Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 14-12

Providing Tracheostomy Care (Continued)

Comments

g. Check the fit of the tracheostomy collar. You should be

able to fit one finger between the neck and the collar.

Check to make sure that the patient can flex neck com-

fortably. Reapply oxygen source, if necessary.

17. Remove gloves. Assist patient to a comfortable position.
    Raise the bed rail and place the bed in the lowest position.


18. Remove face shield or goggles and mask. Remove
    additional PPE, if used. Perform hand hygiene.


19. Reassess patient’s respiratory status, including respiratory
    rate, effort, oxygen saturation, and lung sounds.

ExcellentSatisfactoryNeeds Practice