Self-Fastening Ties

Some children are switched to self fastening ties following their tracheotomy tube change on the 5th POD, because they are easier to use and less irritating to most necks. However, they are not for every child. Style and fit is very important for safe use. Some children's skin is sensitive to the material in the neck tape. They are expensive, and some insurances limit the number used. If your doctor permits you child to use them, a prescription will be sent to your equipment company. There are several brands from which to choose that may help fit your child's needs.

How To Change Self-Fastening Ties

Here are the steps you need to know for changing the twill tie for your child's tracheotomy tube:

• Remove the old ties, while the second person holds the flange of the tracheotomy tube.
• Slip the self-fastening tab through the opening of the tracheotomy flange, folding it back onto the cloth material to fasten it securely.

• Repeat this step on the other side.
• With the child's head flexed forward slightly, bring the two ends together, fastening the third self-fastening tab to the material.
• Check that self-fastening ties are secure, only allowing one finger to fit between the tie and the neck.

Tips

• If using self-fastening ties you must check the self-fastening ties often throughout the day to make sure the Velcro is secure.
• If cleaning and reusing Velcro ties, the ties must be checked to see that the Velcro hold is still strong. They can only be washed in mild soap and water, and line dried.

Your Child Should Have Emergency Equipment With Them At All Times!

• Same size tracheotomy tube with ties already in place
• One size smaller tracheotomy tube with the ties already in
• Suction machine (unit should be fully charged)
• Suction catheters
• Breathing bag, with adaptors if indicated
• Normal saline
• Extra tracheotomy ties
• Scissors
• Hemostats
• Water-based lubricant
• Phone list