Quality of Gives an accurate and succinct handover of the Uses unfamiliar abbreviations that require clarification department Repeatedly interrupts doctor who is presenting a patient’s Communication Ensures important message is heard correctly history Gives clear referral to specialty doctor with reason for Gives ambiguous instructions admission (e.g. SBAR) Authority & Uses appropriate degree of assertiveness when Fails to persevere when inpatient doctor refuses appropriate inpatient doctor refuses referral referral Assertiveness Willing to speak up to senior staff when concerned Shouts instructions to staff members when under pressure Remains calm under pressure Appears panicked and stressed Option Generation Seeks help when unsure Does not look at previous ED notes/ old ECGs when Goes to see patient to get more information when necessary junior is unclear about history Fails to listen to team members input for patient Encourages team members’ input management Fails to ensure all relevant information is available when advising referral Selecting & Verbalises consideration of risk when sending home Uses CDU to avoid making treatment decisions making patient Alters junior doctor’s treatment plan without explanation Communicating Discusses the contribution of false positive and false Forgets to notify nurse-in-charge of admission Options negative test results Decisive when giving advice to junior doctors Decision Outcome Review Reviews impact of treatment given to acutely sick Fails to establish referral outcome of complicated patient patient Sticks rigidly to plan despite availability of new information Follows up with doctor to see if provisional plan needs Fails to check that delegated task has been done revising Ensures priority treatment has been given to patient Uses Patient Tracking System appropriately to monitor Fails to notice that patient is about to breach and no plan Gathering Information state of the department has been made patients during long wait times to identify Ignores patient alarm alerting deterioration of vital signs ‘Eyeballs’ anyone who looks unwell Fails to notice that CDU is full when arranging new transfers Notices doctor has not turned up for Awareness Anticipating Identifies busy triage area and anticipates increased Fails to anticipate and prepare for difficulties or demand complications during a practical procedure Discusses contingencies with nurse-in-charge during Fails to ensure that breaks are planned to maintain safe periods of overcrowding staffing levels Prepares trauma team for arrival of emergency patient to anticipate and plan for clinical deterioration during Situational patient transfer
Quality of Communication Gives an accurate and succinct handover of the department Ensures important message is heard correctly Gives clear referral to specialty doctor with reason for admission (e.g. SBAR) Uses unfamiliar abbreviations that require clarification Repeatedly interrupts doctor who is presenting a patient’s history Gives ambiguous instructions Authority & Assertiveness Uses appropriate degree of assertiveness when inpatient doctor refuses referral Willing to speak up to senior staff when concerned Remains calm under pressure Fails to persevere when inpatient doctor refuses appropriate referral Shouts instructions to staff members when under pressure Appears panicked and stressed Decision making Option Generation Seeks help when unsure Goes to see patient to get more information when junior is unclear about history Encourages team members’ input Does not look at previous ED notes/ old ECGs when necessary Fails to listen to team members input for patient management Fails to ensure all relevant information is available when advising referral Selecting & Communicating Options Verbalises consideration of risk when sending home patient Discusses the contribution of false positive and false negative test results Decisive when giving advice to junior doctors Uses CDU to avoid making treatment decisions Alters junior doctor’s treatment plan without explanation Forgets to notify nurse-in-charge of admission Outcome Review Reviews impact of treatment given to acutely sick patient Follows up with doctor to see if provisional plan needs revising Ensures priority treatment has been given to patient Fails to establish referral outcome of complicated patient Sticks rigidly to plan despite availability of new information Fails to check that delegated task has been done Situational Awareness Gathering Information Uses Patient Tracking System appropriately to monitor state of the department ‘Eyeballs’ patients during long wait times to identify anyone who looks unwell Notices doctor has not turned up for Fails to notice that patient is about to breach and no plan has been made Ignores patient alarm alerting deterioration of vital signs Fails to notice that CDU is full when arranging new transfers Anticipating Identifies busy triage area and anticipates increased demand Discusses contingencies with nurse-in-charge during periods of overcrowding Prepares trauma team for arrival of emergency patient Fails to anticipate and prepare for difficulties or complications during a practical procedure Fails to ensure that breaks are planned to maintain safe staffing levels to anticipate and plan for clinical deterioration during patient transfer
1.6.13%20Extended%20Supervised%20Learning%20Event%20update%2005_03_15%20-%20DG.docx