What is the correct action for a nurse performing tracheostomy care?

For a nurse performing tracheostomy care, securing new trach ties before removing the old ones is essential for maintaining the stability of the tracheostomy tube. This practice ensures that the tube remains properly positioned within the trachea, reducing the risk of accidental decannulation, which can lead to airway obstruction or respiratory distress.

It is critical to have a secure tie in place before removing the old one, as there is a possibility of the tracheostomy tube coming out if not properly secured. This step makes certain that the airway remains patent and safe for the patient during the transition between ties.

In the context of tracheostomy care, it is important to follow protocols that promote patient safety and effective airway management, which is why this approach is recognized as the best practice.