Tracheostomy Care Plan sample page preview

Tracheostomy Care Plan

$24.99
Instant download. One-time purchase. Fully editable Word (DOCX).

A tracheostomy care plan template for NDIS participants with a tracheostomy. A registered nurse or respiratory clinician prepares or endorses the plan, and delegated support workers follow it for routine and emergency care.

What is inside:

  • Participant details and the delegating health practitioner, with AHPRA number and review dates
  • Clinical assessment: tube brand, type and size, cuff, inner cannula, ventilator dependence, respiratory status and secretions
  • Care instructions: cannula changes, stoma cleaning, dressings, ties, cuff pressure, suctioning, pre-oxygenation and humidification
  • Speaking valve use, emergency tube change arrangements and spare tube sizes
  • "Do not proceed" precautions, including a displaced tube, respiratory distress and unexplained bleeding
  • Emergency actions for dislodgement, obstruction, desaturation and cuff deflation
  • Endorsement by the clinician, delegated workers and the participant or guardian

Good to know: the clinical content is completed by the participant's health practitioner. Review at least annually or after any significant change in the participant's condition.

  • Reviewed against the current NDIS Rules, Practice Standards and Commission guidance
  • Editable DOCX with a placeholder legend, so you enter your details once
  • Instant download

These templates are general information, not legal advice. No template can guarantee registration or audit outcomes.

Buying more than one template? This one is also in

On its own this template is $24.99. Each pack below includes it, plus the rest of the set.

Digital product. Because these are instant downloads, we do not offer refunds for change of mind once your files have been accessed. This does not affect your rights under the Australian Consumer Law. Bought the wrong pack? Contact us within 30 days and we will credit what you paid towards the right one. If you have a technical issue accessing your files, contact us and we will sort it out. See our refund policy.
Your responsibility. These are editable templates provided as a starting point, not legal, compliance or professional advice. You are responsible for reviewing each template, adapting it to your service, and making sure the information is current, accurate and appropriate for your circumstances and your state or territory before you rely on it. Moreton Regional Support Services is not liable for any loss, penalty or outcome arising from your use of these templates, and no template can guarantee NDIS registration, audit or compliance outcomes.