I am a student nurse and today I had my check off from tracheostomy suction and trach care.The scenario that I had was a patient that was stable with Oxigen 93% on a step down unit that needed OPEN SUCTION AND TRACH CARE. On respiratory assesment I could hear some rhonchi in his longs and I detremined that he needed to be suctioned. Everything went well, the entire procedure. I passed the proceddure. I will attach the file to look at and help you to complete the paper. I highlighted that I did the open suction and trach care. I have to mention that this is done on skills LAB , on a MANECHIN.