APPENDIX - BHS Skills and Procedures Checklist – HMO 2+ Introduction The skills and procedure check list have been developed to help you keep a record of your learning and will be used in your end of term appraisal. Where possible ask a senior doctor to observe you undertaking any of the following procedures or document yourself what you have achieved. Element Procedure/skill Date Signed Airway Airway care with simple adjuncts such as pharyngeal airway Insertion of LMA Simple airway manoeuvres Understand difference- position neonate/child Breathing Bag mask ventilation* Apply oxygen mask Administer medication via a spacer Teach use of spacer Circulation IV access – Heel prick Venepuncture Intraosseous access IV infusion including the prescription of fluids IV infusion of blood & blood products Procedures Perform BLS - neonate and paediatric NG & feeding tube insertion Lumbar Puncture - Pain Relief Preparation and administration of IV medication, Understand performance of distraction & Nitrous oxide Paediatrics - Febrile child Examine ear, nose, throat Obtain a clean catch urine Paediatrics – breathing difficulty Asthma education Interpret chest x-ray Paediatrics - vomiting Assess hydration NG & feeding tube insertion IV access IV infusion including the calculation of fluids requirements
Overall performance □ Competent □ Not yet competent Assessor comments on candidate’s strengths and areas for improvement. Date: Clinical Problem: Assessment Criteria Descriptors Results 1. History taking • Elicits a history that is relevant, concise and accurate to patient’s context and preferences • Effectively uses appropriate questions • Responds appropriately to verbal and non-verbal cues □ Competent □ Not yet competent 2. Physical examination skills • Performs a focused physical examination that is relevant and accurate • Explains to patient • Sensitive to patient’s comfort and modesty □ Competent □ Not yet competent 3. Communication skills • Develops rapport, trust and understanding with patient/family • Accurately conveys relevant information and explanations to patients/family and other health professionals • Develops a shared plan of care with patients/families and other health professionals • Effectively manages challenges such as obtaining informed consent, delivering bad news, addressing and misunderstanding □ Competent □ Not yet competent 4. Clinical judgment • Demonstrates effective clinical problem solving and judgement to address patient problems • Interprets available data and integrates information to generate differential diagnoses and management plans □ Competent □ Not yet competent 5. Professionalism/ Consideration for patient • Exhibits honesty, integrity, compassion and respect • Participates effectively and appropriately in an interprofessional healthcare team • Appropriately manages conflicts of interest • Aware of own limitations □ Competent □ Not yet competent 6. Organisation/ efficiency • Sets priorities and manages time efficiently • Manages competing demands and stress • Appropriately manages supervision, resources and ED access and flow □ Competent □ Not yet competent Overall performance □ Competent □ Not yet competent Assessor comments on candidate’s strengths and areas for improvement.