Tracheostomy Care in School Settings Practical Guidance for School Nurses

Children with tracheostomies are increasingly attending school settings, creating new responsibilities for school nurses and educational teams. School nurses play a critical role in coordinating care, ensuring equipment readiness, preventing complications, and responding to airway emergencies. This manuscript provides practical guidance for school-based tracheostomy care, including foundational knowledge, routine management, emergency preparedness, training considerations, and interdisciplinary coordination. Key recommendations related to individualized healthcare plans, emergency action planning, and competency-based training are discussed. Practical tables and figures are included to support safe, evidence-informed care for students with tracheostomies in school environments.