Purposes of tracheotomy wound care

1. Clean mucus around tracheotomy wound to maintain airway opened.
2. To prevent infection from occurring.

Supplies Needed for Wound Care

1. Sterile cotton swabs or sterile gauze
2. Sterile normal saline
3. Y-shaped gauze or sterile dressing
4. Clean tracheostomy tube tie
5. Clean or sterile gloves
6. Clean forceps and scissors (as needed)

Steps and Precautions for Wound Care

1. Before cleaning: Wash hands, wear gloves, and put patient in semi-upright position.
2. Remove old dressing: Gently remove the dressing (If sticking, moisten with saline) then inspect skin.
3. Cleaning: Use saline-soaked swabs, clean outward in circles, remove scabs and mucus.
4. Replace clean gauze: Place new Y-gauze under tube; avoid tightness or pressure.

Important Care Notes

1. Keep wound dry and clean; change gauze early if secretions increase.
2. Sponge bath recommended; avoid water entering tracheostomy.
3. Observe skin: If there is redness, odor, pus, bleeding, or excessive granulation, please inform your doctor.
4. Tracheostomy tie should fit one finger width.

What to Do if Tracheostomy Tube Slips Out at Home

• Partial dislodgement: Tilt head back, gently push the tube back. Check breathing pattern and skin color.
• Complete dislodgement: Stay calm and call for help or dial 119. Keep airway open, try inserting a clean tracheostomy tube. Check breathing pattern and provide oxygen if needed. Seek immediate medical help.