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    Tracheostomy Care

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    daryl jaye langaman
    Nursing responsibilities for pre-operative and post-operative care of patients receiving a tracheostomy include: 1) Pre-operative responsibilities include informing the patient and family about the procedure, securing consent, notifying OR staff, and instructing the patient to fast before surgery. 2) Post-operative monitoring includes vital sign checks every 15 minutes for the first hour and positioning the patient in semi-Fowler's position to facilitate ventilation and drainage. 3) Education of proper tracheostomy care techniques is provided to patients being discharged to prevent infection if going home with the tracheostomy tube.

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    Tracheostomy Care

    Uploaded by

    daryl jaye langaman
    632 views2 pages
    Nursing responsibilities for pre-operative and post-operative care of patients receiving a tracheostomy include: 1) Pre-operative responsibilities include informing the patient and family about the procedure, securing consent, notifying OR staff, and instructing the patient to fast before surgery. 2) Post-operative monitoring includes vital sign checks every 15 minutes for the first hour and positioning the patient in semi-Fowler's position to facilitate ventilation and drainage. 3) Education of proper tracheostomy care techniques is provided to patients being discharged to prevent infection if going home with the tracheostomy tube.

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    Tracheostomy Care

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    Nursing responsibilities for pre-operative and post-operative care of patients receiving a tracheostomy include: 1) Pre-operative responsibilities include informing the patient and family about the procedure, securing consent, notifying OR staff, and instructing the patient to fast before surgery. 2) Post-operative monitoring includes vital sign checks every 15 minutes for the first hour and positioning the patient in semi-Fowler's position to facilitate ventilation and drainage. 3) Education of proper tracheostomy care techniques is provided to patients being discharged to prevent infection if going home with the tracheostomy tube.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    632 views2 pages

    Tracheostomy Care

    Uploaded by

    daryl jaye langaman
    Nursing responsibilities for pre-operative and post-operative care of patients receiving a tracheostomy include: 1) Pre-operative responsibilities include informing the patient and family about the procedure, securing consent, notifying OR staff, and instructing the patient to fast before surgery. 2) Post-operative monitoring includes vital sign checks every 15 minutes for the first hour and positioning the patient in semi-Fowler's position to facilitate ventilation and drainage. 3) Education of proper tracheostomy care techniques is provided to patients being discharged to prevent infection if going home with the tracheostomy tube.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING RESPONSIBILITIES AND MANAGEMENT FOR TRACHEOSTOMY

    Nursing Responsibilities Rationale

    Pre-operative Care
    Check the doctors order for tracheostomy To verify and to avoid error.

    surgery.
    Inform the patient and significant others about the To increase awareness about the

    procedure and its rationale, the reasons why it is procedure and to gain cooperation.

    ordered, how it will be done and the stinging

    sensation that may be felt.


    Secure for an operative consent To protect the client and health
    professional from legal action.

    Notify OR and anesthesiologist For preparation.


    Instruct the client to have NPO post-midnight This is ordered to prevent vomiting

    before the procedure. and aspiration of food particles and

    fluids in case the patients level of

    consciousness is altered.
    Accomplish the pre-op checklist To prepare the client for surgical
    procedure
    Prepare client psychologically To promote client peace of mind and
    lessen anxiety felt

    Give preoperative teaching to the client such as To help client anticipate her next
    how to perform deep breathing and coughing activity after surgery
    exercises, active ROM, and early ambulation.
    Post-operative Care
    Secure patient with side rails and stay with the Secure patient with side rails and stay
    client with the client
    Monitor vital signs every 15 minutes for the 1 st For immediate management
    hour after operation until stable.

    Administer medications as ordered. To alleviate post op pain and control


    infections.
    Observe for profuse bleeding at the operative site For immediate management of any
    deviation that may occur

    After the vital signs are stable, position patient to To facilitate ventilation, promote
    semi fowlers position. drainage, minimize edema, and
    prevent strain on the suture lines.
    The newly made opening must be kept patent by To provide adequate airway.
    proper suctioning of secretions.
    If the patient will go home with tracheostomy To gain cooperation and to prevent
    tube, instruct the patient and family about proper further infection and complication.
    suctioning and daily care including techniques to
    prevent infection.

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