Page 358 - CHHA Binder 2.3.20

4/11/2019

Change Ties/Securement Device:

 Obtain assistance from another person before loosening
the ties/device

 Ask assistant to hold tracheostomy tube in place by
plate/flanges while changing the ties/device

 Secure the tracheostomy ties/device that go around
patient’s neck, with only space for 1 – 2 fingers between
tie/device and neck

 If using a securement device, apply per manufacturer’s
instructions

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A Method For Using Twill Ties:

 Cut one long piece of twill tape about twice the
circumference of patient’s neck
• Thread half the length through the hole on one side of
tracheostomy plate
• Bring that end around the back of the neck and thread
through the hole on the other end of plate
• Bring both ends together and tie at the side of the neck
in a square knot.
• Trim excess length on the diagonal
 Assess patency of airway, position of the tube and
patient’s respiratory status.

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