Appendix C – Individual placement description
North Western Foundation School
Salford Royal NHS Foundation Trust
Programme
Individual Placement Description
All information to be completed by the LEP.
Placement
FY1 Emergency Clinical Decisions Unit
The department
The Emergency Clinical Decision Unit is part
of the Emergency Department (ED) and is
managed by the Consultant Emergency
Physicians. There is a rapid turnover of
patients and it provides an ideal opportunity
for FY1 doctors to develop the necessary
clinical competencies in a closely supervised
and supported environment.
The unit has 13 beds accommodating the
following categories of patients:
 Patients admitted under the care of
the ED physicians with an
anticipated length of stay <48 hours.
These include patients with cellulitis,
head injury, trauma, overdose,
allergic reactions, falls, epilepsy etc.
 Patients awaiting the results of
investigations in order that a
decision to refer & admit or
discharge can be made.
 Clinically stable patients referred to
specialty teams eg. surgery, ENT,
orthopaedics, spinal who are
awaiting an inpatient bed.
The type of work to expect and
learning opportunities
Where the placement is based
Clinical Supervisor(s) for
placement
Main duties of the placement
Emergency Department/ECDU
the
Dr C. Gavin
The doctor will be directly supervised by the
ED consultant on duty for the ECDU. Duties
will include the following:
 Daily consultant ward round
 Arranging investigations
 Clerking new patients
 In-patient and out-patient drug
prescriptions
 Liaising with inpatient teams
 Referring patients for outpatient
follow-up
 Discharge summaries
The FY1 doctor will develop close working
relationships with nursing, physiotherapy,
occupational therapy and medical
colleagues.
Typical working pattern in this Typical working pattern in this post e.g.
ward rounds, clinics, theatre sessions
placement
Daily/weekly/monthly (if applicable)
7.50 – 4.30 daily ; 3 weekends in 4
months
Mon:
Tues:
Wed:
Thurs:
Fri:
Sat:
Sun:
Mon:
Tues:
Wed:
Thurs:
Fri:
Sat:
Sun:
Employer information
On call requirements:
Salford Royal NHS Foundation Trust is a
large teaching trust with approximately 850
in patient beds, employing over 4,600 staff
and treating in the region of 400,000
patients per year. We provide a
comprehensive range of services to the
220,000 population of Salford as well as a
wider range of services across Greater
Manchester, the North West and nationally.
We are proud to be recognised as one of the
best hospitals in the NHS and have clear
plans to become the safest. We aim to
provide safe, clean and personal care, to
every patient, every time. We have an
excellent track record; having the highest
consistent rating for service quality coupled
with one of the highest sets of patient and
staff satisfaction scores
It is important to note that this description is a typical example of your placement and
may be subject to change.
Appendix D – Syllabus
(Individual placement format – Template)
North Western Foundation School
Foundation Placement Syllabus
Placement :
The activities in this matrix will enable the acquisition of curriculum competencies.
For this placement please indicate to what extent the following activities
can be experienced using the following key:
Red: Not at all
Amber: To some extent/ limited opportunities
Green: To a great extent/ ample opportunities
History taking
Examination
Diagnosis and clinical decision making
Safe prescribing
Medical record-keeping, letters, etc
Time management and organizational decision-making
Understanding and applying the basis of maintaining good quality care
Ensuring and promoting patient safety
Reducing the risk of cross-infection
Clinical governance
Quality improvement activities
Ensuring basic nutritional care
Effective education of patients for example:
Dealing with ethical and legal issues e.g. confidentiality, consent
Development of the skills to undertake self-directed life-long learning
Use of evidence and guidelines that will benefit patient care.
Involvement and use of audit to improve patient care
Opportunity to undertake teaching and presentations
Effective communication within a consultation
Breaking bad news
Dealing with complaints
Development of teamwork skills
Communication with colleagues and teamwork
Interface with different specialties
Interface with other professionals
G
G
G
G
G
G
G
G
G
G
G
A
G
G
G
G
G
G
G
A
A
G
G
G
G
Interface with external bodies e.g. police, social services
Understanding of the relevance of outside bodies
Development of the Doctor-patient relationships
Handling stress
Assessment of the acutely ill or collapsed patient
Identify and respond to acutely abnormal physiology
Delivery of a fluid challenge safely to an acutely ill patient
Reassessment of ill patients appropriately after starting treatment
Request senior or more experienced help when appropriate
Undertake a secondary survey to establish differential diagnosis
Obtain an arterial blood gas sample safely, and interpret results
Management of patients with impaired consciousness, including
convulsions
Use of common analgesic drugs safely and effectively
Management of a patient following self-harm
Management of a patient with an acute confusional state or psychosis
Handover between shifts, on call staff or with “hospital at night” team
Consideration of the appropriateness of interventions according to
patients’ wishes, severity of illness and chronic or co-morbid diseases
Recognition of critically ill patients,
Take part in advanced life support
Initiation of ALS and leading a resuscitation team
Discussion of Do Not Attempt Resuscitation (DNAR)
Participation as part of an acute ‘take’ team
Discharge planning starting from the point of admission and taking into
account the effects of any chronic disease
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
A
A
A
G
G
For this placement please indicate whether there will be the opportunity to select,
appropriately request and accurately interpret reports of the frequently used
investigations listed below
Full blood count
Urea and electrolytes
Blood glucose
Cardiac markers
Liver function tests
Amylase
Calcium and phosphate
Coagulation studies
Arterial blood gases
Inflammatory markers
12 lead ECG
Peak flow, spirometry
Chest X-ray
Abdominal X-ray
Trauma radiography
Ultrasound, CT and MRI
Microbiological samples
Within this placement please indicate whether there will be the opportunity to
undertake the following practical procedures
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
G
Venepuncture and IV cannulation
Local anaesthetics
Arterial puncture in an adult
Blood cultures from peripheral and central sites
Subcutaneous, intradermal, intramuscular and intravenous injections
IV medications
Intravenous infusions, including the
Prescription of fluids, blood and blood products
ECG
Spirometry and peak flow
Urethral catheterisation
Airway care, including simple adjuncts
Nasogastric tube insertion
Aspiration of pleural fluid or air
Skin suturing
Lumbar puncture
Insertion of a central venous pressure line
Aspiration of a joint effusion
G
G
G
G
G
G
G
G
G
G
G
A
A
R
G
R
R
R