This document provides guidelines for giving tracheostomy care using a non-disposable inner cannula. The procedure involves: 1) cleaning the area around the stoma and flanges using sterile saline and cotton applicators; 2) removing the inner cannula and soaking it in hydrogen peroxide to remove secretions, then rinsing it in saline; and 3) reinserting the cleaned inner cannula, applying a new dressing, and completing post-procedure actions.
This document provides guidelines for giving tracheostomy care using a non-disposable inner cannula. The procedure involves: 1) cleaning the area around the stoma and flanges using sterile saline and cotton applicators; 2) removing the inner cannula and soaking it in hydrogen peroxide to remove secretions, then rinsing it in saline; and 3) reinserting the cleaned inner cannula, applying a new dressing, and completing post-procedure actions.
This document provides guidelines for giving tracheostomy care using a non-disposable inner cannula. The procedure involves: 1) cleaning the area around the stoma and flanges using sterile saline and cotton applicators; 2) removing the inner cannula and soaking it in hydrogen peroxide to remove secretions, then rinsing it in saline; and 3) reinserting the cleaned inner cannula, applying a new dressing, and completing post-procedure actions.
This document provides guidelines for giving tracheostomy care using a non-disposable inner cannula. The procedure involves: 1) cleaning the area around the stoma and flanges using sterile saline and cotton applicators; 2) removing the inner cannula and soaking it in hydrogen peroxide to remove secretions, then rinsing it in saline; and 3) reinserting the cleaned inner cannula, applying a new dressing, and completing post-procedure actions.
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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.