Learners are to perform a physical assessment of a pediatric patient, with a focus on the respiratory system. Routine suctioning and tracheostomy care should be performed. Learners should anticipate risks to patient safety and have appropriate safety and emergency equipment for patients with an artificial airway/respiratory distress (suction, oxygen, Ambubag with tracheostomy connection & face mask, extra tracheostomy x2 at bedside), and appropriately respond and intervene when the tracheostomy is accidentally removed (rapid assessment of patient ABCs, call for assistance, cover tracheostomy and provide ventilation via Ambubag with face mask, attempt tracheostomy reinsertion by RN if the institutional policy allows -OR- call RT/MD for reinsertion).