Apprentice Learning Log

Date: 23/04/25

Time: 20:30-23:30

Title of learning: Tracheostomy Change

Yesterday, during my shift, I observed and assisted a registered nurse in performing a tracheostomy tube change for a patient. My responsibilities included preparing the necessary equipment, ensuring the patient was in the correct position, and handing instruments to the RN during the procedure. I also monitored the patient’s vital signs and comfort levels throughout the process.

This experience highlighted the critical importance of teamwork, preparation, and adherence to sterile techniques during tracheostomy care. I learnt that having all necessary equipment ready and understanding each step of the procedure are vital to ensure patient safety and comfort. Observing the RN’s methodical approach and clear communication reinforced the significance of competence and confidence in performing such procedures. Additionally, I recognised the value of being proactive and attentive, as even small actions can significantly impact the procedure’s success and the patient’s well-being.

I aim to deepen my understanding of tracheostomy care by studying relevant guidelines and protocols. I plan to seek opportunities to observe and assist in similar procedures to build my confidence and competence. Engaging in discussions with experienced colleagues and attending training sessions will further enhance my skills. Ultimately, my goal is to provide safe, effective, and compassionate care to patients with tracheostomies, ensuring their comfort and dignity are maintained throughout their treatment.

Knowledge

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

Skills

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

Behaviour

B 1, 2, 3