Outcomes for graduates - Practical skills and procedures

Procedures

Assessment of patient needs

No Procedure Description Level of competence
1 Take baseline physiological observations and record appropriately Measure temperature, respiratory rate, pulse rate, blood pressure, oxygen saturations and urine output. Safe to practise under indirect supervision
2 Carry out peak expiratory flow respiratory function test Explain to a patient how to perform a peak expiratory flow, assess that it is performed adequately and interpret results. Safe to practise under indirect supervision
3 Perform direct ophthalmoscopy Perform basic ophthalmoscopy and identify common abnormalities. Safe to practise under indirect supervision
4 Perform otoscopy Perform basic otoscopy and identify common abnormalities. Safe to practise under indirect supervision

Diagnostic procedures

No Procedure Description Level of competence
5 Take blood cultures Take samples of venous blood to test for the growth of infectious organisms. Safe to practise under direct supervision
6 Carry out arterial blood gas and acid base sampling from the radial artery in adults Insert a needle into a patient's radial artery (in the wrist) to take a sample of arterial blood and interpret the results. Safe to practise under direct supervision
7 Carry out venepuncture Insert a needle into a patient's vein to take a sample of blood for testing. Make sure that blood samples are taken in the correct order, placed in the correct containers, that these are labelled correctly and sent to the laboratory promptly. Safe to practise under indirect supervision
8 Measure capillary blood glucose Measure the concentration of glucose in the patient's blood at the bedside using appropriate equipment. Record and interpret the results. Safe to practise under indirect supervision
9 Carry out a urine multi dipstick test Explain to patient how to collect a midstream urine sample. Test a sample of urine to detect abnormalities. Perform a pregnancy test where appropriate. Safe to practise under indirect supervision
10 Carry out a 3- and 12-lead electrocardiogram Set up a continuous recording of the electrical activity of the heart, ensuring that all leads are correctly placed. Safe to practise under indirect supervision
11 Take and/or instruct patients how to take a swab Use the correct technique to apply sterile swabs to the nose, throat, skin and wounds. Make sure that samples are placed in the correct containers, that these are labelled correctly and sent to the laboratory promptly and in the correct way. Safe to practise under indirect supervision for nose, throat, skin or wound swabs

Patient care

No Procedure Description Level of competence
12 Perform surgical scrubbing up Follow approved processes for cleaning hands and wearing appropriate personal protective equipment before procedures or surgical operations. Safe to practise under direct supervision
13 Set up an infusion Set up and run through an intravenous infusion. Have awareness of the different equipment and devices used. Safe to practise under direct supervision
14 Use correct techniques for moving and handling, including patients who are frail Use, and/or direct other team members to use, approved methods for moving, lifting and handling people or objects, in the context of clinical care, using methods that avoid injury to patients, colleagues, or oneself. Safe to practise under indirect supervision

Prescribing

No Procedure Description Level of competence
15 Instruct patients in the use of devices for inhaled medication Explain to a patient how to use an inhaler correctly, including spacers, and check that their technique is correct. Safe to practise under indirect supervision
16 Prescribe and administer oxygen Prescribe and administer oxygen safely using a delivery method appropriate for the patient's needs and monitor and adjust oxygen as needed. Safe to practise under indirect supervision
17 Prepare and administer injectable (intramuscular, subcutaneous, intravenous) drugs Prepare and administer injectable drugs and prefilled syringes. Safe to practise under direct supervision

Therapeutic procedures

No Procedure Description Level of competence
18 Carry out intravenous cannulation Insert a cannula into a patient's vein and apply an appropriate dressing. Safe to practise under direct supervision
19 Carry out safe and appropriate blood transfusion Following the correct procedures, give a transfusion of blood (including correct identification of the patient and checking blood groups). Observe the patient for possible reactions to the transfusion, and take action if they occur. Experienced in a simulated setting; further training required before direct supervision
20 Carry out male and female urinary catheterisation Insert a urethral catheter in both male and female patients. Safe to practise under direct supervision
21 Carry out wound care and basic wound closure and dressing Provide basic care of surgical or traumatic wounds and apply dressings appropriately. Safe to practise under direct supervision
22 Carry out nasogastric tube placement Pass a tube into the stomach through the nose and throat for feeding and administering drugs or draining the stomach's contents. Know how to ensure correct placement. Safe to practise in simulation
23 Use local anaesthetics Inject or topically apply a local anaesthetic. Understand maximum doses of local anaesthetic agents. Safe to practise under direct supervision