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College of Medical and Dental Sciences

M3/5-CSK-Y15

CLINICAL PROCEDURAL SKILLS PASSPORT

Name

Student Number

A version of this passport has now been adopted by the three Medical Schools in the West Midlands

All care is taken to ensure that the information in this handbook is correct at the time of going to print. Any updates and alterations will be posted on Canvas. Should you find any inaccuracies, omissions or have any other comments, please e-mail David Morley at [email protected] Handbook Version 2.0 Date of Origin: August 2015

mailto:[email protected]

1

Introduction This passport contains pages where you should document your progress in achieving competence in the following procedural skills. These are the procedural skills that the GMC requires medical students to be competent in at graduation. This is why, in slightly different variations to suit their courses, this passport has been adopted by Keele and Warwick Medical School. For more information about the curriculum requirements of the GMC go to http://www.gmc-uk.org/education/undergraduate.asp.

You can be sure that as an FY1 doctor you will have to perform most of these procedures regularly. Therefore you really should make the most of the opportunities available to you to gain competence and confidence in these skills. Your learning curve as an FY1 will be steep enough, without having to worry unnecessarily about your basic skills.

This passport is organised to mirror the way the GMC divide procedural skills. Therefore, you will find the following sections

General Aspects of Procedural Skills

Diagnostic Procedures

Therapeutic Procedures

Acknowledgement: This passport was produced with guidance of the UHB clinical skills team.

Contents Page

The Process 3

Clinical Procedural Skills Blueprint 5

Procedures to be undertaken by Year and Rotation 7

General Aspects of Procedural Skills ANTT Aseptic Non-Touch Technique 11

Hand-washing 11

Moving and Handling 11

Protective equipment 11

Scrubbing Up 12

Sharps and clinical waste disposal 12

Handwashing Technique 13


Arterial Blood Gas Sampling 14

Blood Culture - Taking 16

Blood Glucose Measuring 18

Blood Pressure and Pulse Monitoring 20

Body Temperature Monitoring 22

ECG – Managing an ECG Monitor 24

ECG – Performing a 12 lead ECG 26

Ophthalmoscopy 28

Otoscopy 30

Oxygen Saturation – Transcutaneous monitoring 32

Respiratory Function Testing (peak flow) 34

Swabs – taking nose, throat and skin swabs 36

Urine Analysis (using Multistix) 38

Venepuncture and Blood Sample Management 40

http://www.gmc-uk.org/education/undergraduate.asp

2


Airway Management (Bag and Mask) 42

Airway Management (Intubation / LMA) 44

Airway Management (Oral Airway) 46

Blood transfusion 48

Central Venous Access Devices 50

Infusions – setting up a fluid infusion 52

Injections Intramuscular 54

Injections - IV bolus 56

Injections Subcutaneous 58

Naso-gastric Tube insertion 60

Nebuliser (Using a) 62

Oxygen Therapy – administering Oxygen 64

Parenteral administration: making up drugs for 66

Suturing (skin) 68

Urinary Catheterisation 70

Venous Cannulation and Flushing - Establishing peripheral venous access. 72

Wound care and basic wound dressing 74

Personal Details (passport page) 76

3

The Process

What should I do with my passport when I receive it?

Write your name and student number on the front page.

Also ensure you complete the ID page at the back of the passport, including affixing a photo in the

appropriate place

What do I need to do for each skill? For each skill (and in this order) you will be:

taught and then assessed in the simulated environment

observed on a number of occasions in the clinical area

signed off as able to perform the skill independently. (Once you have been observed performing the

skill to a satisfactory level on sufficient occasions). This does not mean you will be allowed or expected

to perform this procedure independently, but that you have demonstrated the competence to do so.

You are responsible for ensuring you are observed performing procedures. This will not be arranged for

you. To help, students in previous years have compiled a briefing sheet which indicates where in their

experience good places to obtained observed practice are in the placement hospitals. If you have been

“signed off” in a procedure before the final year, you should continue to find the opportunities to practice

the procedure throughout the remainder of the course to maintain your level of competency.

How should I prepare for the simulated training sessions You should ensure that, where they are available, you familiarise yourself with the material available on

Canvas, or review your notes from earlier in the course. Locate other appropriate materials if necessary,

but you should always prepare for teaching sessions.

Why is it important to keep my passport with me?

It is advisable to keep your passport to hand when you are on clinical placement, so that you can take

opportunities to be signed off after an observation.

