SIP 2:Tracheostomy

The duration for each tracheostomy suctioning passes should not exceed __ seconds.

Which of the following is NOT required during tracheostomy suctioning?

• Changing the non-fenestrated inner tube to fenestrated tube

• Monitor patient’s SpO2, breathing pattern and respiratory rate continuously during suctioning

• Assess the patient’s baseline parameters including SpO2 prior to suctioning

• Changing the fenestrated inner tube to non-fenestrated tube

The selection of suction catheter for tracheostomy suction is based on size of tracheostomy tube (mm) inner diameter ____.

• Divided by 3

• Multiplied by 3 and divided by 2

• Multiplied by 2 and divided by 3

• Divided by 2

Clean the inner cannula at least every _ hourly or more frequently if patient has thick secretions to prevent blockage.

Which of the following is NOT appropriate nursing care for patient with inflated cuffed tube?

• Keep cuff pressure between 20-25cmH2O

• Check the cuff pressure at least once per shift

• Check the cuff pressure daily

• Inform Dr if a higher cuff pressure is required to reduce the ‘leak’

What is the recommended frequency for changing the tracheostomy dressing?

• Every shift

• Every other day

• Daily

• Every 72h hours

11. What emergency equipment should be readily available at the bedside for a patient with a tracheostomy?

• Elatoplast

• Artery forceps

• Tracheal dilator

• Sterile scissor

Which of the following is NOT a sign or symptom that could indicate tracheostomy obstruction?

• Drop in spo2

• • Difficulty in passing suction catheter through Tracheostomy tube

• • Presence of upper airway noise​

• Inability to speak

As the nurse caring for Mr. Lee, what is your initial nursing interventions for this situation?

• Check patient for any presence of breathing

• Prepare for reinsertion of tracheostomy tube

• Reposition patient's tracheostomy tube

• Prop up the patient and encourage the patient to cough

What is the most appropriate action to avoid future displacement of the tracheostomy tube in this patient?

• • Frequent reassessment of tube placement and dressing

• Frequent tracheal suction

• Avoid changing cotton tape or Velcro strap daily

• Restrain the patient