Fundamentals of Tracheostomy Care - Aug 23

The goal of this full-day course is to provide home health care providers with up-to-date knowledge and skills regarding community-based tracheostomy care of children and adults who are medically fragile.

This course will involve a combination of didactic, skills stations, scenario-based learning, and multiple-choice examination.

Course Prerequisites:

(1) RN, RPN, RRT, IMG or PSW

(2) completion of pre-course reading

( 3) pre-course Quiz

Required Resources:

(1) The course textbook is "Caring for your Childs Tracheostomy Tube". It is available as a PDF file free of charge on the Pediatric Complex Care Unit website. Please follow the link to access this resource:

https://www.hamiltonhealthsciences.ca/wp-content/uploads/2019/03/CaringForYourChildsTracheostomyTube.pdf

Please review as much of this textbook as possible prior to the course, as it will enhance your knowledge and understanding during the course. Focus on the following areas:

• Understanding the need for your child’s trach - pg. 9, 15-25
• Understanding the parts of a trach and their care - pg. 29-50
• How to suction your child’s trach - pg. 53-66
• Understanding humidification equipment and speaking valves - pg. 69-84
• Preparing your Go-bag - pg. 87-106,110
• Understanding Sp02, oxygen delivery and medications - pg. 113-119, 125-134
• Daily care and activities for your child with a trach -pg.137- 143
• Understanding how to manage emergencies - pg.179-185

(2) The reference book for this course is “Optimizing Respiratory Therapy Services: A Continuum of Care from Hospital to Home”. It is available as a PDF file free of charge through the College of Respiratory Therapists of Ontario. Please follow this link to access this resource:

http://www.crto.on.ca/pdf/ProfPractice/HFO_Training_Manual.pdf

For more details, kindly visit the following link:

McMaster Children's Hospital Simulation, Resuscitation, and outreach Center (SiROC)

Pre-Course Quiz:

To attend the course, you need to answer the quiz at the end of this page, print it and bring it with you during the in-class course registration.

The SiROC Cancellation Policy applies to this course. Requests for transfer, substitution, or refund will be assessed on a case-by-case basis. Please provide any documentation to support your request.
Course Transfer:
If you cannot attend the course, you may substitute your registration to a colleague at no additional charge. Please email [email protected] with your name and the name of the colleague who will be taking the course in your place. Your replacement must meet the prerequisites for the course.
To transfer to an alternate course date, please email [email protected] with the date of the course you wish to transfer into. You may tranfer your registration to an alternate date up to one week before the start date of the course you are transfering out of.
Only substitutions will be granted less than one week prior to the course start date.
Course Refund:
Refund requests will be assessed on a case-by-case basis and depend on the date of the request. Please use the Eventbrite registration system to request a course refund. You can manage your registration at www.eventbrite.ca/mytickets.

Please note that a registration processing fee was paid to Eventbrite and is subject to their refund policy. The following refund policy applies:
- More than 3 weeks before the course start date = 100% of tuition will be refunded.
- Between 2-3 weeks before the course start date = 75% of tuition will be refunded.
- Between 1-2 weeks before the course start date = 50% of tuition will be refunded.
- Within one week of the course start date = No refund. If you cannot attend the course, you may transfer your registration to a colleague at no additional charge.
No refunds will be given for "no-shows."
SiROC reserves the right to cancel or reschedule the course due to unforeseen circumstances. If this happens, you will be rescheduled to the next available session and given the option to choose from future classes if the rescheduled date does not work for you. No refunds will be issued.

Please complete the pre-course quiz, print and present it with course registration.

Question 1

Signs of a respiratory infection include the following symptoms:

a) Vomiting, diarrhea and joint pain

b) Neck pain, stomach cramps and vomiting

c) Fever, chills, joint pain and diarrhea

d) Coughing, increased respiratory rate, increased tracheal secretions, odour from secretions

Question 2

The parts of a tracheostomy include the following:

a) Fringe, cap, tube and hub

b) Flange, hub, shaft and obturator

c) Flange, hub, cap, and valve

d) Flange, cuff, cap and valve

Question 3

When is it important to suction the tracheostomy tube?

a) Every 6 hours, when the patient asked to be suctioned and when you see secretions

b) Every 6 hours, when the patient sounds wheezy, when you can see secretions

c) Every 4 hours, when you see secretions in the tracheostomy tube, when the patient is desaturating

d) Every 8 hours, when the patient coughs, when you can feel secretions in the chest

Question 4

What are the 3 types of artificial humidification for tracheostomy used in the home?

a) HHE, Airvo and Cool Mist

b) HME, Airvo and air purifier

c) HME, Airvo and Cool Mist

d) HME, Cool Mist and free water in the G tube

Question 5

What is the importance of the ½ size smaller tracheostomy tube in the patient’s “GO BAG”?

a) In case the patient’s tracheostomy tube cannot be inserted

b) In case you lose the other tracheostomy tube

c) In case the patient wants to talk around their tube

Please DO NOT Mark on this Sheet

Question 6

What will the patient have at home as a tool to monitor the oxygen in the blood?

a) An ECG monitor

b) A pulse oximeter

c) A glucose monitor

d) Home Oxygen

Question 7

What types of home oxygen delivery devices may a tracheostomy patient have?

a) Concentrator, Oxygen cylinders

b) Concentrator, liquid oxygen

c) Liquid Oxygen, Oxygen cylinders

d) Oxygen cylinder, Oxygen tubing

Questions 8

What are some signs of a tracheostomy emergency?

a) Increased respiratory rate, loud voice, desaturation

b) Work of breathing, patient talking to you calmly, sleeping

c) Coughing, increased secretions, patient sleeping with no respiratory distress

d) Desaturation, laughing, playing

Question 9

What are the emergencies that a tracheostomy could have?

a) Blockage from secretions, accidental decannulation

b) Broken suction machine, tracheostomy ties come undone

c) Blockage from secretions, HME is stuck on

d) Accidental decannulation, broken inner cannula

Question 10

What part of the tracheostomy should be near the patient at all times to reinsert the tracheostomy after an accidental decannulation?

a) Tracheostomy tie

b) Flange

c) Obturator

d) Inner cannula

Host or Publisher McMaster Children's Hospital - Simulation and Outreach Program