You will need to wear what is called a trach tie/holder to hold the trach in place. Look in our web links under accessories.
You will need a lube for your outer cannula, have your doctor write a prescription for Xylocaine 2% Jelly, this will not only make it easier to slide the tube in and out, but will numb the area inside a bit for a short time. This is okay to have in your stoma (as opposed to some of the things I hear folks using).
You might want an HME (this allows moisture when you are out of the house and keeps things from flying into your windpipe)
The best HME I have found is GibeckTrach Vent available from Hudson RCI (REF 41112)
This has a photo of Trach Vent series--has trach vent, holder and oxygen tube in photo.
This filter is much easier to breath through then the most common HME
Go here to see a sample photo of most common used: HUMID-VENT-mini
You will see this one is pretty small, the one I recommend has a larger "dead space" which makes breathing MUCH easier.
You may want to cover the trach for appearances and less stares:
Cardinal E-Z Breathe is a good filter. I have used this one especially when getting a hair cut.
Buchanan Protector I have used this one also and works okay.
Breathe easy filter
All sorts of filtering covers
Taking a shower-
Well first I would invest in grohe relaxa shower wand or something very similar. This has made my life so much easier for taking a shower. I am also finding I have to educate hotels about getting these in handicap rooms......most roll-in shower handicap rooms come this way.....but not all. I have pre-set the showerhead on the rod and it always hits below my trach site (no splashing into my trach).
When washing my hair (since I can bend my head forward) I take a hand towel and wrap it loosely around my neck and point the water where I want it to go.
Another suggestion I have heard for washing hair:
When showering: direct the water spray at chest level, and place the shower shield over your tracheotomy or hold a dry washcloth in your teeth.
They also have tracheotomy shower shields. See our web links page under accessories. Links valid March 2012)