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TRACH TUBE CHANGE - Coggle Diagram
TRACH TUBE CHANGE
CONFIRM ORDER
PPE
-Hand sanitize, mask, goggle, gloves
ISOLATION PRECAUTIONS
"Any other isolation precautions?"
CHECK THE CHART
"Any other past med hx that I should be aware of?"
TT CHANGE QUESTIONS
Is this a perc or surgical trach?
When was it done?
Is this the 1st TT change?
What's the reason for the change?
What tube does the pt have?
What is their current system status? (eg CNS, CVS)
ENTER THE ROOM
NOD
"Hi my name is Rachel, I'm with Respiratory and today we're gonna change out your tube for a fresh one"
"Hi my name is Rachel, I'm with Respiratory and today we're gonna change out your tube to a smaller one to help make it easier for you to breathe through your mouth and nose"
CONFIRM PT ID!!!
"I'm just gonna check your wristband to make sure we have all our information correct"
CHECK SATS
1 more item...
-Asking these questions bc:
Trying to anticipate how difficult TT change is going to be (eg Perc - hole is tighter, holes sometimes dont line up with each other)
How established the trach is
To ensure we’re not doing this in the restricted time frames
Timeframes
:
A) Perc trach = 7 days after
B) Surgical = 72 hrs after
C) Routine Trach change = 28 days or 4 weeks