1.    Describe airway obstruction.

a.    Complete airway obstruction

b.    Partial airway obstruction

c.    Symptoms of airway obstruction

d.    Interventions to re-establish apatent airway

2.    Understand the relevantterminologies.

a.    Tracheotomy

b.    Tracheostomy

c.    Cuffed and uncuffed tubes

3.    Recognize the purposes and advantagesof a tracheostomy.

a.    Bypass airway obstruction.

b.    Facilitate removal of secretions.

c.    Long-term mechanical ventilation.

d.    Permit oral intake and speech inpatients on long-term Mechanical ventilation.

4.    Describe the different types oftracheostomy tubes

a.    Tracheostomy tube with cuff and pilotballoon

b.    Fenestrated tracheostomy tube(Shiley, Portex) with cuff, inner cannula, decannulation plug, and pilotballoon

c.    Speaking tracheostomy tube (Portex,National)) with cuff, two external tubing

d.    Tracheostomy tube (Bivona Fome-cuf)foam-filled cuff

5.    Describe the different parts of atracheostomy tube

a.    Flange

b.    Outer cannula

c.    Inner cannula

d.    Obturator

e.    Pilot balloon

f.     Cuff

g.    Inflation tube

h.    15-mm adapter

i.     Tracheostomy tie strings

6.    Understand how certain medical healthproblems may benefit from a tracheostomy.

a.    Head, neck or chest illnesses,injuries, or surgeries

b.    Respiratory failure

c.    Neurological trauma or disorders

d.    Severe pulmonary edema or pulmonaryinfections with copious sputum production

7.    Identify complications and interveneappropriately.

a.    Abnormal bleeding/hemorrhage

b.    Tube dislodgement

c.    Tube Obstruction

d.    Tube dislodgement/Decannulation

e.    Cuff leak

f.     Inflammation of tracheostomy stoma orpressure area around the TT

g.    Subcutaneous emphysema

h.    Tracheal stenosis

i.     Tracheoesophageal fistula

j.     Hypoxemia/hypoxia/ hypercapnia

8.    Identify actual and/or potentialnursing diagnoses in patients with tracheostomy

a.    Ineffective airway clearance

b.    Impaired verbal communication

c.    Potential for aspiration

d.    Potential for infection

e.    Knowledge deficit

f.     Anxiety

g.    Altered body image

9.    Identify nursing management inpatients with tracheostomy.

a.    Assessment

b.    Suctioning

c.    Tracheostomy care

d.    Delegation

e.    Role of hydration and humidity