This is so so helpful...I have my check off tomorrow

I'm a stage 4 Larynx cancer survivor. And I've had this cleaning and suctioning many, many times during my year in hospital, and since of course. But I now do this myself. I' will be celebrating my 8 year cancerversay Oct 25th. All of you nurses and respiratory techs are amazing. Thank you all,,you're angels ❤❤oh and I cannot tell the way that suctioning feels,especially if you have to put saline in the stoma,the coughing is scary I'll be honest

Appreciate you sharing knowledge to nurses! A couple small tips from an RT. When setting your suction pressure, measure it by occluding the suction tubing and not to open air. This measures how much potential suction pressure you're using on their airway to limit damage. Usually suction pressures are 80-100 for neonates, 100-120 for pediatrics, and 120-140 for adults. Lastly, once you've passed your catheter down and hit resistance or they cough, pull back slightly* and then begin suctioning. This prevents accidental suctioning near the carina.

As a “covid” nurse with no clinicals - this is GOLD! Thank you so much!

EMT here. Fresh out of school with little (no) experience of trach care. Not something they teach you in school, but something they expect you to know in the field !! Moved my first trach pt yesterday, very very overwhelming, could feel my heart in my stomach while helping this gentlemen. I guess it’s something that comes with time; but definitely a helpful video in making me feel more comfortable while interacting with trach patients. Thank u!!

Top 3 Nurse channels on youtube, thanks Ellis

Thank you SO much for this! I’m a new grad nurse going into in home care for medically complex children, many of whom have trachs, GTubes, and Vents. I was so worried I didn’t remember exactly how to do trach care and this helped refresh my memory SO much. I cannot thank you enough, seeing a visual example helped so much more than reading my skills book, I just couldn’t visualize it on my own. I owe you!

Canula appeared to go in upside down. Should be pointed towards the lungs when reinserted (not up the throat)

I really appreciate these videos! Even though I have been a nurse since 2011, I love to brush up on my skills. You can never know everything, I always say.Thank you!

I'm a newer nurse that started in a clinic, I am now a classroom nurse and one of my cases has a trach so needless to say I need to refresh, so I that I can provide quality care. Thank you so much for this. I will be watching this and follow along with my kit from school.

Very well explained. Even a slow learner could understand. You spoke slowly and that was very good. GREAT JOB. KEEP IT UP.

Thank you! I have a trach. patient at clinical today and I wanted to solidify my skills before aiding in care in real-time. I appreciate you guys :)

Anytime you're working with vulnerable people the #1 priority is safety and sterile or clean work field. Thank you for the presentation.

I am in my final year of Nursing school, this is one of the procedures we are learning in our Foundations 3 class....I found your video to be most helpful. Thank you so much!

The way I was instructed to clean the stoma and keep the field sterile was a double wipe system with the gauze. Use a mix of sterile water and hydrogen peroxide on the first pass, always moving from the stoma outward, then the second pass sterile water only. Use the gauze, fold it so there’s always a clean surface on the neck. Soak the inner tube in the sterile water/H2O2 solution, scrub with brush, rinse in the sterile water, then re-insert. I may have to use the included tie when changing the neck band, because I’ve already had one incident where he coughed the whole trach tube out. (he didn’t hold onto it as instructed)

You did it really well .maintaining sterility by guarding the sterile hand🎉🎉🎉🎉🎉

Im here to refresh my knowledge on how to perform proper trache suctioning and care because soon im going to apply a job in an LTC for the first time and i probably encounter some patients on traches so thank you for this demonstration it's really helpful.

Hi quick question, Wouldn't it be easier to use clean gloves to pour on the saline and h2o2 into the tray, remove the old dressing and throw it away, remove the inner cannula and place it in the tray, discard the clean gloves and THEN set that sterile drape first? Just so when you don sterile, you wouldn't need to break sterile to removing the old dressing

Great Video but the inner cannula was upside down when you removed and reinserted. Was it not?

I'm glad I found your site to help me refresh on rarely used skills. Thank you Ellis.

Great how-to while using the kit. However i wish it were across the board of RN and RT to agree to consider this a "very clean" technique, not "sterile".

Invaluable information in caring for my Dad. Thank you for sharing this.

I studied nursing in a foreign country. This video really helped me to learn new ways of suctioning. Thank you very much for your help.

Is the direction of the tracheal tube correct? Why does it bend towards the pharynx? Shouldn't it bend towards the trachea?

You should be monitoring his O2 during the suction....

I think you shout still monitor his spo2

Thank you for the video. Big help for new acute nurses.

Great video!! Also you're a wonderful teacher, Ellis, and I appreciate you clarifying teaching moments vs real life moments.

Good educational video in terms of content and instructions. The camera could have bee zoomed to close up on certain pieces, parts, and areas mentioned from time to time. Kudos 🎉

The trach tube is in upside-down. It should be pointed down toward the lungs not up

Excellent refresh, thank you.

I'm not a nurse but this info will be helpful for caring for my dad. Until his regular caregiver starts coming to his house, I'll be doing the honors.

Thanks have to do clinical check off and this helped with my cards

Very good changing & suctioning video.