It is also useful to keep the passport with you, as healthcare professionals may well be more likely to

allow you to perform procedures when they have information about your level of competence.

Why is it important to look after my passport? Students should take every care to look after their passport. Its loss will cause both you and clinical skills

administration significant inconvenience. You may have to pay for a replacement.

If I do lose my passport will I have to do everything again? You will enter the data contained in your passport onto an online database:

You will enter data about training sessions in simulation, and this will be validated by your

Undergraduate Co-ordinator

You will be responsible for entering data about ‘observed clinical practice’

You will be required to hand your passport in periodically so that data can be checked. Providing this is

done in a timely way, you will have evidence of your activity, which can be entered into a replacement

passport.

How do I access the online database? The online database can be accessed via http://mymds.bham.ac.uk/

http://mymds.bham.ac.uk/

4

If I do not keep up to speed at being observed performing procedural skills, what are the consequences? Your progression to years 4 and 5 of the course may be prevented if you have not kept up-to-date with the

requirements of the schedule outlined in this passport. Your progress will be monitored in a number of

ways

The online database will be interrogated periodically to see how many procedures you have recorded

Undergraduate co-ordinators may collect the passports in at the end of clinical placements

The School Office will require you to hand in the passport periodically

Your Senior Academy Tutor, firm lead or clinical supervisor may want to see your passport as part of

the Professional Behaviour and Attitudes discussion

Personal Mentors may want to see your passport from time to time

Can I get ahead and be observed before the module specified in the passport? Yes you can, and you are encouraged to do this providing you are appropriately supervised and have

undertaken any prerequisite simulation. However, you should be aware that the main reason for

introducing a clinical skills passport is to ensure that you are competent at the skills at the time of

graduation, making your transition to FY1 a less stressful event. To ensure you are competent at the point

of graduation, you will be tested in procedural skills in a simulated environment during Year 5.

Can I be observed more than the specified number of times? Yes, of course! Please take every opportunity to do and be observed performing procedural skills. The

passport is limited in space so it is limited to the number of required observations. However the online

database will allow you to store data about all your observations.

Who can sign the passport?

Clinical skills trainers will sign the training in simulation section.

Any healthcare professional who undertakes this skill regularly as part of their job is regarded as

competent to observe students carry out a procedural skill and to sign the ‘Observation in the Clinical

Environment’ section of the clinical procedural skills passports. This might include doctors, nurses,

health care assistants, technicians or phlebotomists.

Sessions at the Medical School in Year 5 The skills listed below will be taught in simulation at the Medical School during the 5th year.

Arterial Blood Gases (ABGs)

Blood Culture Taking

Central Venous Access Device – management and maintenance

Nasogastric Tube Insertion

Suturing

More details will be given to you near the time. As these skills are taught late in the MBChB programme,

there isn’t a formal requirement for you to gain observed practice. However, your teaching session in the 5th

year will be timed to allow you the opportunity of practicing these skills during the Acutely Ill Patient

rotation.

Students are reminded that it is a serious offence to forge a signature or falsify data held in this passport.

Any attempts to do this will be dealt with severely.

5

Clinical Procedural Skills Blueprint

General aspects of procedures

Title in passport Simulation Key

ANTT Aseptic Non-Touch Technique Year 3 Intro Period CBM = Community-based Medicine

Hand-washing Year 3 Intro Period SPC = Surgery and Peri-operative Care

Moving and Handling Year 3 Intro Period SPM = Specialty Medicine

Protective equipment Year 3 Intro Period AIP = Acutely Ill Patient

Scrubbing Up Year 3 Semester 1

Sharps and clinical waste disposal Year 3 Intro Period


Title in passport Simulation Observed Practice 1 Observed Practice 2 Sign Off

Arterial Blood Gas Sampling Year 5 Medical School

Blood Culture - Taking Year 5 Medical School

Blood Glucose Measuring Year 3 Semester 1 Year 3 Semester 1

Year 3 Semester 1

Blood Pressure and Pulse Monitoring CBM Year 1 or 2 Year 3 Semester 1 Year 4 SPM Year 4 SPM

Body Temperature Monitoring CBM Year 1 or 2 Year 3 Semester 1 Year 4 SPM Year 4 SPM

ECG – Managing an ECG Monitor Year 3 Semester 1 Year 3 Semester 1

Year 3 Semester 1

ECG – Performing a 12 lead ECG Year 3 Semester 1 Year 3 Semester 1 Year 4 SPM Year 4 SPM

