Think Trach…Think Trach Care

•  A tracheostomy is viewed as a foreign body, thus the body responds by producing mucous.

•  The trach impairs the natural cililary movement to expel mucous

•  Remember that since the upper airway is bypassed the natural protective and hydrating mechanisms are lacking so the patient is at risk for infection. Colonization of the Trachobronchial tree is usually due to inadequate trach care or prolonged tracheostomy. Providing humidification can prevent thick mucous production.

•  A stoma less then 48 hrs old has not formed a tracheostomy tract.

•  A small amount of bleeding is expected for the first few days following tracheostomy. Bright, frank bleeding or constant oozing is not expected and should not be brought to the attention of the physician or nurse practitioner.