Related to mfrs (same patient, multiple cannula issues): 3012307300-2019-02854, 3012307300-2019-02852, 3012307300-2019-03577, 3012307300-2019-03579, 3012307300-2019-03580, 3012307300-2019-03581, 3012307300-2019-03582, 3012307300-2019-03583, 3012307300-2019-03584, 3012307300-2019-03585, 3012307300-2019-03586, 3012307300-2019-03587, 3012307300-2019-03588.Reporter stated they are a retired pediatric tracheostomy and ventilator nurse specialist.
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Information was received that a smiths medical portex tracheostomy replacement inner cannula would not latch into place immediately upon use.It was noted that the patient's daughter is a certified pediatric nurse and "she helped her out" at the time of the event.The reporter also stated the patient's tracheostomy tube "is changed monthly at doctor's order.We did not have to change it due to the cannula not snapping.The cannula was changed twice a day to decrease risk of infections and to maintain patency of the airway".Four routine tube change outs were completed since the start of the event to present time (july).The daughter reported they had the same problem of the cannulas not snapping even with a new tube.Subsequently, due to the reporter noting the patient had run low on a supply of cannulas, some cannulas had to be cleaned, boiled, and re-used.There were no adverse patient effects as a result of the event.
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