How to Change a Tracheostomy Tube
How to Change a Tracheostomy Tube Procedure/Treatment/Home Care Si usted desea esta información en español, por favor pídasela a su enfermero o doctor. #1071 Name of Child: ______________________________ Date: _________________ How to Change a Tracheostomy Tube The doctor will tell you when to change your child’s tracheostomy tube. You will also need to change the trach tube when: • Mucous builds up, and it cannot be suctioned out • The trach tube comes out by accident • Your child has trouble breathing, and suctioning does not help • Your child is not breathing What you need: p New or cleaned trach tube of the same size p New or cleaned trach tube one size smaller p Shoulder Roll p Lubricating Jelly (not petroleum jelly) p Trach ties (cut to neck size) p Suction machine and suction supplies p Gauze pad with a slit (if needed) p Another person to help you p Ambu bag outer cannula wings trach tube obturator © 2009, 2014 Phoenix Children’s Hospital 1 of 5 trach tube with obturator in What to do: 1. If needed, suction your child’s trach. 2. Put the blanket roll under your child’s shoulders. If necessary, wrap your child in a blanket (swaddle). 3. If trach has a cuff, deflate the cuff. 4. Open new or cleaned trach tube, insert obturator. 5. Lubricate trach tube, if it will make it easier for you. 6. Have another person hold the trach in place, and take off the trach ties. 7. If your child uses a ventilator, you may need to use the ambu bag. 8. Remove the trach tube from the stoma. 9. Follow the curve and gently put the new trach tube into the stoma. 10. While holding wings of the trach, remove the obturator right away. 11. If your child’s trach has a cuff, inflate it. 12. Clean the trach tube site and neck. 13. Place the gauze pad under the flanges of the tracheostomy tube, if needed. 14. Replace tracheostomy ties. Make sure you can only slide one finger between the trach ties and your child’s neck. This is done to be sure the ties are tight enough so the trach tube can’t fall out by accident, but not too tight. 15. Make sure your child is breathing easily. Suction if needed. If the trach tube is not going in: 1. If you have trouble putting in the tracheostomy tube, change your child’s position and try to put it in again. 2. If you still have trouble, try to put in the smaller size trach tube. © 2009, 2014 Phoenix Children’s Hospital 2 of 5 3. If you still can’t put in the trach tube, put a suction catheter into the opening. Hold it in place and call 911. Begin CPR if necessary. Ask your nurse or doctor for the Trach CPR handout that matches your child’s age and weight: • CPR for an infant with a tracheostomy #399 • CPR for a child with a tracheostomy #400 • CPR for a person over 70 pounds with a tracheostomy #708 Now that you’ve read this: p Tell your nurse or doctor what supplies you need to change a trach tube, and what each is for. (Check when done.) p Show your nurse or doctor how you would change a trach tube. (Check when done). p Tell your nurse or doctor what you would do if you had trouble putting the trach tube in. (Check when done). If you have any questions or concerns, p call your child’s doctor or p call ______________________ If you want to know more about child health and illness, visit our library at The Emily Center at Phoenix Children’s Hospital 1919 East Thomas Road Phoenix, AZ 85016 602-933-1400 866-933-6459 www.phoenixchildrens.com Facebook: facebook.com/theemilycenter Twitter: @emilycenter Pinterest: pinterest.com/emilycenter Disclaimer The information provided at this site is intended to be general information, and is provided for educational purposes only. It is not intended to take the place of examination, treatment, or consultation with a physician. Phoenix Children’s Hospital urges you to contact your physician with any questions you may have about a medical condition. Tuesday April 8, 2014 • DRAFT to family review #1071 • Written by Kristen Meliska, BSN, RN • Illustrated by Dennis Swain © 2009, 2014 Phoenix Children’s Hospital 3 of 5 Si usted desea esta información en español, por favor pídasela a su enfermero o doctor. #1071 How to Change a Tracheostomy Tube Name of Health Care Provider: _______________________________ Date returned: ____________ p db Family Review of Handout Health care providers: Please teach families with this handout. Families: Please let us know what you think of this handout. Would you say this handout is hard to read? p Yes p No easy to read? p Yes p No Please circle the parts of the handout that were hard to understand. Would you say this handout is interesting to read? p Yes p No Would you do anything differently after reading this handout? p Yes p No Why or why not? If yes, what? After reading this handout, do you have any questions about the subject? p Yes If yes, what? © 2009, 2014 Phoenix Children’s Hospital 4 of 5 p No Is there anything you don’t like about the drawings? p Yes If yes, what? What changes would you make in this handout to make it better or easier to understand? Please return your review of this handout to your nurse or doctor or send it to the address below. The Emily Center602-933-1395 Health Education Specialist Phoenix Children’s Hospital 1919 East Thomas Road Phoenix, AZ 85016-7710 Thank you for helping us! © 2009, 2014 Phoenix Children’s Hospital 5 of 5 p No
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