Ophthalmoscopy Year 3 Semester 2 Year 3 Semester 2 Year 4 SPM Year 4 SPM

Otoscopy Year 3 Semester 2 Year 3 Semester 2 Year 4 SPC Year 4 SPC

Oxygen Saturation – Transcutaneous monitoring

Year 3 Semester 1 Year 3 Semester 1

Year 3 Semester 1

Respiratory Function Test (Peak flow) CBM Year 1 or 2 Year 3 Semester 1 Year 4 SPM Year 4 SPM

Swabs – taking nose, throat and skin swabs

Year 3 Semester 2 Year 3 Semester 2 Year 4 SPC Year 4 SPC

Urine Analysis (using Multistix) Year 3 Semester 1 Year 3 Semester 1

Year 3 Semester 1

Venepuncture and Blood Sample Management

Year 3 Intro Period Year 3 Semester 1 Year 3 Semester 2 Year 3 Semester 2

6


Title in passport Simulation Observed Practice 1 Observed Practice 2 Sign Off

Airway Management (Bag and Mask) Year 4 SPC Year 4 SPC Year 4 SPC Year 4 SPC

Airway Management (Intubation / LMA) Year 4 SPC Year 4 SPC Year 4 SPC Year 4 SPC

Airway Management (Oral Airway) Year 4 SPC Year 4 SPC Year 4 SPC Year 4 SPC

Blood transfusion Year 3 Semester 2 Year 3 Semester 2* Year 4 SPC*

Central Venous Access Devices Year 5 Medical School

Infusions – setting up a fluid infusion Year 3 Semester 2 Year 3 Semester 2 Year 4 SPM Year 4 SPM

Injections Intramuscular Year 3 Intro Period Year 3 CBM

Year 3 CBM

Injections IV bolus Year 3 Semester 2 Year 3 Semester 2 Year 4 SPM Year 4 SPM

Injections Subcutaneous Year 3 Intro Period Year 3 Semester 1 Year 4 SPM Year 4 SPM

Naso-gastric Tube insertion Year 5 Medical School

Nebuliser (Using a) Year 3 Semester 2 Year 3 Semester 2 Year 4 SPM Year 4 SPM

Oxygen Therapy – administering Oxygen

Year 3 Semester 1 Year 3 Semester 1 Year 3 Semester 2 Year 3 Semester 2

Parenteral administration: making up drugs for

Year 3 Semester 2 Year 3 Semester 2 Year 4 SPM Year 4 SPM

Suturing (skin) Year 5 Medical School

Urinary Catheterisation Year 4 SPC Year 4 SPC Year 5 AIP Year 5 AIP

Venous Cannulation and Flushing - Establishing peripheral venous access.

Year 3 Semester 2 Year 3 Semester 2 Year 4 SPC Year 4 SPC

Wound care and basic wound dressing Year 4 SPC Year 4 SPC

Year 5 AIP

* Students will be unable to gain observed practice, but should ensure they observe a qualified member of staff undertaking this procedure.

7

Procedures to be undertaken by Year and Rotation

Please see below an ‘at a glance’ guide to what you need to achieve on a year by year, module by module

basis during the MBChB.

It is assumed that in order to have progressed to year 3, you will already have demonstrated competence in

the following procedural skills required by Tomorrow’s Doctors and so these are not included in this

passport to be taught again, but observed practice is required to keep your skills fresh.

Blood Pressure (measuring)

Body Temperature (taking)

Respiratory Function Testing (Peak Flow)

You may also have some experience in the following procedures, but these are deliberately included in this

passport as it is thought necessary for you to keep your skills in these procedures up-to-date.

Injections (Intramuscular)

Urine analysis (using Multistix)

Venepuncture

You may also have some practical experience in addition to the knowledge you have gained in Biological

Sciences teaching – again, it is thought necessary to ensure you are taught in simulation and undertake

observed practice.

ECG recording – CVS module

Ophthalmoscopy – Neurones and Synapses module

Year 3 Introductory Period

Procedure Simulation Observed 1 Observed 2 Sign Off

ANTT Aseptic Non-Touch Technique

Hand-washing

Moving and Handling

Protective equipment

Sharps and clinical waste disposal

Injections (IM)

Injections (Subcut)

Venepuncture

In the following tables the number shown in the ‘observed’ boxes indicates how many times you should be

observed performing this procedure during the rotation or component.

