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Related Concept Videos

Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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Updated: Feb 9, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Tracheostomy Care Practices in a Simulated Setting: An Exploratory Study.

Thomas J Bolsega1, Mary Lou Sole

  • 1Author Affiliation: Staff Nurse, United States Navy, Naval Hospital (Mr Bolsega), Jacksonville, Florida; and Dean and the Orlando Health Endowed Chair for the College of Nursing, University of Central Florida (Dr Sole), Orlando.

Clinical Nurse Specialist CNS
|June 8, 2018
PubMed
Summary
This summary is machine-generated.

Tracheostomy care practices vary widely among nurses and respiratory therapists, highlighting the need for standardized, evidence-based protocols to ensure patient safety and prevent complications.

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Area of Science:

  • Critical Care Nursing
  • Respiratory Therapy
  • Patient Safety

Background:

  • Tracheostomy is common in critically ill patients.
  • Tracheostomy care is vital for airway patency and stoma integrity.
  • Variations in care practices may impact patient outcomes.

Purpose of the Study:

  • To describe tracheostomy care practices in critical care settings.
  • To compare current practices with published recommendations.
  • To identify areas for improvement in tracheostomy care protocols.

Main Methods:

  • Descriptive, exploratory study utilizing a simulated setting.
  • Observation and video recording of tracheostomy care procedures.
  • Comparison of observed practices with established recommendations.

Main Results:

  • Fifteen nurses and 5 respiratory therapists participated.
  • Significant variability observed in equipment and procedural steps.
  • Only one participant followed the recommended sequence of care.

Conclusions:

  • Wide variability in tracheostomy care practices necessitates an evidence-based approach.
  • Standardization of tracheostomy care is crucial for preventing complications.
  • Further research is needed to establish best practices for tracheostomy management.