Implementation of a Standardized Tracheostomy Education Discharge Protocol

Inclusion Criteria: Patient participants: * Diagnosis of malignancy of the head and neck requiring reconstruction and temporary tracheostomy * No previous record of tracheostomy * Has an identified family caregiver who is willing to participate * Has the tracheostomy in place for at least 10 days after discharge Caregiver participants: * Family member or friend, who is 18 years or older, of an adult patient described above * Identified by the patient as his/her primary caregiver who is providing daily assistance Exclusion Criteria: * Patients who do not have a caregiver * Caregivers who are illiterate. * Caregivers with previous tracheostomy experience. * Patients who are decannulated from tracheostomy prior to discharge. * Patients discharged to a skilled nursing facility at the time of discharge. * Patients who are tolerating continuous tracheostomy capping at time of discharge