A device to monitor movement of a tracheostomy tube is described. The device includes a faceplate that is releasably attached to a tracheostomy collar such that the faceplate may be used without the tracheostomy collar. The tracheostomy collar includes a sensor component and an actuator component each located proximate the faceplate. The actuator component actuates when the sensor component moves from a first position to a second position. The second position is further from the actuator component than the first position. The sensor component transmits a signal to an alarm assembly in response to the actuator component actuating. The alarm assembly produces an alert in response to receiving the signal from the sensor component.