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Active Learning Template Nursing Skill Trach care
ATO Nursing skill
Course
Nursing IV (NURS 274)
52 Documents
Students shared 52 documents in this course
University
Ocean County College
Academic year: 2021/2022
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STUDENT NAME ________
SKILL NAME _ Providing tracheostomy care___________ REVIEW MODULE CHAPTER ___ 53 ____
ACTIVE LEARNING TEMPLATES Therapeutic procedure A
ACTIVE LEARNING TEMPLATE: Nursing Skill
-Tracheal stenosis: tracheal lumen narrows due
to scarring.
-Tracheal wall necrosis: tissue damage from
inflated cuff pressure.
-Fluid retention, -Oxygen toxicity, -Aspiration.
-Accidental decannulation.
PRE: gather proper equipment and supplies before
procedure. Assess tracheostomy. Hyper oxygenate before
and after and during. Suction patient. Document findings
before procedure. INTRA: Assess respiratory q1-2 hours.
Monitor vitals. Clean stoma site. Assess cuff pressure.
POST: provide trach care q8 hours. Suction when necessary.
Administer pain meds, antibiotics, adequate nutrition.
Oral care q2 hours.
Ensure patient has adequate oxygen supply via
Tracheostomy vent.
- Sterile surgical incision into the trachea the skin and
muscles for the purpose of establishing an airway.
Assess lung sounds, oxygen saturation level,
respiratory status, & pain level prior to suctioning.
Changing tracheostomy dressing and
replacing/cleaning inner cannula. Make sure to do
tracheostomy care following sterile technique.
Monitor/ assess tracheostomy every 1 to 2 hours.
Reposition q2 hrs. monitor I&O, daily weights, monitor
for respiratory.
- Educate patient on the proper cleaning and
saturation, lung sounds, and effort.
-Establish a method of communication for the client
with staff.
-provide adequate humidification and hydration to
reduce mucus plugs and thin mucus.
Inner cannula needs to be replaced. Clean stoma. Suction trach. Replace tracheostomy tie.
Description of Skill
Indications
Outcomes/Evaluation
CONSIDERATIONS
Nursing Interventions (pre, intra, post)
Potential Complications
Client Education
Nursing Interventions
Was this document helpful?
Active Learning Template Nursing Skill Trach care
Course: Nursing IV (NURS 274)
52 Documents
Students shared 52 documents in this course
University: Ocean County College
Was this document helpful?
STUDENT NAME ________
SKILL NAME _ Providing tracheostomy care ___________ REVIEW MODULE CHAPTER ___ 53 ____
ACTIVE LEARNING TEMPLATES Therapeutic procedure A9
Nursing Skill
ACTIVE LEARNING TEMPLATE:
-Tracheal stenosis: tracheal lumen narrows due
to scarring.
-Tracheal wall necrosis: tissue damage from
inflated cuff pressure.
-Fluid retention, -Oxygen toxicity, -Aspiration.
-Accidental decannulation.
PRE: gather proper equipment and supplies before
procedure. Assess tracheostomy. Hyper oxygenate before
and after and during. Suction patient. Document findings
before procedure. INTRA: Assess respiratory q1-2 hours.
Monitor vitals. Clean stoma site. Assess cuff pressure.
POST: provide trach care q8 hours. Suction when necessary.
Administer pain meds, antibiotics, adequate nutrition.
Oral care q2 hours.
Ensure patient has adequate oxygen supply via
Tracheostomy vent.
- Sterile surgical incision into the trachea the skin and
muscles for the purpose of establishing an airway.
Assess lung sounds, oxygen saturation level,
respiratory status, & pain level prior to suctioning.
Changing tracheostomy dressing and
replacing/cleaning inner cannula. Make sure to do
tracheostomy care following sterile technique.
Monitor/ assess tracheostomy every 1 to 2 hours.
Reposition q2 hrs. monitor I&O, daily weights, monitor
for respiratory.
- Educate patient on the proper cleaning and
saturation, lung sounds, and effort.
-Establish a method of communication for the client
with staff.
-provide adequate humidification and hydration to
reduce mucus plugs and thin mucus.
Inner cannula needs to be replaced. Clean stoma. Suction trach. Replace tracheostomy tie.
Description of Skill
Indications
Outcomes/Evaluation
CONSIDERATIONS
Nursing Interventions (pre, intra, post)
Potential Complications
Client Education
Nursing Interventions
