Supplemetary Checklist for WPBA - Demonstrates aseptic peripheral venous cannulation
THE TRAINEE HAS…..
Described the venous anatomy of the upper
limb
Demonstrated an aseptic no touch technique
Used an appropriate environment
Used appropriate equipment
Cleaned the skin in a recommended fashion
Shown proper regard for patient safety
Established IV access
Obtained consent where possible
Communicated effectively
Disposed of sharps safely
Documented the procedure appropriately
Completed the assessment satisfactorily
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Supplementary Checklist for WPBA - Demonstrates aseptic arterial cannulation (+ local
anaesthetic)
THE TRAINEE HAS…..
Successfully completed the tutorial ‘arterial
canulation’ which fulfils all knowledge
requirements
Successfully run through a disposable transducer
system
Performed arterial cannulation using the
transfixion or Seldinger technique.
Demonstrated the ability to attach transducer
system and
zero the transducer
Cleaned the skin in a recommended fashion
Shown proper regard for patient safety
Obtained consent where possible
Communicated effectively
Disposed of sharps safely
Documented the procedure appropriately
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA – Obtains an arterial blood gas sample safely, interprets
results correctly.
THE TRAINEE HAS…..
Demonstrated an understanding of the need for
appropriate communication with the patient
arterial blood gas sampling, including but not
limited to:
 Appropriate explanation to the patient
 Obtaining implied or explicit consent
Used appropriate skin cleaning methods and the
currently recommended cleaning agents.
Used appropriate sterile techniques.
Used a heparinised syringe.
Calculated the anion gap and recalled causes of
increased and decreased anion gap.
Safely obtained an arterial blood gas sample
using either the radial or femoral route.
Compressed the artery following sampling.
Correctly interpreted results
Recorded the results in the patient record
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA - Demonstrates aseptic placement of a central venous
catheter.
THE TRAINEE HAS…..
Successfully completed the tutorial ‘central
venous access’ which fulfils all knowledge
requirements
Obtained consent where possible
Used sedation and local anaesthesia
appropriately
Observed infection control procedures
Set up the ultrasound machine, select
appropriate depth and gain and applied a
sterility sheath.
Safely and aseptically performed placement of
CVC’s using the internal jugular approach.
Maintained safety of environment for patient
and health workers including safe sharps
disposal
Correctly interpreted the post-procedure CXR,
confirming correct positioning and excluding
major complications.
Adequately documented the procedure
Completed the assessment satisfactorily
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Supplementary Checklist for WPBA – Connects mechanical ventilator and sets initial settings
THE TRAINEE HAS…..
Successfully completed the tutorials ‘Setting the
vent and problems’ and ‘Ventilatory modes’
which fulfil all knowledge requirements
Set up and performed a circuit check and safety
check of the relevant
Ventilator
Sets appropriate settings including
 Peak inspiratory pressure or tidal volume
 i:e ratio
 PEEP
Used appropriate monitoring including pulse
oximetry and capnography
Communicated target values and parameters to
other members of the
team and ensures appropriate documentation.
Set appropriate alarms
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA – Describes Safe Use of Drugs to Facilitate Mechanical
Ventilation
THE TRAINEE HAS…..
Successfully completed the RCOA e-LA modules:



3_4_7 Sedatives in the ICU
3_4_9 Muscle relaxants in the ICU
3_4_10 Management of sedation in the
ICU
which fulfil all knowledge requirements
Demonstrated the safe handling of equipment
used to deliver sedative agents used during
mechanical ventilation, including appropriate
use of syringe drivers.
Practiced safe prescribing of all agents used to
facilitate mechanical ventilation.
Demonstrated using the Ramsay score to assess
depth of sedation.
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA – Describes Principles of Monitoring Respiratory Function
THE TRAINEE HAS…..
Demonstrated an ability to perform an effective
evaluation of respiratory function in the critically
ill patient, including but not limited
to:
 Clinical evaluation of the respiratory
system
 Use of respiratory parameters monitored
by artificial ventilators, including airway
pressure, tidal volumes, minute
ventilation, respiratory rates and
spirometry
Performed immediate (physical) assessment of
the respiratory system
Ordered and interpreted and acted on
investigations appropriately,
including but not limited to:
 CXR
 CT scans
 USS
Demonstrated ability to interpret capnograph
waveforms and pressure volume loops during
mechanical ventilation.
Exhibited a calm and methodical approach to
assessing critically ill patient.
Adopted leadership role where appropriate
Involved senior and specialist (e.g. radiology)
services promptly
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA – Describes the Assessment of the patient with poor
compliance during Ventilatory Support (‘fighting the ventilator’)
THE TRAINEE HAS…..
Successfully completed the tutorials ‘Setting the
vent and problems’ and ‘Ventilatory modes’
which fulfil all knowledge requirements
Demonstrated appropriate rapid assessment of
the patient who is non-complaint with
ventilation, and instituted appropriate lifesaving measures until help arrives, including
increasing the inspired oxygen settings.
Demonstrated the ability to effectively decide
when manual ventilation
techniques should be used until experienced
help arrives.
Demonstrated the ability to order appropriate
tests and investigations including but not limited
to:


Chest radiography
Arterial blood gas analysis
Demonstrated the ability to work as a part of a
team and succinctly present clinical details of
the situation to senior doctor.
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA – Prescribes safe use of vasoactive drugs and electrolytes
THE TRAINEE HAS…..
Listed physiological electrolyte requirements in
health and in the critically ill patient, and list
common causes of electrolyte disturbances in the
critically ill.
Demonstrated knowledge of commonly available
electrolyte solutions, and the advantages and
disadvantages of using such solutions.
Demonstrated knowledge of the use of potassium
containing solutions.
Demonstrated knowledge of pharmacology of
commonly used
vasoactive agents
Demonstrated knowledge of the use of
vasopressors including but not
limited to:
 Clinical situations when vasopressor agents
may be used
 Problems associated with the use of
vasopressor
 Appropriate levels of monitoring and
assessment during the
 administration of vasopressor
 Venous access required for the safe
administration of vasopressor
Performed safe prescription of electrolyte solutions
and vasoactive
agents.
Arranged monitoring of relevant indices
Ordered, interpreted and acted on initial
investigations
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA – Delivers a fluid challenge safely to an acutely unwell
patient.
THE TRAINEE HAS…..
Successfully completed the tutorial ‘fluid bolus’
which fulfils all knowledge requirements.
Appropriately assessed and established the
need for a fluid bolus during to an acutely
unwell patient.
Selected appropriate fluid and prescribed
appropriate volumes during administration of a
fluid bolus.
Effectively assessed the response to a fluid
bolus, and made appropriate clinical decisions
based on this response.
Completed adequate documentation of fluids
prescribed and documented the response to any
fluid challenge administered.
Completed the assessment satisfactorily
Signature
Supplementary Checklist for WPBA - Describes actions required for accidental displacement of
tracheal tube or tracheostomy
THE TRAINEE HAS…..
Successfully completed a simulator session
addressing the displaced or blocked tube.
Completed the assessment satisfactorily
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