Apprentice Learning Log

Learning log

Date; 03/03/25

Time: 1500-1600

Title of Learning; Tracheostomy Procedure Checklist

This morning, I participated in an online learning session about the procedure checklist for a tracheostomy change. The session covered the essential steps that should be followed to ensure a safe and effective tracheostomy tube change. The checklist includes preparing the necessary equipment (such as sterile gloves, suction equipment, and the new tracheostomy tube), checking the patient’s medical history, and assessing their current condition to ensure they are fit for the procedure. It also emphasised the importance of checking the patient’s airway before, during, and after the procedure, ensuring that sterility is maintained throughout, and monitoring the patient for any signs of distress or complications.

This learning session was particularly valuable because it reinforced the structured approach needed when performing a tracheostomy change. The checklist ensures that no steps are missed, reducing the risk of complications such as infection or airway issues. I realised that using a checklist can significantly enhance the safety and efficiency of the procedure, especially in such high-stakes situations. The focus on thorough preparation and patient assessment prior to the procedure also emphasised how crucial it is to maintain clear communication within the healthcare team and to keep the patient’s well-being at the forefront. As a trainee nursing associate, I understood that following such checklists not only helps maintain quality care but also supports clinical confidence in complex procedures.

I plan to integrate the procedure checklist into my practice when involved in tracheostomy changes. I will focus on ensuring that all the necessary equipment is prepared ahead of time and that I am familiar with the checklist steps to avoid any mistakes. I will also prioritise patient assessment and clear communication with the team to confirm that the patient is stable and ready for the procedure. Additionally, I will make sure to always work with a team member during the procedure to ensure that the checklist is followed precisely and that the patient’s airway is properly monitored. I will seek feedback from senior colleagues about my use of the checklist to improve my efficiency and accuracy in such procedures.

Kn owledge

K 1-8, 12, 20, 26, 30, 33, 34, 36, 41

Skills

S 1,4

Behaviour

B 1, 2, 3