What is the priority nursing assessment in the care of a patient who has a tracheostomy
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Contemporary issues in adult tracheostomy managementRobert E St John et al. Crit Care Nurs Clin North Am. 2004 Sep. AbstractAirway assessment and management is one of the primary responsibilities of nurses caring for the critically ill adult. Common types of artificial airways, such as endotracheal and tracheostomy tubes, require clinicians to have a complete understanding of indications, complications, and clinical applications. Although tracheostomy tubes are used to a lesser extent than endotracheal tubes in most ICUs, their use typically requires additional education and training because of the complexity and diversity of available tubes, care of surgical site, and other related nursing care issues. The purpose of this article is to provide a review of current practice trends for those caring for the adult patient who has a tracheostomy tube. The first section of the article is an overview of the indications, surgical techniques, and types of tubes used in the critical care setting. The second section examines specific aspects of nursing care of patients who have tracheostomy tubes. Similar articles
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What nursing assessment should be done on a patient with a tracheostomy?Check and clean the tracheostomy stoma. Suction tracheal secretions if necessary. Assess for symptoms of infection (i.e., increased temperature, increased amount of secretions, change in color or odor of secretions).
What are 5 nursing considerations when caring for a patient with a tracheostomy?Procedure. Clearly explain the procedure to the patient and their family/carer.. Perform hand hygiene.. Use a standard aseptic technique using non-touch technique.. Position the patient. ... . Perform hand hygiene and apply non-sterile gloves.. Remove fenestrated dressing from around stoma.. What is the primary nursing responsibility with a trach patient?Caring for a patient with tracheostomy requires the nurse to have a thorough understanding of airway management, and maintain an ongoing assessment of the patient's respiratory function. Critical situations would require immediate intervention to ensure that respiratory arrest is avoided.
What assessment would be observed from the patient with tracheostomy?Patients with tracheostomies often have more secretions than normal and will require suctioning to remove secretions from the airway to prevent airway obstruction. Tracheostomy patients should be assessed every two hours and as required to see if suctioning is required.
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