Companion to ACRRM Core
Competencies Procedural Logbook
This Companion is designed to assist CCCGPT Registrars undertaking FACRRM Training to complete
their Log Book
Registrars are advised to note the advice given in this document and make notes against specific
tasks in their logbook to assist them in the appropriate scheduling of tasks.
Where Registrars have completed appropriate courses CCCGPT Medical Educators will sign off task
entries on provision of the evidence of successful course completion.
Additionally, educators will provide retrospective sign off of other applicable teaching sessions
where an outline of the session and a date of completion can be confirmed.
Registrars who have completed significant tasks as Medical Students should make this known to
your training coordinator and CCCGPT will undertake to seek suitable generic evidence of the claim.
1
Contents
Oxygen Delivery
Airway Support
Cardiac
Circulation
Neonatal
Trauma
Respiratory
Cardiac and Abdominal
Nervous
Musculoskeletal
Skin
Urogenital
ENT
Ophthalmology
Perform Diagnostic Tests
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Urgent Care: Oxygen Delivery
TASK
Rebreathing Mask
CPAP/BIPAP
3
MINIMUM
LEVEL OF
COMPETENCE
A
C
LOCATIONFOR
COMPLETING TASK
GP Term
COMMENTS
Urgent Care: Airway Support
TASK
Mouth to Mouth/ Mask
Ventilation
Bag/ Mask Ventilation
Orophangeal Airway
Nasophangeal Airway
Laryngeal Mask
Endotracheal
Intubation
Endotracheal
Intubation (child)
Cricothyroidotomy:
Emergency Access
Oxygen Saturation
Monitoring
Rapid Sequence
Induction
Jet Insufflation
Reduction Tension
Pneumothorax
Emergency use of
Mechanical Ventilators
4
MINIMUM
LEVEL OF
COMPETENCE
LOCATION FOR
COMPLETING TASK
COMMENTS
B
B
B
B
B
B
B
B
A
D
B
B
D
Accredited Emergency
Courses
All obtainable in an ELS or
EMST Course, except
Endotracheal Intubation
(child), requiring an APLS
Course or an RTP education
event
Urgent Care: Cardiac
TASK
External Cardiac
Massage
Defibrillation
Synchronized DC
cardioversion
Synchronized DC
cardioversion (child)
Pericardiocentesis
MINIMUM
LEVEL OF
COMPETENCE
B
Accredited Emergency
Courses
COMMENTS
All obtainable in an ELS or
EMST Course
B
B
B
B
5
LOCATION FOR
COMPLETING TASK
Unusual to see in an
Emergency course. CCCGPT
will provide an opportunity
for demonstration.
Urgent Care: Circulation
TASK
Intravenous Access
Intravenous Access
(child)
Cutdown Venous
Access
Blood Transfusion
Central Vein
Cannulation
Interosseous Access
6
MINIMUM
LEVEL OF
COMPETENCE
A
A
B
A
D
B
LOCATION FOR
COMPLETING TASK
COMMENTS
All obtainable in an ELS or
EMST Course
Urgent Care: Neonatal
TASK
Resuscitation
Intubation
Umbilical Catheter
7
MINIMUM
LEVEL OF
COMPETENCE
B
B
B
LOCATION FOR
COMPLETING TASK
Course
COMMENTS
Can be obtained through an
APLS course or equivalent
Urgent Care: Trauma
TASK
Stabilisation of the
Injured Spine
Use Venom
Detection Kit
8
MINIMUM
LEVEL OF
COMPETENCE
A
C
LOCATION FOR
COMPLETING TASK
COMMENTS
Emergency Department
CCCGPT Education Event Set up model to accompany
snake bite talk. Sample
venom and the ability to
control amounts
Body System: Cardiac and Abdominal
TASK
Spirometry and Peak
Flow Measurement
Use of Medication
Delivery Devices
Use of Spacer Devices
(child)
Nebulisation Therapy
Nebulisation Therapy
(child)
Intercostal Catheter
Intercostal Catheter
(child)
Pleural Tap/ Drainage
Thoracocentesis
Thoracocentesis
(child)
Oxygen
Concentrators
9
MINIMUM
LEVEL OF
COMPETENCE
LOCATION FOR
COMPLETING TASK
A
A
General Practice
A
A
A
C
C
C
C
C
C
Emergency Courses
COMMENTS
Body System: Cardiac and Abdominal
TASK
Thrombolytic
Therapy
Orogastric Tube
Insertion
Nasogastric Tube
Insertion
Nasogastric Tube
Insertion (child)
Gastric Lavage
Sigmoidoscopy
MINIMUM
LEVEL OF
COMPETENCE
D
LOCATION FOR
COMPLETING TASK
Emergency Department
A
A
A
A
Theatre or Surgeon
A
Proctoscopy
Drainage
Thrombosed Pile
Drainage Perianal
Abcess
10
COMMENTS
A
A
A
General Practice
Special local arrangements
will be required. Hospital
Registrars should contact
their JMO unit and CCCGPT
will correspond with the
hospital.
