water and hydrogen peroxide on the first pass, always moving from the stoma outward, then the second pass sterile water only. Use the gauze, fold it so there’s always a clean surface on the neck. Soak the inner tube in the sterile water/H2O2 solution, scrub with brush, rinse in the sterile water, then re-insert. I may have to use the included tie when changing the neck band, because I’ve already had one incident where he coughed the whole trach tube out. (he didn’t hold onto it as instructed)

[terisasam]

I'm glad I found your site to help me refresh on rarely used skills. Thank you Ellis.