Tracheostomy

Ostomy Care: Stoma Care Instructions

A stoma is a surgical site where a tube has been inserted. A tracheal stoma is where a tracheostomy tube has been inserted to keep an airway open so a patient can breathe freely.  The stoma needs to be checked and cared for just as any other surgical site.

How do you keep a Stoma Clean?

• Remove split gauze or drain sponge that is covering the stoma and protecting the skin from the tube. 
• Note any discharge or blood on the gauze and if it is stuck to the wound, do not tear off, use a swab moistened with peroxide to slowly remove. 
• Look at the surgical site. Is it red? Is it bleeding? Is there any pus or discharge coming from the site? Is the skin ragged or tearing? Note the condition of the stoma for future reference. Report any unusual findings to your health care provider. 
• Using a sterile swab and peroxide solution, swab around the stoma to remove any dried blood or debris. Let dry. 
• Replace the split gauze or drain sponge for a clean one sliding it carefully under and around the trach tube. 
• Change the gauze/drain sponge as often as necessary or if it should become wet or damp as this will not allow the stoma to heal properly and may cause an infection.

Things to keep in mind during Stoma Care

Try to keep the stoma area dry, do not put anything on the stoma (ie: ointments, creams, powders, etc.) without checking with your healthcare provider.

If you are experiencing any on-going pain at the surgical site, or if something seems different in your stoma’s appearance, you should contact your healthcare provider.