I remember when I started as a new nurse feeling very intimidated by tracheostomies (or as most people call them - trachs, sounds like trakes). I was terrified that it was going to fall out or that I was going to injure the patient while managing it. I've since worked with them for six years in the ICU and feel very comfortable with them now. Hopefully this helps you to be at ease that trachs are not bad to manage!