Apprentice Learning log

Date: 21:04:25

Time: 17-20:00

Title of Learning: Reflection on Cuff Deflation Assistance

Yesterday, during my shift, the RN in charge asked me to assist with a cuff deflation for a tracheostomy patient. After checking that the patient was stable, I helped by deflating the cuff and attaching a one-way speaking valve to allow the patient to try vocalising. I worked closely under supervision and made sure I monitored the patient’s breathing and comfort throughout the process.

This experience helped me understand the importance of careful monitoring during cuff deflation. I realised how crucial it is to ensure the patient can manage their airway without the cuff inflated and to watch for any signs of breathing difficulty, oxygen desaturation, or distress. It also showed me how encouraging it can be for the patient to regain their ability to speak, even for a short time.

In the future, I will continue to develop my skills in tracheostomy care, especially understanding when a patient is ready for cuff deflation and use of a speaking valve. I plan to review local guidelines and ask for more opportunities to assist with similar procedures under supervision to build my confidence and competence safely.

Knowledge

K 1-20, 24, 24,30, 33, 36, 39-41, 43

Skills

S 1, 5, 7-9, 13-16,35

Behaviour

B 1,2,3