Tracheostomy Tube Holders Product Evaluation

We value your opinion

We appreciate your input on the Dale Tracheostomy Tube Holders.

Please answer the following questions:

240-244 | Trach Holder Evaluation Form

What method is currently used in your unit to hold tracheostomy tubes in place?

Dale Trach Tube Holders

Twill Ties

Other specialized holders

What is the % of your patient population? (total must equal 100%)

Neonate

%

Total %

%

Pediatric

%

Adult

%

Bariatric

%

What size Dale Trach Holder did you use?

240

241

242

244

Is skin breakdown an issue with your current tracheostomy tube holder?

Yes

No

Any comments related previous question:

Did you notice any difference with the Dale holder?

Skin condition was better

No difference

Was the width of the product adequate?

Yes

No

How often do you change any tracheostomy tube holder in your unit?

Daily

1-3 times weekly

4-6 times weekly

Other

How often did you need to change the Dale Holder?

Daily

1-3 times weekly

4-6 times weekly

Other

In order of importance, rank the criteria of a good tracheostomy tube holder?

1Allow movement while coughing

2Security, Velcro closure

3Patient comfort, soft comfortable material

What did you find the most beneficial about the moisture-resistant neckband?

Repelling secretions

Preventing Skin breakdown

Patient comfort/ not as warm/repelling sweat

Do you view the moisture repellent feature a benefit for preventing infection?

Yes

No

Did you need to adapt the product in anyway for your patient?

Yes

No

Please explain:

Were you satisfied overall with the product?

Yes

No

Please cite any additional comments you may have:

Contact Information

Salutation

First Name

Last Name

Job Title

Facility

Phone/Mobile

Department

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Please contact me

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