Appendix B Rota of Placements s1

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 Neurosurgery The department This is a 10 bedded unit caring for neurosurgical, spinal and neurology patients. The majority of the patients require level 2 care and may be post surgical, ICU step downs or ward or tertiary referrals. The unit is staffed by 3 FY1 doctors, 1 FY2 doctor, 1 middle grade neurosurgical trainee and the neurosurgical and neuroanaesthetic consultant of the week. The type of work to expect and Admission, assessment and management of learning opportunities neurocritical care patients including neurosurgical, spinal and neurology patients with daily consultant neurosurgeon and neuroanaesthetist led ward rounds. Exposure to Level 2 critical care including respiratory and cardiovascular support, invasive cardiovascular and neurological monitoring. Experience of related procedures to facilitate care of the critically ill neurosciences patient including ICP monitoring, CSF drainage, invasive cardiovascular monitoring and tracheostomy management. Where the placement is based Salford Royal NHS Foundation Trust-Neuro High Dependency Unit

Clinical Supervisor(s) for the Dr Catherine Furay, Consultant Anaesthetist placement Main duties of the placement This post is based solely on the NHDU unless the FY1 doctor is on call during which time they are based with the general surgical team rather than on the NHDU. Their duties on the NHDU include daily clerking of patients, ordering and checking investigations, recording patient data including admission and discharge summaries. They present patients at multidisciplinary ward rounds and are responsible for helping to update written handover information. They are closely supervised during practical procedures and the resuscitation of patients who are critically ill.

Typical working pattern in this Full shift with 1b banded hours placement Employer information 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 G Examination G Diagnosis and clinical decision making G Safe prescribing G Medical record-keeping, letters, etc G Time management and organizational decision-making G Understanding and applying the basis of maintaining good quality care G Ensuring and promoting patient safety G Reducing the risk of cross-infection G Clinical governance G Quality improvement activities G Ensuring basic nutritional care G Effective education of patients for example: Dealing with ethical and legal issues e.g. confidentiality, consent G Development of the skills to undertake self-directed life-long learning G Use of evidence and guidelines that will benefit patient care. G Involvement and use of audit to improve patient care G Opportunity to undertake teaching and presentations A Effective communication within a consultation A Breaking bad news G Dealing with complaints A Development of teamwork skills G Communication with colleagues and teamwork G Interface with different specialties G Interface with other professionals G Interface with external bodies e.g. police, social services A Understanding of the relevance of outside bodies A Development of the Doctor-patient relationships G G Handling stress Assessment of the acutely ill or collapsed patient G Identify and respond to acutely abnormal physiology G Delivery of a fluid challenge safely to an acutely ill patient G Reassessment of ill patients appropriately after starting treatment G Request senior or more experienced help when appropriate G Undertake a secondary survey to establish differential diagnosis A Obtain an arterial blood gas sample safely, and interpret results G Management of patients with impaired consciousness, including G convulsions Use of common analgesic drugs safely and effectively G Management of a patient following self-harm A Management of a patient with an acute confusional state or psychosis G Handover between shifts, on call staff or with “hospital at night” team G Consideration of the appropriateness of interventions according to G patients’ wishes, severity of illness and chronic or co-morbid diseases Recognition of critically ill patients, G Take part in advanced life support A Initiation of ALS and leading a resuscitation team A Discussion of Do Not Attempt Resuscitation (DNAR) G Participation as part of an acute ‘take’ team G Discharge planning starting from the point of admission and taking into A account the effects of any chronic disease 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 G Urea and electrolytes G Blood glucose G Cardiac markers G Liver function tests G Amylase G Calcium and phosphate G Coagulation studies G Arterial blood gases G Inflammatory markers G 12 lead ECG G Peak flow, spirometry A Chest X-ray G Abdominal X-ray G Trauma radiography A Ultrasound, CT and MRI G Microbiological samples G Within this placement please indicate whether there will be the opportunity to undertake the following practical procedures

Venepuncture and IV cannulation G Local anaesthetics A Arterial puncture in an adult G Blood cultures from peripheral and central sites G Subcutaneous, intradermal, intramuscular and intravenous injections A IV medications G Intravenous infusions, including the G Prescription of fluids, blood and blood products G ECG G Spirometry and peak flow A Urethral catheterisation G Airway care, including simple adjuncts G Nasogastric tube insertion G Aspiration of pleural fluid or air A Skin suturing A Lumbar puncture G Insertion of a central venous pressure line A Aspiration of a joint effusion G