HDFT Calderdale Framework Facilitators/ACP Steering Group - Project Lead Sharon Burrows Name: Educational Supervisor: Clinical Outcomes Ref ACP C020 Core basic surgical skills Assessment process and achievement of competency Outcome: Competently performs the core basic surgical skills listed (see Table 1) in the workplace and in a simulated environment. Maintains and improves skills in core basic surgical skills Demonstrates extension of the range of procedures they can perform as identified through task analysis. Anticipate and be responsive to requirements of lead surgeon and others within the surgical team Practice Period 1 Educational supervisor Self assessment level Year 1 Practice Period 2 Practice Period 3 Educational supervisor Educational supervisor Self assessment level Date: Date: Date: Level: Level: Level: Signature: Signature: Signature: Print Name: Print Name: Print Name: Indicators For each surgical skills ACPs should; C020a Demonstrate theoretical knowledge of all relevant normal and altered anatomy and physiology. C020b Understands and demonstrates safe and correct techniques in all procedures. C020c Undertake relevant basic surgical skills training in a simulated environment. C020d Demonstrated the ability to assist fully a surgeon during a surgical procedure. C020e Demonstrated the ability and competence to undertake a technical procedure delegated to them by the operating surgeon who remains within the theatre suite. C020f Maintain an up to record of completed surgical skills in a real life setting. C020g Anticipate requirements and be responsive to individuals throughout surgical procedures. C020h Understanding of indication and contraindication of all core basic surgical skills. C020i Recognize,record and be able to undertake emergency management of common complications within scope of practice. X-ref Self assessment level Evidence HDFT Calderdale Framework Facilitators/ACP Steering Group - Project Lead Sharon Burrows C020j To work within scope of practice, recognize limitations, escalate concerns and request assistance in a safe and timely manner. C020k Follow local protocol or guidelines. Table 1. Core basic surgical skills Practitioners should reach competence in: • • • • • • • • • • • • • • • • Patient preparation Patient positioning Safe operating techniques of gloving and gowning Handling surgical instruments Using careful and safe techniques for all procedures Tissue exposure, and handling of different sites Application of local anaesthetic Application of suction Assistance with haemostasis Camera holding for minimal access surgery procedures Suturing subcutaneous and skin layers Male and female urinary catheterisation Tying range of surgical knots Insertion and suture of drains Application of diathermy Application of wound dressings Should additional ‘extended’ surgical skills be added to this list please refer to the process for creating additional competencies in the ACP Handbook. ‘Extended’ refer’s to those procedures that are outside the individual practitioner’s current scope of practice and will require supervision, training and assessment in practice. HDFT Calderdale Framework Facilitators/ACP Steering Group - Project Lead Sharon Burrows