SF Nursing Trach Care Part 2 Change Wash Inner Cannula

Some agencies may not use a hydrogen peroxide and normal saline mixture for cleaning. Cleaning with only normal saline may be recommended. Please check facility protocol for soaking solution.
Santa Fe College Nursing Video Series
Tracheostomy Care Part 2: This video demonstrates cleaning the inner cannula of a tracheostomy tube and changing neckties. View Part 1 for demonstration on suctioning a tracheostomy tube.
Credits:
Nurse: Sandra Milner, MSN, ARNP, CPNP-PC (SF College Nursing Faculty)
Production crew: Production crew: Production crew: Executive Producer - Sandra Milner, Producer/Director - Steven Melendez, Director of Photography - Eli O'Hearn, Camera - Esther O'Hearn, Camera - Sakib Hossain

[@kiransunrays518]

Awesome and thank you👍

[@TheBlackmanFamilyGaming]

At 3:13 you missed moment 2 of hand hygiene. You should perform hand hygiene action after touching packaging before donning sterile gloves. Also this procedure might be better attended by 2 people to improve the non touch technique and sterility of the procedure. Thanks for the education on the procedure though. Good for use in home care where i cant get education on this stuff.

[@ShinmaWa1]

As someone who has a trach and has been doing all the cleaning/caring of it for a long time, I learned quite a lot. For example, I actually had no idea what the small pipe cleaners were for. I just let them air dry. I rotate between 3 inner cannulas so that's never presented a problem. Also, it never occurred to me that I could use those tweezers to get the split sponge dressings on. That'll save me a lot of effort going forward. Granted, I also don't bother with maintaining a sterile field in my own bathroom either, opting for a clean(-ish) field instead. Still, learned a lot! :)

[@jsmith6994]

Yes me too! I never thought of putting the new trach tie on and then moving the old one. Who would have ever thought! Also, I never knew what the tweezers were for in the trach kit.

[@McMobileno-ow4lz]

จนนารรนรรน

[@alinalubiejewska8631]

3³33³³33012P222a2@@jsmith6994 6tzZ5S5

[@faraharab7081]

Q^owioa} ui

[@maisiemutton7587]

U

[@celiaradzmon5740]

Enhances my knowledge, thank you 🙏

[@MissValdostaFeedAndGrain]

This is ASMR Heaven🙌🏻🙌🏻🙌🏻

[@missreed012]

Thank you. I’m somewhere that doesn’t have respiratory and needed a refresher.

[@ricardopalma3714]

thank you so much for these videos, SF CON! much appreciated p.s omg i love her

[@vjvasanthkumar6713]

kzbin.info/www/bejne/bGqwpK1natush5o

[@meenaadhikari7008]

Za

[@rubybuczynski9148]

I learned a couple of new things that will make the patient more comfortable. I am doing this at home for my cousin. Thank you so much.

[@jeromedumez1446]

Tdstjxs

[@user-tu1ck7vw9q]

يييددددذذذذظككمممممكمنننممممممممنمششسببا،ثنللبقض1

[@karenfontillas2225]

B

Good video. Thank you so much😀

[@swapnalsarne1996]

Your demonstration is fascinating. Please upload more videos on nursing skill procedures

[@user-br2gg9gy1h]

От ООО от ООО

[@lterry523]

Eyeeyeyeyeyy

[@lisaciotti9836]

I really like your videos there's so fascinating

[@KS-oq8cj]

Thank you for post this video. BTW for all those who criticized this video😅😅 if they are not happy ir satisfied with the video... Why are you watching this video? That People without manners just criticized this video as a reflection of their own lack of skills😅😅

[@ghemautor3753]

hello may i ask do you need put oxygen while cleaning? thank u

[@Tripura_bong_boy]

Thank u for sharing this video❤️

[@sajade726]

ككمكمكمككككككككككطجطممممككككككككممممكككككككككككككككككططططططكمممممم😂😂😂😉😉😉🙃😉🙃🙂🤩🤩🤩🤩😍