Body System: Nervous
TASK
Perform Glasgow
Coma Scale
Lumbar Puncture
Administer Nitrous
Oxide (as analgesia)
Local Anaesthesia
Local Anaethesia
(child)
Topical Wound
Anaesthesia
Regional Nerve
Block
Digital Nerve Block
Intercostal Nerve
Block
Bier’s Block
MINIMUM
LEVEL OF
COMPETENCE
LOCATION FOR
COMPLETING TASK
A
Emergency Department
C
Emergency Department
/ Theatre
11
CCCGPT will assist in
arrangements if required
A
A
General Practice
A
A
A
Emergency Department
General Practice
Can be signed off at the same
time as femoral nerve block
Emergency Department
A
Femoral Nerve
Block
Adult Sedation
Child Sedation
COMMENTS
Emergency Department
/ Anaesthetics Term
A
C
C
Emergency Department
This task may be difficult to
achieve. CCCGPT will seek an
exemption and/or arrange an
alternative (B or C) activity
Can be signed off at the same
time as regional nerve block
Body System: Musculoskeletal
TASK
Spinal Mobilisation
Spinal Manipulation
Spinal Injection
Trigger Points
Spinal Dry Needling
Spinal Therapeutic
Ultrasound/Tens
Soft Tissue Injury
Strapping
Soft Tissue Injury
Stretches
Soft Tissue Injection
Joint Injection
Joint Aspiration
Fracture Splinting
Fracture Plaster Cast
Reduction of Fracture
(adult)
Reduction of Fracture
(child
Reduction of Joint
Dislocation (adult)
Reduction of Joint
Dislocation (child)
12
MINIMUM
LEVEL OF
COMPETENCE
A
C
A
LOCATION FOR
COMPLETING TASK
Emergency
Department
CCCGPT designed
education event
COMMENTS
Special Learning Activity
Required
A
A
A
General Practice
A
A
A
A
A
A
C
C
C
C
Emergency
Department
Could be undertaken in a
Physiotherapy placement.
CCCGPT will assist in
arrangements if required
Body System: Skin
TASK
Repair of Skin
Lacerations
Repair of Superficial
Skin Lacerations
(child)
Wound Dressings
Burn Dressings
Wound
Debridement
Excision of Skin
Lesion
Excision of Skin
Lesion (child)
Curettage of Skin
Lesion
Punch Biopsy of Skin
Lesion
Shave Biopsy of Skin
Lesion
Flap Repairs
Skin Graft Repair
Cryotherapy
Removal of
Subcutaneous
Foreign Body (adult)
Removal of
Subcutaneous
Foreign Body (child)
Incision and
Drainage of Abscess
Drainage of
Subungual
Haematoma
Ingrown Toenail
Surgery
13
MINIMUM
LEVEL OF
COMPETENCE
LOCATION FOR
COMPLETING TASK
COMMENTS
A
A
A
A
A
A
General Practice
A
A
A
A
C
C
A
Theatre
A
A
General Practice
A
A
C
CCCGPT will assist
arrangements if required
Body System: Urogenital
TASK
Urethral
Catheterisation on
Male
Urethral
Catheterisation on
Female
Urethral
Catheterisation
(child)
Suprapubic
Catheterisation
Suprapubic
Aspiration (child)
14
MINIMUM
LEVEL OF
COMPETENCE
A
LOCATION FOR
COMPLETING TASK
General Practice
/Emergency
Department
A
A
C
C
Emergency Department
COMMENTS
Will likely need to seek
nursing staff assistance to
achieve these
Body System: ENT
TASK
Hearing
Assessment
Ear Toilet
Insertion Wick into
External Ear Canal
Removal of Foreign
Body from External
Auditory Meatus
Packing of Nasal
Cavity
Cautery for Nasal
Bleeding
15
MINIMUM
LEVEL OF
COMPETENCE
A
LOCATION FOR
COMPLETING TASK
COMMENTS
General Practice
A
A
A
A
A
General Practice or
ENT Placement
CCCGPT will arrange specialist
placement if required
Body System: Ophthalmology
TASK
Visual Acuity and Field
Assessment
Use Ophthalmoscope
Use Slit Lamp
Topical Anaesthesia of
Cornea
Staining Cornea with
Flurescein
Eyelid Eversion
Irrigation of Eye
Removal of Corneal
Foreign Body
Removal of Subtarsal
Foreign Body
Measurement of
Intra-Ocular Pressure
Chalazion Curettage
16
MINIMUM
LEVEL OF
COMPETENCE
LOCATION FOR
COMPLETING TASK
COMMENTS
A
A
A
Emergency
Department
A
A
Emergency
Department
A
A
A
A
A
D
Emergency
Department /
Ophthalmologist
CCCGPT will arrange
specialist placement if
required
Perform Diagnostic Tests
TASK
Obstetric
Ultrasound
Venous Blood
Sampling (child)
Aterial Blood
Sampling
17
MINIMUM
LEVEL OF
COMPETENCE
C
A
A
LOCATION FOR
COMPLETING TASK
Course
ED
COMMENTS
Educational Event