My post-op admit order notes

Thyroid

Total or completion thyroid:

Outpatient labs

.cdldrainteach

Tracheostomy

“Consult RT”:

1. Prior to discharge, have patient demonstrate understanding of what to do and practical proficiency of skills in case of obstruction of the tracheostomy tube

   1. Include trachea suctioning

   2. Include removal and replacement of the inner cannula

2. Send pt home with 3 weeks of trach care supplies (extra tracheostomy tube, replacement inner cannulas, replacement soft velcro trach ties, suction tubings)

Consult SLP:

1. Prior to discharge, have patient demonstrate understanding of how and when to use the Passe-Muir valve.

2. Prior to discharge, have patient physically demonstrate practical proficiency in removal and replacement of the Passe-Muir valve.

“Nursing communication”

1. Hold discharge until you have verified the availability and readiness of home health (including respiratory therapy) within 12 hours of the patient arriving home. And hold discharge until verification of plans for availability of a home suction machine within 12 hours of the patient arriving home.

2. Hold discharge until speech pathology and respiratory therapy have signed off that the patient meets knowledge and practical skill proficiency in self trach care.