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    Nursing Performance Checklist Tracheostomy

    Uploaded by

    SyahrilKiyai
    The document provides a nursing performance checklist for tracheostomy care and suctioning. It lists the purposes of tracheostomy tubes, required equipment, and steps for the procedures of tracheostomy care and sterile tracheobronchial suctioning. The checklist is to be completed by a student and supervised by a physician, with comments provided.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Nursing Performance Checklist Tracheostomy

    Uploaded by

    SyahrilKiyai
    768 views3 pages
    The document provides a nursing performance checklist for tracheostomy care and suctioning. It lists the purposes of tracheostomy tubes, required equipment, and steps for the procedures of tracheostomy care and sterile tracheobronchial suctioning. The checklist is to be completed by a student and supervised by a physician, with comments provided.

    Original Description:

    nursing skill

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    The document provides a nursing performance checklist for tracheostomy care and suctioning. It lists the purposes of tracheostomy tubes, required equipment, and steps for the procedures of tracheostomy care and sterile tracheobronchial suctioning. The checklist is to be completed by a student and supervised by a physician, with comments provided.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    768 views3 pages

    Nursing Performance Checklist Tracheostomy

    Uploaded by

    SyahrilKiyai
    The document provides a nursing performance checklist for tracheostomy care and suctioning. It lists the purposes of tracheostomy tubes, required equipment, and steps for the procedures of tracheostomy care and sterile tracheobronchial suctioning. The checklist is to be completed by a student and supervised by a physician, with comments provided.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Nursing Performance Checklist

    Tracheostomy care and suctioning


    _________________________: Student Name
    : Purpose
    .To bypass upper airway obstruction -1
    .To allow removal of tracheobronical secretions -2
    .To allow long term use of mechanical ventilation -3
    .To prevent aspiration of oral or gastric secretions in paralyzed patient-4
    .To replaced endotracheal tube -5
    Equipment: for care
    Tracheostomy care kit :
    Sterile towel
    Sterile gauze sponges (12)
    Track sparks (2)
    Face shield
    Sterile cotton swabs
    Sterile gloves

    Hydrogen peroxide
    Sterile water
    Antiseptic solution
    Tracheostomy tie tape

    : Steps of procedure
    Tracheostomy care
    . Assess condition of stoma -1
    .Examine neck for subcutaneous emphysema -2
    . Explain procedure for patient -3
    .Wash hands -4
    .Suctioning of the trachea -5
    Assembling and preparing equipment to maintaining-6
    .sterile filed
    .Wear sterile gloves and face shield -7
    Cleanse stoma area and the plate of the tracheostomy -8
    tube with sterile cotton tipped applicator or gauze saturated
    .with H2O2
    Repeat steps 6 using the sterile water-soaked gauze -9
    .sponges
    .Repeat steps 6 using dry sponges -10
    Removing inner cannula by rotating it while stabilizing -11
    outer cannula for cleaning with H2O2 and replacing
    .new disposable inner cannula
    .Change tracheostomy tie -12
    .Place a gauze pad between the stoma and tracheostomy -13

    Done
    complete incomplete

    Not
    done

    Steps of procedure : cont

    Done
    complete incomplete

    Not done

    Document procedure -14


    , observation of stoma [ irritation , reddness
    edema, subcutaneous air] and character
    .of secretion [ color ,consistency]
    Clean the stoma q8hrs or more and tie should be -15
    .changed every 24 hrs or more if soiled or wet

    Equipment : for suctioning


    . sterile suction catheter.
    . sterile gloves.
    .sterile towel .
    .suction sources .
    .sterile water.

    resuscitation bag connect to 100 O2 source normal saline 2 sterile cup of water sterile water soluble lubricant face shield Done
    : Steps of procedure
    complete incomplete
    For sterile tracheobronchial suction
    .Monitor heart rate and auscultate breath sound -1
    .Explain procedure to the client-2
    .Assemble equipment -3
    .Wash hands -4
    Open sterile towel and place it -5
    Under client chest. Open alcohol
    Wipes on corner of towel. Place small
    Amount of sterile water soluble jelly
    .On towel
    .Open sterile gloves -6
    .Open suction catheter package -7
    Use the sterile hand to remove -8
    ,The suction catheter from package
    .curling the catheter around the gloved fingers
    .Connect suction catheter to suction sources -9
    .Disconnect the patient from ventilator -10
    Ventilate and oxygenate the patient with -11
    .resuscitator bag (4 to 5 times)
    .Gentle insert suction catheter -12
    Inserted suction catheter while withdrawing and gentle rotating the catheter no longer than 10 to 15
    .second

    Not done

    Steps of procedure : cont

    Done
    complete incomplete

    Bag the patient between -14


    .suction
    Instill 3-5 ml normal saline and bag then suction.
    16- Rinse the catheter in the basin that contain sterile
    .water
    . Continue making suction passes -17
    .Give patient 4 to 5 breath with bag-18
    .Return patient to ventilator -19
    Suction oropharyngeal cavity after -20
    .completing tracheal suctioning
    .Clean fitting of bag with alcohol swab -21
    .Assess vital signs -23
    Record amount and consistency -24
    .of secretion
    .Assess need for suction at least every 2 hrs -25

    ______________________________ : Supervised by
    _________________________________ : Comments
    .steps done by physician *

    Not done

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