8

Year 3 Semester 1


Blood Glucose Measuring 3



ECG - Managing an ECG monitor 3

ECG – performing a 12 lead ECG 3

Injections (Subcut) 3

Oxygen Saturation – Transcutaneous monitoring

3

Oxygen Therapy – administering oxygen

3

Respiratory Function Testing (Peak Flow)

3

Scrubbing Up

Urine Analysis (using Multistix) 3

Venepuncture and Blood Sample Management

3

Year 3 Semester 2


Blood transfusion 3


Injections IV bolus 3


Ophthalmoscopy 3

Otoscopy 3

Oxygen Therapy – administering oxygen

3

Perenteral Administration: making up drugs for

3


3

Venepuncture 3

Venous Cannulation and Flushing - Establishing peripheral venous access

3

Year 3 CBM


Injections (IM)

3

9

Year 4 Specialty Medicine




ECG – performing a 12 lead ECG 3


Injections IV bolus 3

Injections (Subcut) 3


Ophthalmoscopy 3

Parenteral administration: making up drugs for

3

Respiratory Function Testing: Peak Flow

3

Year 4 Surgery and Peri-operative Care


Airway Management (Bag & Mask)

9

Airway Management (Intubation / LMA)

6

Airway Management (Oral Airway)

6

Blood Transfusion 3

Otoscopy 3


3


Venous Cannulation and Flushing - Establishing peripheral venous access

6

Wound care and basic wound dressing 3

10

Year 5 Acutely Ill Patient



Wound care and basic wound dressing

Year 5 Medical School


Arterial Blood Gas Sampling

Blood Cultures

Central Venous Access Devices

Naso-gastric Tube insertion

Suturing (skin)

NB ‘Observed 1’ and ‘Observed 2’ refer to when you must be observed performing the procedure in the

clinical environment. In most cases the requirement to be observed performing the procedure

satisfactorily has been blueprinted to 2 separate areas of the course. This is to ensure that your

skills do not deteriorate before the end of the course, and because allocating this requirement to two

separate parts of the course increases the opportunities for observed practice. In most cases for

‘Observed 1’ or for ‘Observed 2’ you will need to be observed performing the procedure

satisfactorily three times, but there are some exceptions to this.

11

General Aspects of Procedural Skills These are core skills, integral to all other skills contained in this passport. There is no specific requirement

to gain observed practice, but clearly they form part of nearly all procedures.

ANTT Aseptic Non-Touch Technique Taking all steps necessary to prevent the spread of infection before, during and after a procedure

To be achieved during Year 3 Introductory Period

Date Location Hospital/practice

Assessor’s Name Assessor’s Signature

Assessor’s Role/Position

1

Hand washing TD2009 - Description of Procedure

Following approved processes for cleaning hands





1

Moving and Handling TD2009 - Description of Procedure

Using, or directing other team members to use, approved methods for moving, lifting

and handling people or objects, in the context of clinical care, using methods that

avoid injury to patients, colleagues, or oneself.





1

Protective equipment TD2009 - Description of Procedure

Making correct use of equipment designed to prevent the spread of body fluids or

cross-infection between the operator and the patient.





1

12

Scrubbing Up TD2009 - Description of Procedure

Cleaning hands and arms prior to surgical operations.

To be achieved during Year 3 Semester 1




1

Sharps and clinical waste disposal TD2009 - Description of Procedure

Ensuring that these materials are handled carefully and placed in a suitable

container for disposal.





1

13

Handwashing Technique

Five Points of Hand Hygiene

1 Before patient contact When? Clean your hands before touching a patient when approaching him/her Examples: shaking hands, helping a patient to move around, clinical examination

2 Before an aseptic task When? clean your hands immediately before any aseptic task Examples: oral/dental care, secretion, aspiration, wound dressing, catheter insertion, preparation of food, medications

3 After body fluid exposure risk

When? Clean your hands immediately after an exposure to body fluids and glove removal Examples: oral/dental care, secretion, aspiration, drawing and manipulating blood, clearing up urine, faeces, handling waste

4 After patient contact When? Clean your hands after touching a patient and his/her immediate surroundings Examples: Shaking hands, helping a patient to move around, physical examination

5 After contact with patient surroundings

When? Clean your hands after touching any object or furniture in the patient’s immediate surroundings, when leaving – even if the patient has not been touched Examples: changing bed linen, adjusting drip stands, using medical equipment

Handwashing Technique

Wash hands using the following 8 steps.

