Tracheostomy Tube Replacement Procedure for HBPC Providers - HCCIntelligence™ Premier Resource - 2024-Premier Resource: Tracheostomy Tube Replacement Procedure for HBPC Providers

Premier Resource: Tracheostomy Tube Replacement Procedure for HBPC Providers - 2024

Pdf Summary

This document provides step-by-step instructions for the replacement of a tracheostomy tube in a home-based primary care (HBPC) setting. It lists the necessary equipment, including gloves, suction catheter, tracheostomy tube kit, and others. The document emphasizes the importance of cleanliness and good lighting during the procedure. It advises the provider to wash their hands and position the patient supine or semi-recumbent. <br /><br />Key steps in the procedure include: <br />1. Placing a sterile field on a clean table and arranging the new tracheostomy tube components.<br />2. Examining the new tracheostomy tube for defects and testing for leakage.<br />3. Inserting the obturator into the tracheostomy tube using water-soluble lubricant.<br />4. Cleaning the tracheostomy site and removing the old tracheostomy tube.<br />5. Inserting the new tracheostomy tube into the stoma and locking the inner cannula into place.<br />6. Inflating the tracheostomy tube cuff with air and securing the tube with tracheostomy ties.<br /><br />The document also provides additional considerations regarding tracheostomy tube changes, such as the recommended frequency and the need for a controlled environment for the first tube change after initial placement. It notes that tracheostomy changes can be done under clean or sterile conditions. <br /><br />The document concludes with information on billing considerations, resources available through the Home Centered Care Institute (HCCI) for HBPC providers, and a hotline for assistance.<br /><br />Please note that the information provided in this summary should not be relied upon as medical advice and may be subject to change.

Keywords

tracheostomy tube replacement

home-based primary care

HBPC

step-by-step instructions

equipment

cleanliness

good lighting

sterile field

tracheostomy site

tracheostomy tube changes