Tracheostomy insertion steps

Step 1: Prepare equipment

Gather all necessary suctioning supplies

Step 2: Connect catheter to vacuum, test suction

Ensure suction is functioning properly

Step 3: Explain procedure

Inform patient to reduce anxiety and gain cooperation

Step 4: Position patient

Place patient appropriately for airway access

Step 5: Hand hygiene

Wash hands before starting procedure

Step 6: Pre-oxygenate

Provide 100% O₂ for 30 sec – 3 min

Step 7: Apply sterile glove

Maintain aseptic technique

Step 8: Insert sterile catheter

Insert quickly and gently into airway

Step 9: Withdraw catheter with suction

Close suction port while withdrawing with rotating motion

Step 10: Instill saline if secretions thick

Use drops to loosen secretions

Step 11: Hyper-oxygenate

Provide 100% O₂ for 1–5 minutes after suctioning

Step 12: Flush tubing

Use sterile water to clear suction tubing

Step 13: Dispose of equipment

Discard used supplies safely

Step 14: Turn off suction

Shut down suction unit

Step 15: Hand hygiene

Wash hands after procedure

Step 16: Ensure suction unit ready

Prepare suction unit for next use