Trach
Two ways to secure a trach
Sutures and Trach Tie
After a peg is placed, when can it be utilized
24 hours
The two types of connectors for chest tubes
Atrium or Flutter Value
Assessment and documentation of the following things if your patient has a NG tube
location, level/marking, proper securement
This drain is placed in the kidney
Percutaneous nephrostomy
Supplies kept at bedside for all trachs
Working suction, extra trach of same size and smaller, obturator, and suction kit
What do you assess and document on your pt's peg
skin, level, dressing, ease of flushing
This must be in every atruim
water
Can you feed a pt through the NG tube
No
What type of dressing is used for the nephrostomy
true fix and telfa
Trach care includes all of these things
changing inner cannula, suctioning, assessing and cleaning skin around trach, changing trach ties if needed and documentation in nursing interventions
Peg dressing is changed how frequently
every 24 hours
The reason a chest tube is placed on low wall suction
air leak
How often do you change the securement device of the NG tube
every day or prn
This type of drain relieves pleural fluid
pleurex
Type of oxygen all trached pt's are on
Humified, unless trach is capped
Your pt is complaining of nausea and they have a peg
assess stomach, ease of flushing and let provider know
How frequently you assess your chest tube drainage
Every hour
How is NG tube placement verfied
Xray
a surgical drain
Your newly trached pt's trach falls out, what do you do?
Call MD immediately, if needed, ambu pt from mouth
Call the provider, do not attempt to place back
Your patient's chest tube was pulled out, what action do you take
cover with Vaseline or petroleum dressing and call doctor
Your patients NG tube fell out, what do you do
Call the provider
a commonly placed drain for infection
an abscess