How do you a nursing notes for person with tracheostomy?

Tracheostomy Nursing Notes

Patient: [Patient name]

Age: [Patient age]

Sex: [Patient sex]

Tracheostomy date: [Tracheostomy date]

Tracheostomy type: [Tracheostomy type]

Tracheostomy care:

- Inspect the tracheostomy site for signs of infection, bleeding, or swelling.

- Gently clean the tracheostomy site with sterile saline and a cotton-tipped swab.

- Suction secretions from the tracheostomy tube as needed.

- Change the tracheostomy tube cuff and dressing as needed.

- Observe for dyspnea , stridor, or other signs of respiratory distress.

- Provide humidification to the tracheostomy tube.

Patient education:

- Instruct the patient on how to care for the tracheostomy site.

- Teach the patient how to suction secretions from the tracheostomy tube.

- Provide the patient with information about the signs and symptoms of tracheostomy infection.

- Encourage the patient to report any problems or concerns to the healthcare provider.

Documentation:

- Document all assessments, interventions, and patient education provided.

- Note any changes in the patient's condition or signs and symptoms of infection.