Each step consists of 5 strokes rubbing backwards and forwards.

7

3

865

421

7

3

865

421

West Midlands Regional Group of the Infection Control Nurses Association

Rinse hands under running water and dry thoroughlyRinse hands under running water and dry thoroughly

1.

Wet hands under

running water.

Take a measure

of soap.


Each step consists of five strokes rubbing backwards and forwards.

2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.

Back of left fingers

to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.



1.

Wet hands under

running water.

Take a measure

of soap.



2.

Work into

hands, palm

to palm.

3.

Right hand over

back of left and

vice versa.

4.

Rub palm to

palm, fingers

interlaced.

5.


to right palms,

fingers interlocked

and vice versa.

6.

Rotational

rubbing of right

thumb clasped in

left hand and

vice versa.

7.

Rub left palm with

clasped fingers of

right hand and vice

versa.

8.

Left wrist with

right hand and

vice versa.

Wet hands under running water.

Take a measure of soap

Work into hands, palm to palm Right hand over back of left and

vice versa

Rub palm to palm, fingers

interlaced

Back of left fingers to right palms,

fingers interlocked and vice versa

Rotational rubbing of right thumb

clasped in left hand and vice versa

Rub left palm with clasped fingers

of right hand and vice versa

Left wrist with right hand and vice

versa

Rinse hands under running water and dry thoroughly

14


Arterial Blood Gas Sampling Simulation

TD2009 – Description of Procedure

Taking a sample of blood from an artery to test the blood gases.

Making sure that blood samples are placed in the correct containers, and

that these are labelled correctly and sent to the laboratory promptly and in

the correct way. Taking measures to prevent spilling and contamination

Assessment in Simulated Environment

Competency Criteria for simulation

1 Demonstrates understanding of indications, relevant anatomy, techniques of procedure

2 Demonstrates appropriate preparation pre-procedure

3 Technical ability

4 Demonstrates compliance with infection prevention and control (including hand hygiene, aseptic

technique, attire)

5 Post-procedure management

6 Communication skills

To be achieved during Year 5 Medical School




1

15

Arterial Blood Gas Sampling Observed Practice

Observation in the Clinical Environment

Success criteria for observation in the clinical environment (criteria for competence in simulation must also be demonstrated)

7 Appropriate analgesia or safe sedation where appropriate

8 Obtains consent appropriate for this procedure

9 Seeks help where appropriate

10 Consideration of patient/professionalism

Record Only Successful Attempts Below

NB Students may not have the opportunity to do this, so this page does not have to be completed, but

provides a space for students to record their activity, if they have been fortunate enough to be able

to perform this skill

To be achieved during Year 5 AIP


Observer’s Name (print)

Observer’s Signature

Observer’s Role/Position

1

2

3

16

Blood Culture Taking Simulation


Taking samples of venous blood to test for the growth of infectious

organisms in the blood. Requires special blood containers and laboratory

procedures.



the correct way. Taking measures to prevent spilling and contamination





3 Technical ability

4 Demonstrates compliance with infection prevention and control (including hand hygiene, aseptic technique, attire)







1

17

Blood Culture Taking Observed Practice








to perform this procedure.

Record Only Successful Attempts Below (where students have the opportunity)






1

2

3

4

5

6

18

Blood Glucose Measuring Simulation


Measuring the concentration of glucose in the patient's blood at the

bedside, using appropriate equipment and interpreting the results





3 Technical ability


technique, attire)







1

19

Blood Glucose Measuring Observed Practice












1

2

3

Students are encouraged to perform this procedure on more occasions than the minimum requirement

shown on this page. Further attempts can be recorded on the MyMDS.bham.ac.uk online database.

On observation this student was able to perform this procedure competently and independently

To be achieved before or during Year 3 Semester 1

Name of Observer GMC / Reg no. of Observer Signature of Observer Date

20

Blood Pressure and Pulse Monitoring Simulation


Using manual techniques and automatic devices.





