When providing tracheostomy care, the nurse should include the following action:

• Suction the tracheostomy tube:

  This is a critical step to remove secretions that can obstruct the airway.

• Clean the inner cannula:

  If the tracheostomy tube has an inner cannula, it should be removed and cleaned regularly to prevent mucus buildup and obstruction.

• Clean the stoma site:

  Using a sterile solution (e.g., normal saline), gently clean the skin around the stoma to prevent infection.

• Change the tracheostomy ties or Velcro collar:

  Ensure the tracheostomy tube is securely in place by changing the ties or collar. Ensure that the new ties are secured before removing the old ones to prevent accidental dislodgement.

• Assess the skin around the stoma:

  Check for signs of infection, skin breakdown, or irritation.