CCT in Anaesthetics - Core Level Training

Published: 14/08/2019

Day surgery

It is anticipated that this unit of training will not be delivered as a dedicated block and that the learning outcomes will be gained throughout the duration of Core Level training and that these should be achievable in most general hospitals at this level. Inevitably this unit cross references with many of the other Core Level clinical units of training given the high percentage of day care surgical procedures

Learning outcomes:

To gain knowledge, skills and experience of the perioperative anaesthetic care of ASA 1 and 2 patients presenting in a dedicated Day Surgery Unit involving a range surgical specialities [minimum three]
Understand and apply agreed protocols with regard to patient selection and perioperative care of day surgery patients
Understand the importance of minimising postoperative complications, such as nausea and pain, in patients who are returning home the same day

Core clinical learning outcome:

Knows the criteria for patient selection and the anaesthetic requirements for day surgical patients

NB: All competencies annotated with the letter ‘E’ can be examined in any of the components of the Primary examination identified in the FRCA examination blueprint on page B-99 or in the Final examination identified in the Final FRCA blueprint on page C72 of Annex C.

Knowledge

Competence	Description	Assessment Methods	GMP
DS_BK_01	Describes the principles of preoperative assessment of patients requiring day surgery including nurse-led assessment	A,C,E	1
DS_BK_02	Explains the role of appropriate preoperative investigations for day surgery patients	A,C,E	1
DS_BK_03	Describes protocols for selection of day surgery patients including medical, surgical and social factors	A,C,E	1
DS_BK_04	Explains the importance of providing appropriate postoperative instructions to patients and relatives following day surgery including, but not confined to, level of care required following discharge, transport arrangements and when to drive	A,C,E	1,2,3,4
DS_BK_05	Describes anaesthetic techniques appropriate for day cases	A,C,E	1
DS_BK_06	Explains the potential causes of unanticipated inpatient admission following day surgery	A,C,E	1
DS_BK_07	Describes the pharmacology & selection of appropriate drugs for day cases [cross ref basic sciences]	A,C,E	1
DS_BK_08	Describes appropriate analgesia for day cases	A,C,E	1
DS_BK_09	Describes strategies to reduce postoperative nausea and vomiting in day case patients	A,C,E	1
DS_BK_10	Explains the management & assessment of recovery of day surgery patients to street fitness	A,C,E	1

Skills

Competence	Description	Assessment Methods	GMP
DS_BS_01	Demonstrates appropriate selection and preoperative assessment of day surgery patients	A,C,M	1
DS_BS_02	Demonstrates appropriate anaesthetic management of ASA 1and 2 patients requiring day surgery	A,C,D	1,2
DS_BS_03	Demonstrates appropriate postoperative care of patients who have undergone day surgery including control of pain, nausea, fluid management & assessment of fitness for discharge	A,C	1,3,4

Competence

Description

Assessment

Methods

GMP

DS_BS_01

Demonstrates appropriate selection and preoperative assessment of day surgery patients

A,C,M

DS_BS_02

Demonstrates appropriate anaesthetic management of ASA 1and 2 patients requiring day surgery

A,C,D

1,2

DS_BS_03

Demonstrates appropriate postoperative care of patients who have undergone day surgery including control of pain, nausea, fluid management & assessment of fitness for discharge

A,C

1,3,4