[@sajade726]

زة

[@khalidmahmood1219]

Thank you so much for your help, you did a wonderful job that helped me passing my skill lab

[@winifredowusu2983]

Thanks It's helpful

[@stephanieshort8979]

I think you did a good job thank you for the help i can do it now

[@rizinnimatteochannel8557]

Bruh... I really need to watch things like this like for nurse cuz I will be one too in Canada 🇨🇦 😅😅😊😊

[@sumadeepthideepthi3960]

Very clarity nice video

[@Zoe-qj5iz]

Great video, thank you so much for taking the time.

[@Kevin-zq1ux]

Terrific video! Thank you for making this!

[@MdHasan-uf2ur]

Thanks maam

[@gaillewis5349]

Good video Thank you

[@housetohomewithlyzziebeth7213]

Nice demonstration.... thank you!

[@zaimah798]

Just Don sterile gloves , set up your sterile field , then use non dominant ( clean hand now) to pour, keep clean hand to hold tip of cannula

[@marianneturner8784]

👌

[@user-gy3jn2uy1n]

@@marianneturner8784 ф 9 злюсь

[@muradbedelov2128]

@@marianneturner8784 mfmdmdidde

[@saadawaad3912]

Good Video.

[@user-mu3lj9fg3o]

شكرااا جزيلا عمل جيد

[@menakajuwandarage1970]

Great explanation and beautiful nursing skills Why don't you wear face mask and plastic apron? Anyway it's a great video

[@deondrathomas3579]

I didnt see a pulse ox either

[@alessabrion4348]

was she supposed to put back the 02 while she was cleaning the inner cannula?

[@nelismesafernandez-ug3ku]

Sjgdggehtsjgd😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢😢

[@shahidnawaz1632]

Overall vedio is excellent

[@elainebrock9681]

Very refreshing thank you so very much.

[@yeshuawarriors8807p]

This time patient sitting or slipping???

[@tumwebazerodrigsmith2108]

Thanks for this educative clip👏

[@rendacynkum8402]

4:00 YOU JUST TURNED YOUR STERILE GLOVES ONTO AN ANGLE WHICH YOU TOUCHED WITH YOUR BARE HANDS. Details!!!

[@pearlferrao5443]

I thought the oxygen mask was not supposed to be away from the Treac for any amount of time. You had it away too long.

[@tanveerhameed9010]

0fasmegah

[@jessicaread4880]

okay, I am looking for emergency surgery procedures for someone I care about who has suffered an air blockage due to their throat receiving a blow causing swelling and blocking off their air ways, both nasal and mouth. I use a ball point pen, ie. Biro, which, when stripped, is hollow all the way through. These where made this way for children so that if swallowed they would not impair their breathing on account of the pen being open at both ends instead closed at the top.

[@erickcamilo12]

you can see that on greys anatomy,lol

[@jessicaread4880]

@@erickcamilo12 I would have to disagree. Showing how to do it is much better than pictures. I shall just perform it on a person who will die either way but may live after the surgery performed.

[@sandygrant754]

How to flush billiary drain

[@stephaniebenson1233]

Nice day today

[@r.z.j.8261]

Good info but Sterile issues with that other hand/left.

[@naana-scelyne6370]

Learned a lot. Thank you

[@zhengpan1997]

Is the inner cannula sterile? If not, your gloves lose sterility the moment you touch the inner cannula to remove it right? thanks!!

[@user-zf7zw2nw1b]

she removed d first gloves and sanitized her hands and put on a 2nd pair of sterile gloves to complete the procedure, u must finish the whole video.

[@shaniquabrown7835]

@@user-zf7zw2nw1b phone

[@doremifasolatido-ro7zs]

In actual patient do you wear face mask and gown or just gown?

[@plavalagun4]

Why is this ASMR to me.

[@acellecristobal2454]

why is it important for the trach ties not being too tight?

