trach care Flashcards

1
Q

1

A

privacy

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2
Q

2

A

hh

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3
Q

3

A

intro

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4
Q

4

A

collab + consent, communication

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5
Q

5

A

pt verify

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6
Q

6

A

assess (3)

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7
Q

7

A

prep

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8
Q

8

A

clean tech (5)

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9
Q

9

A

sterile tech (10)

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10
Q

10

A

ties (7)

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11
Q

11

A

eval (2)

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12
Q

assess (6)

A
  • suction b4 care
  • assess need > routine care or soiled
  • resp status
  • char + amt secretions
  • drainage
  • incision appearance
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13
Q

prep kit (3)

A
  • remove inner ctnr
  • ns big
  • cs small
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14
Q

flange clean (4)

A
  • 4x4 gauze
  • make into ball
  • dip in ns
  • clean
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15
Q

doc data (2)

A
  • aspect of dressing

- clt response immed after + later

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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