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SKILL
YES
Understanding of the principles & techniques for ensuring patient safety when
preparing & presenting drugs for administration by others during clinical
emergencies.
Knowledge of the current guidelines for basic life support (including those of the
resuscitation council).
NO
Demonstrate knowledge & understanding of the principles & techniques used for
dealing with:
Respiratory arrest
Cardiac arrest
Hypovolaemic shock
Hyperpyrexia
Anaphylactic shock
Inhalation of stomach contents
Hypoxia
Airway obstruction
Hypothermia
SKILL
YES
Ability to recognise the signs & symptoms of the clinical emergencies mentioned
above.
Understanding of the factors that affect the choice of equipment for different
patient groups.
NO
Oxygen therapy
Suction
Airway management
Capnograph
Intravenous access
ECG
Defribrillator
Blood pressure monitors
Pulse oximetry
Temperature monitoring
Blood gas analyser
SKILL
YES
Knowledge & understanding of the current legislation and policy associated with:
NO
Type of breathing circuit used & the rationale for its use
Types & sizes of endotracheal tube and other artificial airways used
Types of laryngoscope blades used for paediatric patients
Special considerations
Complications associated with airway management of the paediatric
patient.
SKILL
YES
NO
Knowledge of the differences in paediatric A&P and how this affects the choices
for:
Cannulation
Airway management
Intravenous fluid administration
Drug therapy
Temperature
Ability to choose & prepare equipment & materials for cannulation, including:
Knowledge of the complications & hazards that may arise during the
preparation of infusion solutions, and how these risks can be minimised.
Knowledge of relevant anatomy & physiology (including circulation, genitourinary system and fluid & electrolyte balance).
SKILL
YES
NO
Demonstrate & understand the criteria for extubation of the patient (including
signs that the patient exhibits before they can be extubated).
Knowledge and understanding of the ASA grading system, and knowledge of the
scoring systems used to access the airway.
SKILL
YES
NO
Apnoea
Coughing & hiccupping
Laryngospasm
Bronchospasm
Hypo/hyperventilation
YES
NO
Oral intubation
Nasal intubation
Endobronchial intubation
Cricothyroidectomy
Tracheostomy
Nasogastric tubes
YES
Knowledge of the different types of breathing circuit used for adult patients.
NO
Knowledge of the blood products available for transfusion, including what each
is for and the correct preparation of the product for transfusion.
Knowledge of the hazards & complications that can arise during administration
of blood to patients, and the relevant actions to take (in line with organisational
policy).
Understand the rationale for the transfusion of blood & blood products.
SKILL
Ability to assist in invasive procedures (arterial cannulation & CVP lines)
including:
Relevant A&P
Preparation of materials & equipment
Knowledge of the various types arterial cannula & CVP lines available for
use
Knowledge of the technique for each
Arterial & CVP giving sets & fluids used
Transducers
Normal parameters (CVP monitoring)
Hazards associated with each technique
YES
Venepuncture
Arterial cannulation
Central venous pressure monitoring
Spinals, epidurals & regional blocks
Blood & blood product transfusion
NO
SKILL
YES
NO
Oxygen saturation
Pulse rate
Non-invasive blood pressure
Invasive blood pressure
Electrocardiogram
Central venous monitoring
Capnograph
Gas/vapour analysers
Neuromuscular function
Urinary output
Temperature
Knowledge of the parameters you would normally expect to see in the adult
patient for monitoring methods mentioned above.
SKILL
YES
NO
Induction agents
Muscle relaxants
Analgesics
Local anaesthetic agents
Anti-emetics
Pre-medications
Antibiotics
Respiratory
Cardiovascular
Anti-coagulants
Reversal agents
Knowledge of the different drug administration routes that may be used and the
relevant functional anatomy & physiology for each including:
Intravenous
Intramuscular
Oral
Sub-cutaneous
Rectal
Inhalation
Topical
SKILL
YES
NO
Understanding of the diverse and specific requirements that some patients have
(including physical, emotional,
psychological, communication, personal/religious beliefs).
SKILL
YES
NO
PLEASE NOTE:
It is essential that you complete the Skills Checklist with complete accuracy. Do NOT claim competency where you have little practical knowledge or even none at all. Your
performance when working in the UK will be checked against the information you have provided herein. In the event you are not competent in areas where you have stated
competency, it may be viewed that you have obtained employment by submitting false information. This could result in immediate termination of employment, cancellation of your visa,
and repatriation to your country of origin.
I confirm that I have read and understood this Statement and declare that the information I have provided above is true and correct to the best of my knowledge and belief.
Signed: ________________________________________________________________
Full Name: _____________________________________
Date: _______________________