How to Care for Your Child's Skin and Do a Trach Tie Change | Cincinnati Children's

Introduction

This tutorial provides essential steps for caring for your child's skin and performing a trach tie change. Proper care is crucial to ensure your child's comfort and health, especially if they have a tracheostomy. This guide will walk you through the process, offering practical tips and advice to make the experience smoother.

Step 1: Gather Necessary Supplies

Before you begin, ensure you have all the necessary supplies at hand:

• Clean trach ties (soft, breathable material)
• Sterile saline solution or antiseptic wipes
• Gauze pads
• Scissors (to cut ties if needed)
• Clean gloves
• Trash bag for disposal
• Moisturizing lotion (for skin care)
• A clean towel or cloth

Step 2: Prepare for the Tie Change

• Wash your hands thoroughly using soap and water or hand sanitizer.
• Put on clean gloves to maintain hygiene and protect both you and your child.
• Position your child comfortably, ensuring they are calm and secure.

Step 3: Remove Old Trach Ties

• Carefully untie or cut the old trach ties.
• Gently hold the trach tube in place with one hand to prevent it from moving while you remove the ties.
• Dispose of the old ties in the trash bag.

Step 4: Clean the Skin Around the Trach Area

• Use sterile saline solution or antiseptic wipes to clean the skin around the trach site.
• Wipe gently to avoid irritation, ensuring that you remove any secretions or crusting.

Step 5: Apply Moisturizing Lotion

• After cleaning, apply a small amount of moisturizing lotion to the skin around the trach site.
• This helps keep the skin hydrated and can prevent irritation.

Step 6: Attach New Trach Ties

• Take the new trach ties and loop them through the trach tube.
• Secure them snugly but not too tight, allowing for some movement and comfort.
• Make sure the ties are positioned correctly to support the trach tube securely.

Step 7: Final Check

• Ensure that the trach tube is properly positioned and secure.
• Double-check that the ties are not too tight, which could cause discomfort or skin breakdown.
• Dispose of any used materials appropriately and wash your hands again.

Conclusion

Caring for your child's skin and performing a trach tie change is an important part of their health management. By following these steps, you can help ensure their comfort while maintaining hygiene. Always consult with a healthcare professional if you have questions or concerns about your child’s care. Regular practice will enhance your confidence in performing these tasks.