Na Ii Ppt Module 6
- 1. Module Title: Tracheostomy Care **Successful completion of the “Sterile Technique” module is required prior to this module.**
- 2. Trach Care Definition of Tracheotomy: A surgical procedure to create an opening into the neck through which to breathe. Performed for airway obstruction, which may have many causes Definition of Tracheostomy: The opening into the airway Definition of the Stoma: The opening on the skin surface Definition of the Cannula: An indwelling tube inserted through the stoma to maintain patency
- 3. Trach Care Definition of Tracheostomy Care: Sterile Procedure Performed only by RN’s in most facilities Done to keep the stoma and cannula clean and free from obstruction Done to prevent skin irritation and breakdown Done to prevent water and solid foreign matter from entering the lungs Done to prevent infection May include suctioning of the airway
- 4. Trach Care 3 Types of Tracheostomy Tubes Disposable/non-disposable Single cannula Double cannula
- 5. Trach Care Possible reasons for needing a Trach: Neuromuscular diseases paralyzing or weakening chest muscles and diaphragm Aspiration related to muscle or sensory problems in the throat Fracture of cervical vertebrae with spinal cord injury Long-term unconsciousness or coma Disorders of respiratory control such as Congenital Central Hypoventilation or Central Apnea Facial surgery and facial burns Anaphylaxis (severe allergic reaction)
- 6. Trach Care Disposable/non-disposable Trach Tubes Both will use a face plate held in place with ties around the neck The inner cannula is the disposable/non-disposable piece After removing the inner cannula, the disposable cannula will be disposed of and a new cannula will be inserted; the non-disposable cannula will be cleaned with H2O2, rinsed and re-inserted into the face plate
- 7. Trach Care Single Cannula Trach’s consist of the outer cannula which is attached to the face plate, and an obturator The main parts of a double cannula tracheostomy tube are the outer tube (or cannula), the inner tube (or cannula) and the obturator. The
- 9. Trach Care Reporting and Recording: Vital Signs-should be monitored before and after the procedure and reported to the nurse if noted not within normal limits Skin Color-if the skin is noted to be taking on a blue tint (cyanosis) or red color due to uncontrolled coughing, this should be reported to the RN immediately Patient Response—if uncontrolled coughing, apnea, dyspnea, or short of breath- report immediately to the RN