Anesthesia — Core of Discipline

C21B Providing comprehensive ongoing management of critically ill patients in an intensive care setting

- This EPA focuses on routine ICU care, including evaluating, stabilizing, admitting and providing day-to-day management for patients with common critical illness.
- This includes:
o In depth understanding of their medical condition(s)
o Creation of a comprehensive management plan (integrating best evidence) o Prioritization of patient management issues
o Ongoing reassessment and management of the clinical course
o Organizing and following up on investigations and treatments
o Leading straightforward family meetings/updates
o Thorough documentation
o Effective synthesis and handover of patient care concerns
o Recognition of when to call for assistance
- This EPA can be completed during daytime or during on-call hours.
- The observation of this EPA is divided into two parts: patient management and collaboration with the interprofessional team (multisource feedback).
- Relation with other EPAs:
- Managing resuscitative efforts in the perioperative period is the focus of EPA COD # 5.
- Managing resuscitative efforts in the parturient is the focus of EPA COD # 8

Form

Other

Milestones

• COM 1.2. Optimize the physical environment for patient comfort, privacy, engagement, and safety

• COM 4.1. Facilitate discussions with the patient and family in a way that is respectful, non-judgmental, and culturally safe

• COL 1.2. Make effective use of the scope and expertise of other health care professionals

• COL 2.1. Delegate tasks and responsibilities in an appropriate and respectful manner

• COL 2.2. Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture

• COL 1.3. Communicate effectively with physicians and other colleagues in the health care professions

• HA 1.1. Facilitate timely patient access to services and resources

• P 1.1. Respond punctually to requests from families or other health care providers

• COL 3.2. Demonstrate safe handover of care, both verbal and written

• P 1.1. Exhibit appropriate professional behaviours

Context Variables

No context variables defined.

Requirements

• Part B: Interaction with the team
• Multiple observers provide feedback individually, which is then collated to one report.