To reduce trach-associated safety events

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Check the following orders and verify they are being followed correctly by going to the patient's bedside.

One of the following orders is active;

1. “New Trach - UNTIL First Trach Change”

2. “New Trach - AFTER First Trach Change”

3. “Established Trach”

“Trach Info” order is active and accurate

“Trach cuff inflation” order activated for cuffed trach

Oxygen therapy order matches what is being administered

ETCO2 in use if ordered

At the bedside, check the patient and tracheostomy sign. Ensure the following:

Tracheostomy sign taped at head of bed is complete and the patient is utilizingcorrect size

Patient check - Trach in place matches the Trach Info order and tracheostomy sign

Patient check - Trach tie tightness verified (1 finger per each side of tie)

Ensure all bedside O2 supplies are in place

Manual resuscitator/PEEP valve set up and connected to oxygen

Face mask for manual resuscitator

Syringe for cuffed trach

Ensure the following bedside trach tube supplies are present

Current size tracheostomy tube

Tracheostomy back up: one size smaller than current tube size

Obturator present at head of bed. For Bivona trach, a wedge disconnect is present

Scissors

Velcro trach ties (tracheostomy tube holder) Tip: Have template at bedside for trach ties

Ensure the following bedside suction supplies are present

Two suction set ups (one for oral/nasal and one for trach)

Suction catheters

Trach “To Go Bag” with necessary contents (green bag) present Ambu bag at bedside only

Actions taken to correct element(s) on checklist

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