Name: ___________________________

Columbus State Community College
Nursing Department
Critical Item Checklist

TRACHEAL CARE

_____1.
Wash hands and obtain equipment..
_____2.
Assess need for suctioning.
_____3.
Suction tracheostomy (refer to skills sheet)
_____4.
Remove old dressing and discard in gloves with suction catheter.
_____5.
* Prepare equipment using appropriate technique.  (Add normal saline and peroxide to appropriate sections with clean gloves)
_____6.
* Apply sterile gloves to handle all sterile supplies.
_____7.
Remove inner cannula with non-dominant hand and place in the hydrogen peroxide basin.
_____8.
Clean inner cannula with hydrogen peroxide, rinse with normal saline, and reinsert securing locking mechanism.
_____9.
Clean around incision site and faceplate using hydrogen peroxide.  Rinse with normal saline.
_____10.
Slip new dressing in place.
_____11.
Replace ties if soiled.  Do not remove old ties until new ties are in place.
_____12.
Discard equipment and wash hands.
_____13.
Chart procedure and observations.

 

S __________
U __________
Faculty Signature ________________________
Referral ________________________________