[@barshajha2494]

To avoid the skin breakouts and laceration

[@kiruthikak4529]

Thank you mam .it is very useful for me

[@marilynh5487]

Remember she's already replaced the Trey in real life he has two or three trach at the house and also everyone doesn't need their trach to breathe

[@msbrownbutter]

Great video, thank you for information good refresher!

[@hayesdlhs]

Why dont you go until resistance is met? I dont see any harm in a little poke...surgeons do far worse from what ive seen? Have there been doccumented cases of people doing harm during teach care by gently meeting resistance and backing out a few mm and then suctioning?? Generally the real icky stuff tends to be deeper anyway. How do you get that icky stuff if you only go the distance of the trache? Just questions😊 great video👍👍 cheers!

[@ericgriffin9909]

Nurses are not surgeons and so it is not in our scope of practice to insert the suction until we meet resistance. A little poke can cause lots of damage and nurses are not trained to repair damage as surgeons are. Protect your licence and do only what is within your scope of practice. Make your passes with suction and if there is still deeper secretions instruct the patient to cough. Cilia will also help move the secretions out of the airway in order to suction them out. Suctioning rarely removes all secretions but does a good job at removing most.

[@ricardopalma3714]

I have heard from patients that "a little poke" hurts a hell of a lot.

[@le451dr]

If you measure your suction tube to the type of tube you are cleaning it can prevent you from going to far and helps insure you get far enough. I clean my own. I have found with my tube type it's 10mm on the suction tube and put my finger on that number all the time. Helps for me. 😊

[@bandzins1]

Jlon jjufddjghbvvb

[@emonsiawilkerson4264]

Are. You. Guys. Hurting. Him. I’m. Just. Asking. Mybad

[@doremifasolatido-ro7zs]

You look like Sarah of Registerednursern youtube channel

[@emonsiawilkerson4264]

You. Are. Being. So. Hopeful. I. Like That. And. You. Are. Doing. It. Nicely. I. Like. How. You. Are. Doing. That

[@cresildavoz1109]

CresencioT. VOZ Jr 62 P02 PNP 305

[@ericgriffin9909]

Good video but she contaminates her sterile gloved hand at 4 min into the video by flipping the drape, grabbing the corner of the drape with her contaminated hand and then with her sterile gloved hand. She then continues to contaminate the rest of her equipment with her contaminated glove.

[@Pashya1]

She would have been better starting off with 2 sterile gloves and then taking her left one off when she starts the cleaning. Otherwise good video

[@shahidnawaz1632]

You r right

[@mudgodson1638]

Are you watching cause you have a tracheotomy too? Or just something else. I think people wouldn't comment on this nor want to know about it. I think it's those that have one.

[@sh-vv4cx]

I am a new grad RN. So would you recommend this video?

[@kellymarie7029]

@@sh-vv4cx yes, very good video. Just a minor common mistake to consider and remember when you do your tracheostomy care.

[@liviaaraujo5288]

Página de recados de de de de de YYH de setembro, o que é o que você PROCURANDO POUSADAS EM GOIÂNIA. O PROBLEMA É QUE A GENTE VAI TER QUE FAZER, E O A TODOS. A FAZER O PAGAMENTO DE UM VÍDEO KKENKE, O QUE

[@Yonicolaa]

Just don both gloves and keep non-dominant hand “clean”

[@kamarasalamatu4037]

Thanks darling

[@trassaniaonghusa4900]

How can you be so careful with infection control and wear a wrist watch..otherwise good video

[@taslinhumaura7113]

L hkhjhh j John inn VM Jon Jon I look hi

[@hadeelabdalhadi9727]

٤

[@epping198]

Why is she wearing a statoscope.

[@gamerharryt]

It's so real but it's on a dummy

[@user-vj9cr2pl5g]

دووم الضحكه

[@slzk3196]

The oxygen

[@msdeenatural_3]

acinicz that’s what I noticed first. She kept the oxygen off the whole time. Poor patient 😩

[@textkestrel]

You cross contaminated your sterile gloved hand when you touched the same corner of the drape as your non-gloved hand.

