Demonstrates initiative e.g. by recognising work pressures on others, providing support and organising / allocating work to optimise effectiveness within the clinical team 8. Demonstrates leadership skills Personally witnessed Initials of witnessing colleague Unable to confirm Leadership Describes the organisational structures and chains of responsibility including principles of line management in medical and non-medical staff Demonstrates extended leadership role within the team by making decisions and taking responsibility for managing increasingly complex situations across a greater range of clinical and non-clinical situations, Supervises and supports team members, e.g. supervising F1 doctors, delegating tasks appropriately, directing patient review, organising handover Verifying consultant’s signature confirming details above: Applicants name: Date of completion: Section 3: Clinical Care Personally witnessed Initials of witnessing colleague Unable to confirm 9. Recognises, assesses and initiates management of the acutely ill patient Recognition of acute illness Responds promptly to notification of deterioration or concern regarding a patient’s condition e.g. change in National Early Warning Score (NEWS) Prioritises tasks according to clinical urgency and reviews patients in a timely manner Recognises, manages and reports transfusion reactions, according to local and national guidelines Assessment of the acutely unwell patient Performs rapid, focused assessment of illness severity including physiological monitoring and also considering mental health aspects Performs prompt, rapid, focused assessment of the patient who presents an acute risk to themselves or to others in the context of mental disorder, incapacity or incompetence Immediate management of the acutely unwell patient Initiates prompt appropriate management to stabilise/prevent further deterioration in patients with common acute presentations (including mental health) and seeks timely senior help with the further management Identifies electrolyte imbalance and, with senior advice, delivers a safe and effective method of correction Reassesses acutely ill patients to monitor efficacy of interventions, including those aimed at managing acute mental illness and maintaining patient safety and the safety of others
Clinically effective prescription Prescribes and administers for common important indications including medicines required urgently in the management of medical emergencies e.g. sepsis, exacerbation of chronic obstructive pulmonary disease, pulmonary oedema, congestive cardiac failure, pain, thromboprophylaxis Prescribes safely for different patient groups including frail elderly, children, women of child-bearing potential, pregnant women and those with hepato-renal dysfunction Prescribes and administers oxygen, fluids and antimicrobials as appropriate e.g. in accordance with NICE guidance on antimicrobial and intravenous fluid therapy Chooses appropriate intravenous fluids as vehicles for intravenous drugs and calculates the correct volume and flow rate Assesses the need for fluid replacement therapy and chooses and prescribes appropriate intravenous fluids and calculates the correct volume and flow rates Prescribes and administers products safely in accordance with guidelines/protocols on safe cross matching and the use of blood and blood products Discussion of medication with patients Discusses drug treatment and administration with patients/carers, including duration of treatment, unwanted effects and interactions Obtains an accurate drug history, including allergy, use of complementary healthcare products and enquiry about allergic and other adverse reactions Verifying consultant’s signature confirming details above: Applicants name: Date of completion: Guidance on prescription Prescribes all available support including local and national formularies, pharmacists and more experienced prescribers to ensure accurate, safe and effective error-free prescribing, whilst recognising that legal responsibility remains with the prescriber Prescribes according to relevant national and local guidance on antimicrobial therapy, recognising the link between antimicrobial prescribing and the development of antimicrobial resistance Review of prescriptions Reviews prescriptions regularly for effectiveness and safety taking account of patient response, adverse reactions and drug level monitoring Recognises and initiates action for common adverse effects of drugs and communicates these to patients, including potential effects on work and driving 14. Performs procedures safely Personally witnessed Initials of witnessing colleague Unable to confirm