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It outlines the need for at least two caregivers to learn tracheotomy care skills, describes transitional care with supervised practice over a 24-hour period, and explains planning for home equipment, supplies, nursing, and private duty arrangements. It also introduces the purpose and basics of tracheotomy, including reasons for surgery, expected communication and feeding considerations, and how caregivers can contact airway nurses with questions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/tracheotomy-care-handbook/563574/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/tracheotomy-care-handbook/563574.png","ImageObject",442,249,{"name":88,"@type":89},"cryingin4k","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-26","2026-10-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Why is a tracheotomy performed for a child?","Question",{"text":109,"@type":110},"A tracheotomy places a tube into the trachea to help the child breathe. It may bypass airway blockage, assist patients who cannot clear mucus by coughing, or support long-term ventilation needs.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How should caregivers be trained for tracheotomy care before discharge?",{"text":114,"@type":110},"Teaching starts the day of surgery. At least two caregivers must learn all parts of the child’s tracheotomy care, demonstrating skills without coaching from nursing staff or other family members.",{"name":116,"@type":107,"acceptedAnswer":117},"What is transitional care and how does it affect discharge timing?",{"text":118,"@type":110},"Transitional care is a 24-hour period where both caregivers provide care before the child can go home. The length of hospital stay can vary based on recovery, learning needs, planning for home equipment and supplies, and availability of private duty nursing.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},563574,1792095980,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},137458181193,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Bloomer, Jessica  \nJune 2012  \nTracheotomy Care Handbook  \nTABLE OF CONTENTS  \nI INTRODUCTION Letter from the ENT Team ______________________________ 2  \nTracheotomy Introduction – Charles Myer III, M.D.__________ 3  \nMessage from the Nursing Staff __________________________ 4  \nII TRACHEOTOMY CARE Tracheotomy Care Learning List __________________________ 5  \nTypes and Parts of Tracheotomy Tubes _____________________ 6  \nTracheotomy Suctioning _________________________________ 7  \nTracheotomy Skin Care _________________________________ 9  \nTracheotomy Tie Change _______________________________ 10  \nTracheotomy Tube Change ______________________________ 12  \nHumidification _______________________________________ 14  \nCaregiver Note Page ___________________________________ 15  \nIII EMERGENCY CARE Emergency Bag Equipment _____________________________ 16  \nSigns of Respiratory Distress ____________________________ 17  \nMucus Plugging ______________________________________ 18  \nAccidental Decannulation _______________________________ 19  \nBleeding from the Tracheotomy Tube _____________________ 20  \nAspiration ___________________________________________ 21  \nBronchospasm ________________________________________ 22  \nCaregiver Note Page ____________________________________ 23  \nIV EQUIPMENT  \nEquipment List (Physician Order Form) ___________________ 24  \nEquipment Maintenance ________________________________ 25  \nV HOME CARE  \nHome Care Tips ______________________________________ 27  \nVI RESOURCES  \nSpeech ______________________________________________ 28  \nGoing to School _______________________________________ 30  \nSocial Services ________________________________________ 31  \nSupportive Resources ___________________________________ 31  \nFinancial Resources/Medical Coverage _____________________ 32  \nLodging and Meal Services ______________________________ 33  \nCaregiver Note Page ____________________________________ 34  \nVII GLOSSARY  \nDear Parent or Guardian:  \nAs you have already discussed with your child’s doctor, a tracheotomy will be performed on your child to help him or her breathe. This manual will help prepare you for what to expect during your child’s hospital stay and discharge process. To make sure your child gets the safest care at all times, at least two caregivers must be taught how to do tracheotomy care. The education has many parts, and you and a second person will need to learn all parts of your child’s tracheotomy care before he/she can go home.  \nTeaching will start the day of surgery for all caregivers. Over the next few weeks, you and a co-caregiver will learn all the skills you need to care for your child’s tracheotomy. To make sure you and the second caregiver can safely and comfortably care for your child’s tracheotomy, each of you will show how to care for him/her without coaching from the nursing staff or other family members. Both caregivers will care for the child for a 24-hour period before he/she can go home. This period is called transitional care.  \nThe social worker and discharge coordinator will help you make plans for home equipment, supplies and nursing. Home equipment and supplies must bein place before discharge. Benefits will be explored to see if private duty nursing is available. If private duty nursing is an available benefit, it must be arranged prior to discharge.  \nThe estimated length of stay in the hospital can vary based on your child’s recovery, your learning needs, planning for home equipment and supplies, and the availability of private duty nursing. This process usually takes at least 2 weeks, but it may take longer.  \nThis time can be very stressful for families. We are here to support you and your family during this process. To help with your learning process, we have enclosed a teaching packet that you should review before the tracheotomy surgery. If you have special learning needs, please let us know so we can make special arrangements.  \nIf you should have any questions or","cbCaiaHsuf3SzFG5","https://ap.wps.com/l/cbCaiaHsuf3SzFG5","pdf",1135744,38,"English","# Introduction\n## Letter from the ENT Team\n## Tracheotomy Introduction\n## Message from the Nursing Staff\n# Tracheotomy Care\n## Tracheotomy Care Learning List\n## Types and Parts of Tracheotomy Tubes\n## Tracheotomy Suctioning\n## Tracheotomy Skin Care\n## Tracheotomy Tie Change\n## Tracheotomy Tube Change\n## Humidification\n## Caregiver Note Page\n# Emergency Care\n## Emergency Bag Equipment\n## Signs of Respiratory Distress\n## Mucus Plugging\n## Accidental Decannulation\n## Bleeding from the Tracheotomy Tube\n## Aspiration\n## Bronchospasm\n## Caregiver Note Page\n# Equipment\n## Equipment List (Physician Order Form)\n## Equipment Maintenance\n# Home Care\n## Home Care Tips\n# Resources\n## Speech\n## Going to School\n## Social Services\n## Supportive Resources\n## Financial Resources/Medical Coverage\n## Lodging and Meal Services\n## Caregiver Note Page\n# Glossary","[{\"question\":\"Why is a tracheotomy performed for a child?\",\"answer\":\"A tracheotomy places a tube into the trachea to help the child breathe. It may bypass airway blockage, assist patients who cannot clear mucus by coughing, or support long-term ventilation needs.\"},{\"question\":\"How should caregivers be trained for tracheotomy care before discharge?\",\"answer\":\"Teaching starts the day of surgery. At least two caregivers must learn all parts of the child’s tracheotomy care, demonstrating skills without coaching from nursing staff or other family members.\"},{\"question\":\"What is transitional care and how does it affect discharge timing?\",\"answer\":\"Transitional care is a 24-hour period where both caregivers provide care before the child can go home. The length of hospital stay can vary based on recovery, learning needs, planning for home equipment and supplies, and availability of private duty nursing.\"}]","Tracheotomy Care Handbook | PDF",1791836571,13]