Replacing the inner cannula and cleaning the stoma site.
Rationale: When tracheostomy care is performed. a sterile field is set up and sterile technique is used. Standard precautions such as washing hands must also be maintained but are not enough when performing tracheostomy care. The presence of a tracheostomy tube provides direct access to the lungs for organisms. so sterile technique is used to prevent infection. All of the other steps are correct and appropriate.
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