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Improving tracheostomy care for ward patients.

T Lewis1, G Oliver

  • 1East Kent Hospitals NHS Trust, Margate. tracy.lewis@ekht.nhs.uk

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|February 11, 2005
PubMed
Summary

Ward nurses are increasingly caring for patients with tracheostomies, a breathing tube aiding early mechanical ventilation weaning. This initiative ensured these nurses received essential education and support for specialized tracheostomy care.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Nursing Education

Background:

  • Increased utilization of tracheostomy for early weaning from mechanical ventilation in intensive care units (ICUs).
  • Growing number of patients with tracheostomies requiring care in general ward settings.
  • Necessity for ward staff to possess specialized skills for tracheostomy management.

Purpose of the Study:

  • To address the educational and support needs of ward nurses caring for tracheostomy patients.
  • To develop and implement effective strategies for managing tracheostomies outside the ICU.
  • To ensure a competent and confident nursing team for tracheostomy care in wards.

Main Methods:

  • Collaboration between ICU outreach team and critical care practice development nurse.
  • Identification of specific training and support requirements for ward staff.
  • Development and implementation of tailored educational strategies and support systems.

Main Results:

  • Establishment of a structured approach to educate and support ward nurses.
  • Improved preparedness of nursing staff in managing patients with tracheostomies.
  • Enhanced patient safety and quality of care for tracheostomy patients in wards.

Conclusions:

  • Multidisciplinary collaboration is key to successfully preparing ward staff for specialized patient care.
  • Proactive education and ongoing support are crucial for nurses managing tracheostomies.
  • Implementing targeted strategies can ensure safe and effective tracheostomy care in non-ICU settings.

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