When changing tracheostomy ties, what is the first action you must take?

When changing tracheostomy ties, the first action that must be taken is to hold the outer cannula in place. This is crucial because the outer cannula is what keeps the tracheostomy airway patent. If the outer cannula is not stabilized, there is a risk of displacing it, which can lead to airway obstruction.

By holding the outer cannula securely, the healthcare provider ensures that the tracheostomy tube remains in the correct position during the entire tie change process. This is essential for patient safety, as any movement or displacement could compromise ventilation or cause injury to the trachea.

After stabilizing the outer cannula, other steps can be performed, such as removing the old ties, cleaning the stoma site, and applying new ties. Each of these steps has its own importance, but securing the outer cannula is the foundational action that must be prioritized to maintain airway integrity and protect the patient during the procedure.