Tracheostomy learning package

Stoma Care

Providing tracheostomy stoma care
Providing tracheostomy stoma care

It is important to keep the skin around the child’s tracheostomy clean and dry. This will help prevent infection and skin irritation [6]. Stoma care should be done at least twice a day [2, 6]. If the child has lots of secretions you will need to clean the area more often [7].

How to care for a child’s stoma

  1. Wash and dry your hands [2].
  2. Have your child lie down (some older children may prefer to sit up).
  3. Place a rolled towel under the child’s shoulders to extend their neck [2].
  4. Look for any red areas, broken skin or secretions around the stoma. If these are getting worse, tell your nurse or doctor [2].
  5. Gently clean around the tube with gauze or cotton buds and warm water.
  6. Wipe secretions away from the stoma.
  7. Dry the skin after cleaning [2, 6].