Thank you!! Good video, I like that there was actually suctioning.

isn't the cannula supposed to be facing downward

thanks alot for sharing doctor.

Hey. Please hold tight to the faceplate when ever you manipulate the inner cannula or change trach ties.

Thank you, i really need this ❤

Thank you for sharing the information. Your videos are very helpful

Placement of canula was wrong. And dropping stuff on floor is a nono because guaze is dirty. Plus I would never use my elbow to pull down gown. Pull it down slightly before putting on sterile gloves

Thanks for the skill video I needed it

Very helpful. Thank you.

i had my experience for pantient last 3yrs ago.

Thank you so much for this video

Hello, I just was wondering when she inserted the trach did she insert it facing up or down? I was trying to rewatch it over and over but couldn't detect what she did. Please advise!

Great information

Thank you

so helpful thank you so much

I was taught to place tube facing down in shape of the throat. Here it was shown pointed up in the throat. Not sure that is correct. Am I wrong?

How much should we insert the catheter into tracheostomy tube & endotracheal tube??? Is it same length or different??

Thanks for sharing. Good demonstration.

Question about suction in between I read in ATI IS 10 sec suppose to be.

Some trach kits have two sterile field (paper). One for sterile and the other one can be used for used/unsterile items. I think its more hygienic and infection control is followed if we drop or put the used items on the other field (paper) or to the sterile part of the cover of sterile gloves than drop it on the floor cause there is instances that it will not shoot on the garbage can. Thanks.

Helpful 🙂

Just wondering, why the curve of the inner tube is upward? should it be down ward as per anatomy

I will be performing this skill today during my validation. Thanks a lot for coming through with this demo 🙌🏾🫶🏽💯 love your videos.

Word of advice, suction the patient before cleaning him 😂. This video was awesome 👌

Very helpful, only please bring the camera closer so we can see what you are doing, thanks!

Thank you for the video!! Very helpful. Well done ❤️

you are so funny still lots of learning happened.Cheers !!!

What about removing old tie first if the cuff inflated then can fix the new one, it's working or not.just asking and thanks for your great knowledge

Lovely instrucitonal video. Why did you elbow your patient at 2:53?

You inserted inner cannula pointing up towards mouth. Instead of down towards lungs. Why?

Have u worked with a Montgomery T-Tube?

super helpful, thank you very much!!:)

OMG you have the "Rising Woman" symbol tattoed! ✨ Awesome !

Can I remove the cut piece of gauze around the trach, before I create a sterile field?

Question: should we be hyperoxgenating the patient throughout the care?

So you suction after you clean the tube

Where is the playlist of clinical skills?

Ty, this helps alot to refresh

If they had a velcro tie but the kit doesn't come with a velcro tie do you reuse the velcro tie or make do with the non velcro tie? What if velcro is preferred?

Please ship to Canada!

What about when the tube is removed for cleaning and strong foul smell follows...

Nice

My tracheostomy was cleaned to much to that extent that I am having some heartburn even when am talking

Anyone have experience with the Passy Muir Speaking Valve? After a few short months my 77-year-old sister is hardly able to use it anymore because it irritates her throat. Sad. Could this have been due to treatment shortcomings? Such as insufficient humidification or suctioning. Or is this to be expected with frequent use over a few months? I really miss our phone calls.

In reality, I saw some RT squeeze NS into the inner cannula prior to suctioning. Is it supposed to do it?

Insertion of the inner cannula direction is definitely not correct. You may want to correct this or update your video to note this is not the correct direction to insert. Usually you insert with the curve upward direction and rotate as your anatomy would have the cannula curving down.

For nurses who wants to take an nclex exam, this is highly recommended KZfaq channel. This group are made up of nursing preceptors. Thanks for the effort of LEVEL UP RN

at what point is it ok to become 'non-sterile-?

What does a lavage it...?

The doll looks so realistic I keep thinking it could open its eyes at any moment

WEAR UR PPE MISS, HOW CAN U PERFORM THIS PROCEDURE WITH OUT PRPTECTING URSLEF AND PATIENT

the way she just lift the head 😂😂

MUCUS, not mucosa....

She keeps saying "mucosa" instead of "mucus." Mucosa is the tissue type, not the secretion.

But this is not a sterile way

its nice to have those tray packet wherein everything u need is in it.,,, nhs where I work? they dont have those😂😂😂😂 u have to prepare one by one, so most of the time sterility is broken, also most of the time u need to rush and suction the patient before they choked with their secretions😂😂😂😂😂

Mucus vs mucosa...hopefully there is no mucosa in that inner cannula😂

9:50

Why do you hyperoxygenate ?

WOW, thank you for sharing, but watch your videos before posting, you contaminated your gloves, and your trach cannula was facing upwards, Students watch these very closely, they take all of it to heart. Don't rest your sterile hand on the patient's Chest. Only teach the way you practice in real life.

In my 36 years of nursing I have never seen teach tape/Tues applied like that…

🤣 just witnessed 😳 u broke sterile field. But thank you for the video.

You broke sterile field way too many times 🙄

Great Demonstration! I am learning a lot by watching these Level Up RN videos🫶🏾🩺