Tracheostomy Care Health and Social Care Training Resources

Tracheostomy Care

PowerPoint Presentations and Word Documents

All files editable.

Presentation 1 – Maintaining a Safe Environment (23 Slides)

This session looks at procedures for maintaining a safe environment in tracheostomy care
The importance of ongoing basic care
The role of maintaining a safe environment in basic tracheostomy care
Bedside equipment required
Emergency equipment required
The use of waveform capnography and fibreoptic scopes
Equipment checks and patient assessments

Slide Titles:
Aims and Objectives
Introduction
Basic Care
Maintaining a Safe Environment
Bedside Equipment
Bedside Equipment - Transfer
Emergency Equipment - Ward or Clinical Area
Waveform Capnography and Fibreoptic Scope
Tracheal Dilators
Routine Equipment Kept at the Bedside
Equipment for Routine Care Kept at The Bedside
Equipment Case/Box
Daily Checks
Patient Assessment – This Includes:
Summary
References

Presentation 2 – Types of Tubing (45 Slides)
This session looks types of tracheostomy tubes in tracheostomy care

The importance of ongoing basic care
The different types of tracheostomy tubes
Choice of tracheostomy tubes
Types of humidification and when to use specific processes
Factors influencing temporary tracheostomy tube choice

Slide Titles:
Aims and Objectives
Introduction
Basic Care
Types of Tracheostomy Tubes
Cuffed Tubes
Un-Cuffed Tubes
Fenestrated Tubes
Fenestrated Tubes – Inner Tubes
Airflow Patterns – Various Tubes
Single Cannula Tubes
Double Cannula Tubes
Double Cannula Tubes – Inner Tube Cleaning
Daily Checks
Tubes with Sub-Glottic Suction
Adjustable Flange Tracheostomy Tubes
Choice of Tube
Factors Influencing Temporary Tube Choice
Respiratory Function
Abnormal Airway Anatomy
Compromised Airway, Protection and Weaning Problems
Speaking
Obstructed/Absent Upper Airway
Clinical Environment
Location
Summary
References

Presentation 3 – Humidification (34 Slides)

This session looks at procedures for humidification in tracheostomy care

The importance of ongoing basic care
The role of humidification in basic tracheostomy care
The role of daily individual assessments and when/what to document
Types of humidification and when to use specific processes
The humidification ladder
Other methods of improving secretions

Slide Titles:
Aims and Objectives
Introduction
Basic Care
Artificial Humidification
Breathing
Inadequate Humidification
Tracheostomy - Artificial Humidification
Assessment
High Risk Patients
Humidification Methods
Chosen Method
Heated Humidification
Cold Humidification
Saline Nebulisation
Heat Moisture Exchanger (HMEs)
Stoma Filters or Bibs
Buchannon Bib (Example)
Mucolytics
Hydration
Documentation
Humidification ladder
Other Methods of Improving Secretions
Mobilisation
Instilled Saline
Summary
References

Presentation 4 – Suctioning (35 Slides)

This session looks at procedures for suctioning in tracheostomy care

The importance of ongoing basic care
The role of suctioning in basic tracheostomy care
Relevance of a disturbed mucous blanket
Routine tracheal suctioning
Suctioning systems (open and closed)
Suctioning assessment, suction catheter selection
Frequency, depth and pressures of suctioning
Key actions

Slide Titles:
Aims and Objectives
Introduction
Basic Care
Suctioning
Disturbed Mucous Blanket
Types of Tracheal Suctioning
Tracheal Suctioning
Suctioning Systems
Closed Systems
Open Suction Catheters and Closed Suction System
Assessment
Suction Catheter Selection
Odell and Others (1993)
Frequency of Suctioning
Depth of Suctioning
The Pressures for Suctioning
Equipment for Suctioning
The Procedure – Key Actions
Key Actions – Adapted from The NPSA Expert Working Group
References

Extra Presentation - Level 2 General Awareness for non nursing staff

Word Documents
5 Handouts

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