how to clean a tracheostomy

Tracheostomy Care

? Clean washcloth ? Warm water and soap ? Cloth or silk tape ? Gauze pad • Wash your hands. • Remove the old dressing and throw it away. • Gently wash the skin around your stoma with soap and warm water. Remove all the dry and crusted discharge that you ?nd in this area. • Tear 2 pieces of 1 inch wide cloth or silk tape. Each piece of tape. Soak the cotton-tipped swabs in a solution of half hydrogen peroxide and half water. Use the swabs to clean the exposed parts of the outer cannula and the skin around the stoma. Wet the wash cloth with normal saline, tap water or distilled water. Use the wash cloth to wipe away the hydrogen peroxide and clean the skin.

Only use a dressing at the stoma site to absorb a lot of mucus or to keep medicine at the yow site. You must change the dressing whenever it gets wet or dirty. A nursing coordinator is always here to answer your questions and address your concerns. Trachrostomy and ask for the nursing coordinator.

Trqcheostomy document is not intended to take the place of the care and attention of your personal physician or other professional medical services. Our aim is to promote active participation in your care and treatment by clsan information and education. Questions about individual health concerns or specific treatment options should be discussed with your physician.

Jude ho with health care-related federal civil rights laws and does not discriminate on the basis of race, tracheosyomy, national origin, age, disability, or sex.

Call TTY: Llame al TTY: How to clean a trach site. Getting ready Wash your hands with soap and water. Dry them well. Tracheotsomy are the supplies you need. The numbers in the picture match the items on the list. Prepare your supplies as directed below. If your child has crusty mucus around his trach site, make a mixture of 10 ml how to fix broken mobile screen peroxide to 10 ml sterile water or saline in a medicine cup or small, clean container.

Only use the mixture gracheostomy sterile saline wipes will not remove the mucus. If the trach site has drainage only, open a sterile water and pour into a gracheostomy cup or a small, clean container. Or use a sterile saline wipe to clean around the site. See photo at right. Cleaning Suction the trach before cleaning the site. This might help decrease mucus during the cleaning process. Check the stoma skin opening for signs of infection, such as redness, swelling, bleeding, skin breakdown, or discolored drainage pus.

The photo at the left shows a healthy looking stoma with no signs of infection. If you do not see any of the signs of infection above, continue to how to clean a tracheostomy next step.

If no crusty mucus is x Use a sterile saline wipe to clean the site. If a wipe does not work, dip a cotton tipped swab in sterile water.

Roll the cotton swab between the trach tube and the skin in a circular motion. Use each wipe or cotton swab only one 1 time. Repeat this process until mucus is removed. If crusty mucus is present: Dip a cotton tipped swab in the mixture of hydrogen peroxide and sterile water. Roll the cotton swab between the trach tube and the skin in a circular, outward motion.

Use each swab only one 1 time. Repeat this process until crusty mucus is removed. Rinse the area using a cotton swab with sterile water or a sterile saline wipe after the crusts are removed. Dry area with a regular 2x2 gauze pad. If a lot of mucus is present what are cooling towels made of the stoma even after cleaning, you may place a 2x2 split gauze pad around the trach tube to absorb the mucus.

See photos below.

Cleaning a tracheostomy tube

Plastic and metal tubes may be cleaned with mild soap and clean tap water. Hydrogen peroxide may be used to clean plastic or stainless steel tubes. Do not use hydrogen peroxide with sterling-silver tracheostomy tubes.

The cuff should not come in contact with any cleaning detergents or chemicals. Use of Health Topics. Cleaning a tracheostomy tube Plastic and metal tubes may be cleaned with mild soap and clean tap water. Supplies you will need Clean tap water Mild soap Hydrogen peroxide do not use this with sterling-silver tracheostomy tubes Steps to clean a tracheostomy tube Place the dirty tracheostomy tube, obturator, and strap in a clean container.

Add clean tap water and mild soap. Be sure the tube, obturator, and strap are covered by water. Soak them for a few minutes to loosen any secretions. Clean the tube and other parts using pipe cleaners and gauze sponges. Pass the pipe cleaner through the tube to remove all of the secretions.

Rinse well with clean tap water to remove all the soap. Make sure the secretions and lint from the pipe cleaners are removed. Place the tracheostomy tube parts on a clean towel in a safe place. Let them air dry all the way. It will take about 2 to 3 hours.

Note: Have an extra tracheostomy tube ready for use while the newly-cleaned tube dries. When the tracheostomy tube is dry, look for cracks, a change in color of the tube, or any foul odor. The tube will need to be replaced if you find any of these. Get the tube ready to be used again by adding ties and putting the obturator in the tube. Place all of the tracheostomy tube parts in a closed, clean container. Keep this with you at all times. Cleaning the inner cannula To clean the inner cannula so it does not become plugged: Unlock it by turning it until the notch is reached and then slide it out.

Use a small brush or pipe cleaners to clean it. Rinse it under cool running water. Look through the inner cannula to make sure it is clean. Shake it or use dry pipe cleaners to remove moisture. Put it back in and lock it into place. Last reviewed:. September Interested in using our health content?