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Daily Tracheostomy Care Chart

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					                                                    DAILY TRACHEOSTOMY CARE CHART
       Ward                                                           Patient sticker



   Suctioning & care of tracheostomy


Complete chart for each action performed (e.g. Y/N, tick)
                              Date

                              Time
   Bedside emergency
   equipment check
   Complete & sign once per shift
                     Inner tube cleaned Y/N
Suctioning & inner




                     Clean at least 4 hourly
                     Replace inner tube after cleaned
       tube




                     Number of times
                     suctioned

                     Deep suction Y/N

                     Clear/normal

                     Yellow

                     Green Consider whether
                     sample for micro to be sent

                     Blood Report to senior if
    Secretions




                     blood noted on suctioning

                     + / ++ / +++
                     (minimal / moderate / large)

                     Loose

                     Thick

                     Plugs Ensure appropriate
                     humidification is in place

                     Lyofoam/tapes
                     changed Y/N
    Stoma care




                     Change once per 24 hours
                     Tracheostomy site
                     clean Y/N
                     Tracheostomy site red
                     Y/N Consider whether swab
                     needs to be taken

                              Sign

   Suction catheter tube size [tube size x 3 /2] = _____


   SEE OVER FOR WEANING CHART
   Tracheostomy care chart/September 2010
                                                 DAILY TRACHEOSTOMY CARE CHART
    Ward                                                           Patient sticker



Weaning chart



                        Date


                 Time cuff deflated
                 Refer to cuff deflation guide
Cuff




                 Time cuff inflated

                 Cuff inflation pressure
                 Pressure should be less than
                 20-25mmHg

                 Time speaking valve
Speaking valve




                 on Ensure cuff (if present)
                 is deflated.

                 Time speaking valve
                 off

                        Sign


Comments date / sign / designation




SEE OVER FOR SUCTIONING CHART


Tracheostomy care chart/September 2010

				
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