Apprentice learning Log
Learning Log
Date: 02/03/25
Time: 10:00 – 11:30
Title of Learning: Bumper Retained Tube and Rotate
Yesterday, I learned about the technique for advancing and rotating a PEG tube, which is a feeding tube inserted directly into the stomach through the abdominal wall. The process involves carefully advancing the tube into the stomach and rotating it to ensure that it is properly positioned and secured. I observed how the tube is carefully inserted through the abdominal wall and into the stomach using an endoscope to guide the placement. The rotating technique helps in ensuring that the tube doesn’t cause irritation or damage to the surrounding tissue. The importance of confirming tube placement using X-rays or clinical signs was emphasised to ensure that the tube is positioned correctly before securing it.
Learning the technique for advancing and rotating a PEG tube was a significant learning moment for me. It highlighted how crucial the proper technique is for ensuring the tube is correctly positioned and that the patient experiences minimal discomfort. I realised that it’s not just about inserting the tube but also about ensuring its stability and avoiding any potential complications like tube dislodgement or injury to the surrounding tissue. The rotating motion, for example, helps prevent kinking or excessive tension on the tube, which can lead to discomfort or functional problems. This reinforced the importance of being meticulous and cautious when performing such procedures. Additionally, it reminded me of the need for patient monitoring to ensure that there are no immediate complications after the procedure.
I plan to refine my skills with the PEG tube advancement and rotation technique. I will focus on ensuring that I follow the steps carefully and work with the multidisciplinary team to ensure the patient is appropriately monitored during and after the procedure. I’ll pay close attention to the tube placement and how to check for signs of complications, such as discomfort or leakage. I will also seek feedback from my mentors and senior colleagues to improve my technique and to make sure I am consistently following best practices. This experience will guide my future practice, ensuring that I approach similar procedures with a clear understanding of the technique, the patient’s needs, and potential risks.
Knowledge
K 1, 4-13, 15-30, 33, 36, 39-41, 43
Skills
S 1, 2, 5, 17, 18, 21, 23, 25-28, 30, 32, 35
Behaviour
B1, 2, 3