Informal discussion Reflection M&M meeting Signature …………….. Critical incident report Simulation training CBD Local anaesthetic toxicity Clinical experience Date CEX ……………………. Informal discussion Reflection M&M meeting Signature Critical incident report …………….. CBD Simulation training Accidental decannulation of Clinical experience Date CEX ……………………. Informal discussion tracheostomy or tracheal Reflection M&M meeting Signature tube Critical incident report …………….. Simulation training CBD Coning due to increased Clinical experience Date CEX ……………………. Informal discussion intracranial pressure Reflection M&M meeting Signature Critical incident report …………….. Simulation training CBD Malignant hyperpyrexia Clinical experience Date CEX ……………………. Informal discussion Reflection M&M meeting Signature Critical incident report …………….. Critical Incident Experience ePortfolio (tick) (tick if required) CBD Simulation training Demonstrates good non-technical Clinical experience Date CEX ……………………. M&M meeting skills: DOPS Signature Critical incident report …………….. Reflection effective communication team-working leadership decision-making high situation awareness Simulation training CBD Demonstrates the ability to recognise Clinical experience Date CEX ……………………. M&M meeting early a deteriorating situation by DOPS Signature Critical incident report …………….. Reflection careful monitoring. Simulation training CBD Demonstrates the ability to respond Clinical experience Date CEX ……………………. M&M meeting appropriately to each incident listed DOPS Signature Critical incident report …………….. Reflection above. Simulation training CBD Shows how to initiate management of Clinical experience Date CEX ……………………. M&M meeting each incident listed above. DOPS Signature Critical incident report …………….. Reflection Simulation training CBD Demonstrates ability to recognise Clinical experience Date CEX ……………………. M&M meeting DOPS
Informal discussion M&M meeting Critical incident report Signature …………….. Reflection Local anaesthetic toxicity Simulation training Clinical experience Informal discussion M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX Reflection Accidental decannulation of tracheostomy or tracheal tube Simulation training Clinical experience Informal discussion M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX Reflection Coning due to increased intracranial pressure Simulation training Clinical experience Informal discussion M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX Reflection Malignant hyperpyrexia Simulation training Clinical experience Informal discussion M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX Reflection Critical Incident Experience (tick) ePortfolio (tick if required) Demonstrates good non-technical skills: effective communication team-working leadership decision-making high situation awareness Simulation training Clinical experience M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX DOPS Reflection Demonstrates the ability to recognise early a deteriorating situation by careful monitoring. Simulation training Clinical experience M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX DOPS Reflection Demonstrates the ability to respond appropriately to each incident listed above. Simulation training Clinical experience M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX DOPS Reflection Shows how to initiate management of each incident listed above. Simulation training Clinical experience M&M meeting Critical incident report Date ……………………. Signature …………….. CBD CEX DOPS Reflection Demonstrates ability to recognise Simulation training Clinical experience M&M meeting Date ……………………. CBD CEX DOPS
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