6 months in intensive care medicine dr alison ingham
TRANSCRIPT
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6 months in Intensive Care Medicine
Dr Alison Ingham
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The Jewel in the Crown
• Exciting and dynamic• Look after the most
critically ill patients• Provide advanced organ
support• Covers entire spectrum
of medicine and surgery• High tech, life saving• Interacts with all other
areas of the hospital
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Nervous?
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WPBA
Current Placement
Base Hospital/Department
Dates
Clinical supervisor
WPBA in Current Placement
Assessment Number Comments
Mini-CEX
(min 3 in 6 months)
DOPs
(min 6 in 6 months)
List procedures included in DOPs and ensure they are signed off in Practical procedures
CBD
(min 4 in 6 months)
MSF
(1 per placement)
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Specific WPBAExperiential outcomes (please review evidence in learning portfolio)Practical Procedure WBA Date Outcome CommentsDemonstrates aseptic peripheral venous cannulation
DOPS
Demonstrates aseptic arterial cannulation (+ local anaesthetic)
DOPS
Obtains an arterial blood gas sample safely, interprets results correctly
DOPS or M CEX
Demonstrates aseptic placement of central venous catheter
DOPS
Connects mechanical ventilator and selects initial settings
DOPS
Describes Safe Use of Drugs to Facilitate Mechanical Ventilation
CBD
Describes Principles of Monitoring Respiratory Function
CBD
Describes the Assessment of the patient with poor compliance during Ventilatory Support (‘fighting the ventilator’)
CBD
Prescribes safe use of vasoactive drugs and electrolytes
M CEX or CBD
Delivers a fluid challenge safely to an acutely unwell patient
CBD
Describes actions required for accidental displacement of ETT or tracheostomy
CBD
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Major Presentations Septic Patient
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Competency Domains – FICM website
COMPETENCY DOMAINS SUCCESSFULLY ACHIEVED Competency Domain (at a level appropriate for ACCS)
1. Resuscitation and initial management of the acutely ill patient 2. Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation 3. Disease Management 4. Therapeutic interventions / Organ system support in single or multiple organ failure 5. Etc....... Total of 12 domains
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MSF / TAB
• Paperwork in folder
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Logbook
• Admissions• Any patient you have a lot to do with• Procedures• Transfers
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Career in ICM
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Dual Training
• Acute Internal Medicine
• Anaesthetics
• Emergency Medicine
• Renal Medicine
• Respiratory Medicine
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Shortlisting
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Any Questions?