- To change a tracheostomy tube, don the appropriate body substance isolation and lubricate new tube with a little fingertip size of lubricant on the outside of the tube.
- Insert the obturator into the tube
- At this time, you should place clean tapes around the patient’s neck and hold tube in position while changing the tapes and removing soiled ties. The knots should be loosened from between the flange and the finger when cutting.
- Remove the tube from the stoma with a curved motion.
- Clean and dry the stoma and back of the neck with water and gauze.
- Insert the new tube quickly using a curved motion.
- Tie the ties as before.
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