3 Technical ability


technique, attire)



To be achieved during CBM during year 1 or 2




1 Not recorded in this passport as undertaken prior to year 3

21

Blood Pressure and Pulse Monitoring Observed Practice












1

2

3

To be achieved during Year 4 SPM





1

2

3




To be achieved before or during Year 4 SPM


22

Body Temperature Monitoring Simulation


Using an appropriate recording device





3 Technical ability


technique, attire)








23

Body Temperature Monitoring Observed Practice












1

2

3






1

2

3






24

ECG – Managing an ECG Monitor Simulation


Setting up a continuous recording of the electrical activity of the heart,

ensuring the recorder is functioning correctly, and interpreting the tracing.





3 Technical ability


technique, attire)







1

25

ECG – Managing an ECG Monitor Observed Practice












1

2

3






26

ECG – Performing a 12 lead ECG Simulation


Recording a full, detailed tracing of the electrical activity of the heart, using a machine recorder (electrocardiograph).





3 Technical ability


technique, attire)







1

27

ECG – Performing a 12 lead ECG Observed Practice












1

2

3






4

5

6






28

Ophthalmoscopy Simulation


Examination of the interior of the eye with an ophthalmoscope





3 Technical ability


technique, attire)







1

29

Ophthalmoscopy Observed Practice












1

2

3






4

5

6






30

Otoscopy Simulation

Description of Procedure

Examination of the external ear canal and tympanic membrane using an

otoscope





3 Technical ability


technique, attire)







1

31

Otoscopy Observed Practice












1

2

3

To be achieved before or during Year 4 SPC





4

5

6






32

Oxygen Saturation – Transcutaneous Monitoring Simulation


Applying, and taking readings from, an electronic device which measures

the amount of oxygen in the patient's blood.





3 Technical ability


technique, attire)







1

33

Oxygen Saturation – Transcutaneous Monitoring Observed Practice












1

2

3






34

Respiratory Function Testing (Peak Flow) Simulation


Demonstrate to a patient how to record the peak expiratory flow rate using

a hand held peak air flow meter. Be able to use normal value charts to

interpret the recorded peak expiratory flow rate.





3 Technical ability


technique, attire)








35

Respiratory Function Testing (Peak Flow) Observed Practice












1

2

3






1

2

3






36

Swabs – taking nose, throat and skin swabs Simulation


Using the correct technique to sample microbial flora by applying sterile

swabs to the nose, throat and skin





3 Technical ability


technique, attire)







1

37

Swabs – taking nose, throat and skin swabs Observed Practice












1

2

3






4

5

6






38

Urine Analysis (using Multistix) Simulation


Testing a sample of urine for abnormal components, such as blood or

protein. The urine is applied to a plastic strip with chemicals which change

colour in response to specific abnormalities.





3 Technical ability


technique, attire)







1

39

Urine Analysis (using Multistix) Observed Practice












1

2

3






40

Venepuncture and blood sample management Simulation


Inserting a needle into a patient's vein to take a sample of blood for testing.



the correct way. Taking measures to prevent spilling and contamination.





3 Technical ability


technique, attire)



To be achieved during Year 3 Intro Period




1

41

Venepuncture and blood sample management Observed Practice



7

8

Appropriate analgesia where appropriate

Obtains consent appropriate for this procedure









1

2

3






4

5

6






42


Airway Management (Bag and Mask) Simulation


Using an emergency airway management technique which allows for

oxygenation and ventilation of patients until a more definitive airway can be

established





3 Technical ability


technique, attire)



To be achieved during Year 4 SPC




1

43

Airway Management (Bag and Mask) Observed Practice












1

2

3

4

5

6

7

8

9





Name of Observer GMC / Reg no. of Observer

Signature of Observer Date

44

Airway Management (Intubation / LMA) Simulation


Inserting an endotracheal tube / laryngeal mask airway. Using a cuff device

that provides a sufficient seal to allow for positive pressure ventilation to be

delivered.





3 Technical ability


technique, attire)







1

45

Airway Management (Intubation / LMA) Observed Practice













1

2

3

4

5

6







46

Airway Management (Oral airway) Simulation


Inserting a curved piece of plastic inserted over the tongue that creates an

air passage way between the mouth and the posterior pharyngeal wall.





3 Technical ability


technique, attire)







1

47

Airway Management (Oral airway) Observed Practice












1

2

3

4

5

6







48

Blood Transfusion Simulation


Following the correct procedures to give a transfusion of blood into the vein

of a patient (including correct identification of the patient and checking

blood groups). Observation for possible reactions to the transfusion, and

taking appropriate actions if they occur.





