Course Outline

Relationship to High Intensity Daily Personal Activities.

This module supports the delivery of the tracheostomy management practice standard.

Where a participant requiring tracheostomy support may also requires ventilation, workers understand the expectations in the ventilator module.

Context: A support plan for tracheostomy management has been developed and is overseen by a relevant health practitioner, and each participant is involved in the assessment and development of their support plan.

LEARN ABOUT: Workers will understand tracheostomy support procedures relevant to the participant’s tracheostomy; Basic anatomy, stoma care; problem solving, what common problems to look for, warning signs and action required to respond to risks, incidents, infection and emergencies.

  • Emergency flow charts Blockage/dislodge.
  • How do I breathe in?
  • How do I breathe out?
  • How do I humidify?

LEARN ABOUT: Types of Tracheostomies, stoma appliances, heat moisture exchangers, humidifiers, nebulizer devices, suctioning equipment, supportive airway equipment(Air-VIVA), consumables, and speaking valves.

TRAINING: In addition to general training in the delivery of tracheostomy management supports, workers are encouraged to follow the self-assessment tool for reflection and development It may be required by your employer for you to have initial supervised practice, to meet the specific needs of each participant you support including the appropriate use of equipment.

SCOPE: Understands when to supports the appropriately qualified health practitioner if required, and as outlined in the participant’s support plan, with routine tube tie changes and dressing changes (Tracheostomy ties/straps changes are done by a qualified health practitioner and need a second person to assist).

Nurses and Nursing Education - Tracheostomy Care

Preparation Skills & Knowledge

  • Understands the support plans, and checks the participant’s specific support requirements for example, the participants:

    • primary health condition,
    • tracheostomy type, and component functions,
    • stoma care equipment.
  • Reads the advanced care directive where a participant has one in place.
  • Checks with the participant on their expectations, capacity, and preferences for being involved in the delivery of support.
  • Checks with the participant on their preferences for augmented communication, including the use of aids, assistive technology devices and/or methods.
  • Prepares for hygiene and infection control including cleaning and maintaining equipment. PPE
  • Checks the required equipment and components are available and ready for use.
  • Delivers support in ways that are least intrusive or restrictive and fit into the participant’s daily routines and preferences.
  • Cleans and maintains the integrity of the stoma site, monitors skin condition.
  • Monitors the participant to identify abnormal secretions and when suctioning is required to maintain clear airways.

Review of outcomes

  • Checks with the participant to discuss any changes needed to the tracheostomy support they are receiving. • Identifies, documents and reports information where a support plan is not meeting a participant’s needs. • Supports the participant to provide feedback and request changes to their support plan as required.

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