Tracheostomy Basics
Comfort and Care
Emergency Actions
Scenario Central
100

What is the opening created in the neck during a tracheostomy procedure?

What is a stoma?
100
Frequent changes of this item can help keep the area around the tracheostomy clean and comfortable.

What is changing the tracheostomy dressing?

100

This is the first thing you should do if a tracheostomy tube becomes dislodged.

What is assess the airway or call for help?

100

You notice the patient's oxygen saturation has dropped to 85% and they are struggling to breath. Suctioning is not effective. What is your next step?

What is replace the tracheostomy tube or call a rapid response?

200

The primary purpose of a tracheostomy is to improve this vital function.

What is breathing or airway management?

200

This type of tracheostomy tube allow the patient to communicate more effectively.

What is a speaking valve or Passy-Muir valve?

200

What is the maximum amount of time you should suction a tracheostomy to avoid complications?

What is 10-15 seconds?
200

You hear gurgling sounds from the patient's tracheostomy tube. What action should you take?

What is suction the airway to remove secretions?

300

This is the term for a tracheostomy tube with a balloon-like structure that seals the airway.

What is a cuffed tracheostomy tube?

300

To minimize pressure and discomfort, this part of the tracheostomy tube should be checked regularly.

What is the collar or strap/securing device?
300

This is the term for the complete removal or falling out of the tracheostomy tube.

What is decannulation?

300

You are caring for a patient with a tracheostomy tube, and they suddenly develop a cough and respiratory distress. What could be the cause?

What is secretions or a blockage in the tube?

400

This is the term for the inner part of the tracheostomy tube that can be removed for cleaning.

What is the inner cannula?

400

This type of suctioning is performed to keep the tracheostomy clear and comfortable.

What is deep suctioning?

400

If mucus plugs the tracheostomy tube and suctioning is ineffective, this is the next step.

What is replace the tracheostomy tube?

400

You are changing the dressing site around your patient with a tracheostomy and you notice purulent drainage at the site. What is your next step?

Notify the provider of a suspected infection?

500

This is the process of gradually reducing the size of the tracheostomy tube to allow for decannulation.

What is downsizing?

500

This type of therapy helps restore a tracheostomy patient's ability to eat and drink comfortable.

What is speech or swallowing therapy?

500

This is the oxygen delivery method used in an emergency if a tracheostomy tube is obstructed and cannot be replaced immediately.

What is a face mask over the stoma?

500

You are at the bedside with your patient with a tracheostomy tube and you notice heavy bleeding around the site and all over the bed. What is the life saving intervention that you will do?

What is apply pressure to the stoma and call a code blue?