When changing trach ties, when should you cut the old ties?

The correct approach when changing trach ties is to cut the old ties after securing the new ties. This method ensures that the tracheostomy tube remains stable and is not at risk of displacing during the procedure. By first securing the new ties, you provide a safeguard to keep the trach tube in place, which is critical for maintaining an open airway. If the old ties are cut before securing the new ones, it increases the risk of accidental dislodgment, potentially leading to airway obstruction or other complications.

This practice emphasizes the importance of maintaining control and ensuring patient safety throughout the tie change process. After the new ties are securely fastened, it is safe to cut the old ties, as the new ones will have already ensured that the trach tube is securely held in place.