Step D: Explain the procedure to the client. It's crucial to inform the client about the upcoming procedure to promote cooperation, reduce anxiety, and ensure they understand what will happen during the care. This step also allows the client to ask questions and participate in their care if possible.

Step B: Wear clean gloves to remove the tracheostomy dressing:** Wearing clean gloves is essential to maintain the aseptic technique and prevent contamination during the procedure. Removing the dressing allows access to the tracheostomy site for cleaning and assessment.

Step C: Clean the inner cannula using a small brush: Cleaning the inner cannula helps prevent blockages and ensures a patent airway for the client. Regular cleaning of the inner cannula helps remove secretions and debris that could obstruct the airflow through the tracheostomy tube.

Step E: Apply clean tracheostomy ties: Securing the tracheostomy tube in place with clean ties is essential to prevent accidental dislodgement or movement of the tube. Properly securing the tracheostomy ties helps maintain the tube's position and ensures the client's safety.

Step A: Ensure a method to communicate during the procedure:** Communication is crucial during tracheostomy care. Ensuring the client has a method to communicate (such as using a communication board, gestures, or writing) allows them to express any discomfort or concerns during the procedure when verbal communication might be limited due to the care being performed. This step promotes client comfort and safety during the process.