Semester 2

Method of Assessment:

Portfolio of practice evidence: 50%

This will provide evidence of practice diary, one written direct observation (1000 words) and 3 reading logs on patient monitoring, anaesthetic techniques and related biosciences.
Unseen examinations:

1.5 hr Anaesthetic exam 25%

To include short answer and multiple choice questions on:
• Anaesthetic Machine
• Airway adjuncts and associated equipment
• Infusion and transfusion procedures
• Patient Monitoring

1.5 hr Pharmacology and Drug Calculation exam 25%

To include short answer and multiple choice questions on:
• Induction agents,
• Muscle relaxants,
• Opioids & opiates,
• Anti-emetics,
• Volatile agents,
• Reversal agents,
• Intravenous therapy
• Awareness of anaesthetic emergency drugs but not including cardiac emergency drugs
• Authentic World Summative exam

Note: The pass mark for the Authentic World Drug calculation summative exam is 80%

This module enables the student to provide appropriate support to the clinician and will focus on the equipment and techniques used in anaesthesia; in addition the student will be encouraged to explore a variety of approaches to the provision of skilled assistance in different clinical settings including effective communication.

The module also provides the student with a safe and supported learning environment and enables them to develop knowledge of pharmacological principles underlying the use of medicines in health care including the application of basic drug calculations, identification of drug safety principles and adverse drug reactions in anaesthetic practice.

At the end of the module the student should be able to:


PROFESSIONAL PRACTICE SKILLS


1. Participate in the negotiation and agreement of the perioperative care plan with the patient, and others as appropriate.

2. Select, check and prepare an identified range of anaesthetic and associated equipment, in accordance with accepted national and local policies and guidelines

3. Demonstrate an understanding of the uses and application of a range of patient monitoring equipment.


4. Identify, check and select appropriate drugs used for the induction, maintenance and reversal of anaesthesia in accordance with local policy and national guidelines.


5. Select, prepare and assemble appropriate infusion, transfusion and cannulation equipment.

6. Prepare sites for peripheral and central venous cannulation, epidural and spinal anaesthesia including the sterile field and demonstrate principles, management and methods of securing cannulae


7. Demonstrate methods and equipment used in airway management, whilst ensuring that any signs of the patient airway being compromised is recognised promptly and appropriate action taken immediately


VALUES AND ATTITUDES PRACTICE SKILLS 

8. Value the contribution of others in the provision of a multi professional approach to practice.

9. Recognize the effect of one’s own values on interactions with individuals and their carers, families and significant others.

10. Demonstrate an awareness of equal opportunities in relation to ant-discriminatory behaviour.

KNOWLEDGE AND UNDERSTANDING

11. Demonstrate knowledge of the structure and function of the body and the physiological parameters and how this affects care for patients 

12. Discuss current legislation and policies which affect the practitioners work practice in the areas of:
a. Informed consent to surgical and anaesthetic intervention
b. Receipt, issue and storage of drugs 

13. Describe the properties and clinical application of a selected range of anaesthetic drugs and different routes of administration
14. Describe the different requirements for the administration of general, regional and local anaesthesia 

15. Discuss the indications, contra-indications and hazards of methods used for peripheral venous access 

16. Discuss the importance of establishing and maintaining the patient’s airway throughout the procedure, and the potential hazards and complications associated with establishing an airway for different patient groups.

17. Discuss the types, function and purpose of a range of anaesthetic and related equipment and the way in which patient monitoring equipment is used in clinical procedures and identifying potential hazards associated with them.

18. Discuss the different gases used in anaesthesia and the requirements for their safe storage and delivery.

19. Describe epidural/spinal procedures, including anatomy and physiology, patient parameters, equipment, contraindications, infection control/asepsis and packs.

COGNITIVE SKILLS

20. Interpret and relate theory to anaesthetic clinical practice 

21. Practice to reflect changing needs within anaesthesia

KEY SKILLS 

22. Identify own strengths and weakness according to learning needs. Manage information, collect appropriate data from a range of sources and undertake simple analysis with guidance 

23. Communicate in an appropriate manner across a range of clinical and professional situations 

24. Can apply numeric formulas to pharmacological 

Operating Department Technology: gas laws and medical gases; anaesthetic and patient monitoring equipment

Biological Sciences: Cardio-vascular system, respiratory system, renal function and central nervous system. Circulatory system in relation to blood component therapy/blood products, colloids and crystalloids

Infusion/transfusion equipment: peripheral cannulae, giving sets, fluid-warming equipment, and intravenous fluids.

Anaesthetic pharmacology: induction agents, muscle relaxants, opioids, opiates, volatile agents, reversal agents and drug calculations.

Airway management: accepted routine and emergency techniques,

Regional anaesthetic blocks: equipment, drugs, techniques, hazards and contra-indications.

This is reading that is essential for your understanding of issues/concepts that will be covered by the module content.

Al-Shaikh B & Stacey S. (2007) Essentials of Anaesthetic Equipment. 3rd edn. Churchill Livingstone

Avidan M, Harvey AMR, Ponte J, Wendon J, & Ginsburg R (2003) Perioperative Care, Anaesthesia, Pain Management and Intensive Care. Elsevier Churchill Livingstone. London

Carrie L, Simpson P & Popat MT (2001) Understanding Anaesthesia. 4th edn. Butterworth Heinemann, Oxford

Conway N, Ong P, Bowers M, & Grimmett N (2007) Operating Department Practice (Clinical Pocket Reference). Pennant Health Publishing

Davey A, & Ince C. S (2004) Fundamentals of Operating Department Practice. 2nd edn. Greenwich Medical Media, London

Gatford J & Phillips N (2006) Nursing Calculations 7th edn. Churchill Livingstone, Melbourne

Marieb E N (2009) Human Anatomy and Physiology 9th edn. Pearson International

Nathanson M,& Mahajan R (2006) Anaesthesia.Elsevier Churchill Livingstone, London

Sasada M,& Smith S (2003) Drugs in Anaesthesia and Intensive Care. Oxford University Press, Oxford

Journals

Journal of Operating Department Practice
Anaesthesiology
Journal of Perioperative Practice
Journal of Anaesthesia and Intensive Care Medicine

Useful websites

www.codp.org.uk
www.barna.co.uk
www.aagbi.org
www.doh.gov.uk
www.afpp.org.uk
www.mhra.gov.uk
www.bnf.org

27TH JULY 2010