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Tracheostomy Tube Change Procedures for HBPC Provi ...
Tracheostomy Tube Change Procedures for HBPC Providers
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Pdf Summary
This document provides home-based primary care (HBPC) providers and practice staff with detailed instructions for replacing a tracheostomy tube in a home setting. It lists the necessary equipment, including gloves, a suction machine, oxygen, a tracheostomy tube kit, and other medical supplies. <br /><br />The procedure involves several steps:<br />1. Wash hands and properly position the patient.<br />2. Set up a sterile field and prepare the new tracheostomy tube components.<br />3. Inspect the new tube for defects and test the cuff for leakage.<br />4. Remove the old tracheostomy tube after deflating its balloon, if present.<br />5. Insert the new tube using a curved motion, ensuring not to force it if resistance is met.<br />6. Secure the new tube and reattach any necessary respiratory supports.<br />7. Assess the patient's respiratory status post-procedure and properly document the details.<br /><br />Additional considerations include performing the first tracheostomy tube change in a controlled environment due to elevated complication risks and the lack of consensus on the frequency of tracheostomy tube changes, though a change every three months is suggested due to biofilm formation. The document also emphasizes billing considerations and the appropriate use of CPT codes for services rendered.<br /><br />The Home Centered Care Institute (HCCI) offers resources to assist HBPC providers through their HCCIntelligence Resource Center, which includes a hotline, webinars, virtual office hours, downloadable tools, and tip sheets.<br /><br />For further assistance or information, providers are encouraged to utilize these HCCI resources or contact their Medicare Administrative Contractor for specific billing inquiries.
Keywords
home-based primary care
tracheostomy tube replacement
medical supplies
sterile field
patient positioning
respiratory status
billing considerations
HCCI resources
CPT codes
biofilm formation
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