3 Technical ability

4 Demonstrates compliance with infection prevention and control (hand hygiene, aseptic technique,

attire)







1

49

Blood Transfusion Observed Practice







NB: Students will be unable to undertake observed practice in this procedure. Students should observe

a qualified member of staff undertaking the procedure.



Performer’s Name (print)

Performer’s Signature

Performer’s Role/Position

1

2

3



Performer’s Name (print)

Performer’s Signature

Performer’s Role/Position

4

5

6

50

Central Venous Access Devices Simulation


The maintenance of CVAD lines including their aspiration and flushing





3 Technical ability


technique, attire)







1

51

Central Venous Access Devices Observed Practice















1

2

3

52

Infusions – setting up a fluid infusion Simulation


Setting up a gravity fed giving set. Understanding of the regulation of flow

rate of fluid administration, including awareness of mechanical infusion

devices





3 Technical ability


technique, attire)







1

53

Infusions – setting up a fluid infusion Observed Practice












1

2

3






4

5

6




54

Injections – Intramuscular Simulation


Giving injections into muscle.





3 Technical ability


attire)







1

55

Injections – Intramuscular Observed Practice







To be achieved before or during Year 3 CBM





1

2

3




To be achieved before or during Year 3 CBM


56

Injections – IV bolus Simulation


Giving a bolus injection into a patient’s vein via a vascular access device.

(Note: This does not include reconstitution of drugs or undertaking drug

calculations)





3 Technical ability


technique, attire)







1

57

Injections – IV bolus Observed Practice












1

2

3






4

5

6






58

Injections – Subcutaneous Simulation


Giving injections beneath the skin.





3 Technical ability


attire)







1

59

Injections – Subcutaneous Observed Practice












1

2

3






4

5

6






60

Nasogastric Tube Insertion Simulation


Passing a narrow bore tube into the stomach via the nose for nutritional

support or for aspiration of stomach contents





3 Technical ability


technique, attire)







1

61

Nasogastric Tube Insertion Observed Practice
















1

2

3

62

Nebuliser (Using a) Simulation

Description of Procedure Assembling the nebuliser set, preparing the nebuliser medication,

administering the nebulised medication including flow and duration and

cleaning the equipment after the procedure.





3 Technical ability


technique, attire)







1

63

Nebuliser (Using a) Observed Practice












1

2

3






4

5

6







64

Oxygen Therapy – Administering Oxygen Simulation


Allowing the patient to breathe a higher concentration of oxygen than

normal, via a face mask or other equipment.





3 Technical ability


attire)







1

65

Oxygen Therapy – Administering Oxygen Observed Practice












1

2

3






4

5

6






66

Perenteral Administration: making up drugs for Simulation


Preparing medicines in a form suitable for injection into the patient's vein.

This involves reconstituting a powdered drug for infusion and adding the

drug to a volume of fluid to make up the correct concentration for

injection. May involve drug calculations to make up the correct doses or

concentrations





3 Technical ability


technique, attire)







1

67

Perenteral Administration: making up drugs for Observed Practice












1

2

3






1

2

3






68

Suturing (skin) Simulation


Repairing defects in the skin by inserting stitches (normally includes use of

local anaesthetic).





3 Technical ability


technique, attire)







1

69

Suturing (skin) Observed Practice
















1

2

3

4

5

6

70

Urinary Catheterisation Simulation


Passing a tube into the urinary bladder to permit drainage of urine, in male

and female patients.





3 Technical ability


technique, attire)







1

71

Urinary Catheterisation Observed Practice













1

2

3

To be achieved before or during Year 5 AIP





4

5

6






72

Venous Cannulation and flushing Simulation (Establishing peripheral venous access)


Puncturing a patient's vein in order to insert an indwelling plastic tube

(known as a 'cannula'), to allow fluids to be infused into the vein (a 'drip') or

drugs to be injected. Includes flushing of the device.





3 Technical ability


technique, attire)







1

73

Venous Cannulation and flushing Observed Practice (Establishing peripheral venous access)













1

2

3






4

5

6

7

8

9




74

Wound care and basic wound dressing Simulation


Providing basic care of surgical or traumatic wounds and applying

dressings appropriately.





3 Technical ability


technique, attire)







1

75

Wound care and basic wound dressing Observed Practice













1

2

3






76

Student Identification Page

AFFIX PHOTO HERE

CLINICAL SKILLS PASSPORT

Last Name

First Name

Student Number

Signature

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