Tracheostomy (Trach) Care Overview (Nursing Skills)

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Trach Care Overview (Nursing Skills):
In this video we’re going to look at trach care. Remember you should always suction the patient before trach care, so if you haven’t watched that skill video yet, make sure you watch it!

And remember as you’re doing this, you want to be assessing the stoma for signs of infection or skin breakdown.

Bookmarks:
0:00 Introduction
0:30 Set up sterile field
1:00 Apply gloves
1:12 Remove inner canula and dressing
1:30 Apply sterile gloves
2:05 Clean secretions
2:56 Clean stoma
3:48 Replace inner canula
4:14 Change trach ties
5:50 Apply dressing

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She contaminates her left hand at 2 minutes in by touching the non-sterile outside of the saline bottle, and then she uses that same hand to reach into the sterile kit and touch various supplies.

tarabontke

Thanks! And I also thought a person could put the new trach ties under their neck before doing the sterile care. That way you won't have to try to hold their trach down while trying to thread it under their neck, but it was a great video review and I really needed to have this good review.

nataliesimon

This proved that nursing schools are doing things differently... I think this help for when I really work in a hospital. Thank you

DornAJW

Thank you so much for these videos! They are so helpful. 💕

Godilove

I think she also broke sterility after she pulled the wet gauze out from under the flange for cleaning. She touches the contaminated wet gauze with both hands and then uses those same contaminated hands to pick up another sterile gauze and uses her contaminated hands to ring the excess sterile water now contaminated into the sterile field.

PerpetualSky

Great video. I always use a helper to hold the trach while I replace the holder velcro straps. Reason being, I usually cut them shorter after sizing them up on the patient.
On a separate note, I would never allow them to put a trach in me. Once someone has a trach, its down hills from there. After a year or two, almost always they become MRSA and/or MDRO. Constant infections with trachs. They are unnatural.

Romulan

Its best practice to secure the new tie before removing the old tie, especially if you are doing the procedure alone.

jaypeeconcepcion

Great video. It is straight to the point and you also have the option to skip to the part of the video that you want to see.
Thank you!

preyonce

Broke sterile field when you touched the saline bottle then put both hands in your sterile field. Overall great information!

shaylabrown

Pretty sure you don’t want to be waving the drape around like that. Can’t air movement can contaminate the sterile field ?

victoriamcgill

Not sure how I got here but good information

DabidRobinson

Would you tie the news ones first & then take the old ones off?

nataliaveladez

I have a question, Do you have to use clean technique when removing the inner cannula and then sterile technique when cleaning the inner cannula?

yanirisrodriguez