trach care Flashcards
1
Q
1
A
privacy
2
Q
2
A
hh
3
Q
3
A
intro
4
Q
4
A
collab + consent, communication
5
Q
5
A
pt verify
6
Q
6
A
assess (3)
7
Q
7
A
prep
8
Q
8
A
clean tech (5)
9
Q
9
A
sterile tech (10)
10
Q
10
A
ties (7)
11
Q
11
A
eval (2)
12
Q
assess (6)
A
- suction b4 care
- assess need > routine care or soiled
- resp status
- char + amt secretions
- drainage
- incision appearance
13
Q
prep kit (3)
A
- remove inner ctnr
- ns big
- cs small
14
Q
flange clean (4)
A
- 4x4 gauze
- make into ball
- dip in ns
- clean
15
Q
doc data (2)
A
- aspect of dressing
- clt response immed after + later
16
Q
prep (4)
A
- communication
- bed in semifowler, height, rails
- piq on chest
- open kit
17
Q
clean tech (5)
A
- don gloves
- unlock inner can + put in cleaning sol
- remove dressing, assess dressing + site
- remove clean gloves
- hh
18
Q
cleaning (10)
A
- sterile gloves (dom hand stays sterile)
- clean lumen w brush
- rinse can in ns
- dry inside can w pipe clean (not outside)
- replace cann
- clean incision w qtips (1 qtip, 1 side, 1 direction)
- clean flange w ns gauze in ball
- dry skin + flange
- apply new dressing opening up
- bed rails up if no tie chg
19
Q
ties (7)
A
- clean gloves
- old ties stay in place
- finger fits under ties
- remove old
- dispose gloves + used mtl
- hh
- bed rails up. height down
20
Q
eval (4)
A
- pt status immed + later
- doc data
- procedure tol
- resp status