Training activity: 6

Details

Intubate the anorectum with an anorectal manometry catheter and confirm the correct positioning

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Patient centred care and support
• Calibration checks for the anorectal manometry catheter
• Local, national and international guidelines and standards for anorectal physiology investigations
• Catheter positioning, with reference to rectal and atmospheric pressure
• Local policies and procedures
• The principles of dignity, privacy and confidentiality
• Communication with patients throughout their investigation
• The principles of valid informed consent and confirming ongoing consent
• Legislation

Relevant learning outcomes

#	Outcome
# 1	Outcome Describe the requirements of anorectal physiology investigations including indications and contraindications, and take a patient history.
# 5	Outcome Perform, analyse and report anorectal physiology investigations in a range of patient conditions adapting the procedure to answer the scientific question and to meet the patient’s needs.
# 6	Outcome Perform routine maintenance and calibration of anorectal manometry equipment, recognising problems and artefacts which may result in an inaccurate study being performed.
# 7	Outcome Apply and adapt their approach to the patient’s individual tolerance, personal experience and anxieties, demonstrating sensitivity to the emotional implications of intimate and invasive investigations on a patient’s wellbeing.