[@olubukolaadeoye9324]

Is it not better to put on face mask?

[@raichaeyedji8855]

4

[@krishnaraojartha934]

WANT MORE VIDEOS

[@jam_explore]

Everything perfect but u made a mistake while draping the patient. U let your sterile hand to touch with the corner which u already behold with your unsterile hand ,

[@shaunleejiajin2872]

2:38 why can’t you turn your back ?

[@barshajha2494]

Not turning back is also steps for maintaining sterile field

[@adopt-me-gacha-life-gaming6061]

Just wanted to watch this cuz I was bored 😂

[@Marie0575]

Patient not getting oxygenation

[@Eric-us9mw]

right? if this was a simulation at my school this person would have coded by now haha!

[@AlisonGwynethBrown]

That table is for patient belongings.

[@mudgodson1638]

I had to grow up with a tracheotomy too since I was age 7 and others from adults thought it was a paedophile voice it not it actually from a tracheotomy that makes me speak like that I get done for that I can't help speaking like that I speak it 24/7 not putting it on as some think it is and guess what who does that at me I found there hollowgrams cause my bike went right through them. I don't call my self bad things I see my self as a good person innocent when doing things.

[@showbuzz5238]

How are u

[@caitlinduncan8105]

It

[@darkospasic9407]

0

[@AlisonGwynethBrown]

Unrealistic. When it is a real patient you have about 5cm space.filled with his things ie mobile,tablet etc.

[@analisecolon9833]

$$3

[@user-cz2lz8rj3e]

o

[@vanelr1045]

Vanap

[@user-ze5mp4gq9w]

So do not really

[@mukeshsankhalamukeshsankha6013]

.

[@Andy-qg1mh]

If this girl was a spice, she'd be flour.

[@gunner4126]

She's teaching a nursing skill genius, she's not here to entertain

[@fickfock8169]

i think the patient is dead

[@alimedogan9600]

Ş.

[@user-cz2lz8rj3e]

l

[@vivienalisangco2957]

Il.

[@marielledenhollander5280]

Freddy's

[@Moralicous]

Uiiiii. L

[@user-fw5fd2uw4x]

Why using stethoscope on your neck when you don't need it for the procedure? Is it for props?😅 Stethoscope on your neck might cause trouble while doing the procedure. It might slip into patient face when you bend.. 😂😂

[@renisabiba9320]

Kkllkkll

[@gulshansarkar1696]

Yfgshei

[@farhaniram1953]

Jj..ngtts

[@terezaminarikova7813]

000ou

[@medinarusani1721]

St‘ mmmnm

[@user-zr8bo8vc3m]

早くしろ

[@erickcamilo12]

need to be a little more funny ....

[@Handle07.]

You just killed your patient because you're taking to long to clean the trach

[@onodarse]

Patient can still breathe dude

[@westhessalonians]

Hahahah

[@marilynh5487]

The new trach would be in already

[@karischreiber8643]

I have noticed that the younger the demonstrator is the worse the grammar. e.g. "this concludes the end of the demonstration" I believe that good grammar in the U.S. has got up and went!

[@nonaarreola]

Rude clearly she’s not from US she’s from Canada but maybe you should upload your own video and compare🍍

[@trishac8217]

She is actually from South Africa, and she has very good grammar. She simply made a mistake when speaking which was not picked up when filming. Please don't take one minor mistake and make generalizations about young people in the U.S. Try being kind. Great job Sandra!!!

[@askrindocikini5562]

Ttty687 aku

[@stevenpryer5880]

FACE TO FACE 710059. THEOPHALUS AND KONICA VIDEO CASSETTE S

[@celiaradzmon5740]

Enhances my knowledge, thank you 🙏

[@claudinhasantanasantana7272]

0