Giving Tracheostomy/Stoma Care Using A Non disposable Inner Cannula

Procedure Guidelines Done without Done with Not done

assistance assistance
1. Perform your beginning procedure
actions
2. Open the plastic trash bag. Place it
at the foot of the bed or other
location where you can reach it
without crossing over the sterile
field.
3. Set up the sterile field and open
sterile supplies, if this was not
done previously. Pour a mixture of
equal parts of normal saline and
hydrogen peroxide into a basin.
Pour plain normal saline into the
second basin.
4. Apply sterile gloves and suction the
tracheostomy (Procedure 96),
using sterile technique.
5. Remove gloves. Discard the gloves
and suction catheter in the plastic
bag.
6. Wash your hands.
7 Apply new sterile gloves.
8. Moisten a sterile sponge in sterile
normal saline, then squeeze out
excess water. Wipe the area under
the flanges and twill tapes on the
sides. Begin near the stoma,
working your way outward. Use
moist cotton applicators, if
necessary, to clean around the
stoma and under the flanges. Keep
water out of the stoma, cleaning
only the outside. Use each sponge
or applicator only once. Discard
used sponges and applicators in
the plastic bag.
9. Moisten a second sponge or
applicator and repeat. Use each
sponge only once, working from
the clean, inner area outward.
10. Pat the area dry with a sterile
gauze sponge or applicator.
11. Remove gloves and discard them in
the plastic bag.
12. Wash your hands.
 Giving Tracheostomy/Stoma Care Using A Non disposable Inner Cannula

13. Apply new sterile gloves.

14. With your nondominant hand,
discard the tracheostomy dressing,
if not done previously. Discard in
plastic bag.
15. With your nondominant hand,
carefully hold the flange to the
outer cannula. Turn the inner
cannula counterclockwise to
unlock it
16. Remove the inner cannula by
pulling it out, then down. Place the
cannula in the basin with the
hydrogen peroxide mixture.
17. With your dominant hand, insert
the small brush into the inner
cannula to scrub secretions on the
inside, using the hydrogen
peroxide mixture.
18. Place the inner cannula into the
basin of normal saline for 10
seconds, and agitate it to rinse it
thoroughly
19. Check the cannula to ensure that it
is clean, then tap it on the inner
edge of the basin to remove excess
water.
20. Reinsert the inner cannula. Turn
the adapter on the distal end
clockwise to lock it in place, then
check to make sure it is secure.
21. Apply a clean tracheostomy
dressing and ties
22. Perform your procedure
completion actions.

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