Always carry supplies required to change the tracheostomy tube. A small case or bag (Fig 2) containing essential equipment will avoid any delay in the event of an emergency tube change.

Fig 2: Trachi-Case Kapitex Healthcare Ltd

The following items should be contained within the bag:

• 1 tracheostomy tube (of current size)
• 1 tracheostomy tube (one size smaller) for use in the event of being unable to insert tube
• Velcro collar or cotton tapes
• Scissors (if using cotton tapes)
• Pre-cut dressing
• Syringe (if tube is cuffed)
• Lubricating jelly

A fully charged portable suction unit with tubing and suction catheters should be accessible at all times.

Going home with a tracheostomy
Equipment needed at home

References
Scase C. Long-term tracheostomy and continuing care. In: Russell C, Matta B (eds). Tracheostomy. A Multiprofessional Handbook .Greenwich Medical Media Ltd, London, 2004: Chapter 16: 297
Sigler B. Nursing management of the patient with a tracheostomy. In: Myers E, Johnson J, Murry t (eds). Tracheostomy Airway Management, Communiucation and Swallowing. London: Singular Publishing Ltd, 1998: chapter 6: 57-65