Anesthesia — Foundation of Discipline

F3a Performing the non-airway basic procedures of Anesthesiology

- This EPA includes:
o selecting appropriate patients and techniques for the procedure o obtaining informed consent
o performing the technical aspects of the procedure
o appropriate documentation
o managing post-procedure complications
- Basic procedures include: spinal, arterial line, central line insertion.
- The observation of this EPA is divided into two parts: procedural skills; procedural
experience (logbook).
- This EPA does not include clinical interpretations from procedures (e.g. arterial blood
gas reports) or management of entire case (refer to Foundations EPA «providing perioperative anesthetic management»).

Form

F2: Procedure

Milestones

• ME 3.1. Describe the indications, contraindications, risks and alternatives for basic procedures

• ME 3.2. Obtain and properly document informed consent for commonly performed anesthesia procedures and therapies

• ME 3.4. Demonstrate effective procedure preparation, including gathering required equipment, and patient monitoring and positioning

• ME 3.4. Perform procedural tasks in a timely, fluid, skillful, and safe manner

• ME 3.4. Identify changing clinical circumstances or unanticipated findings and seek assistance as needed

• ME 3.4. Recognize and manage common complications of basic procedures

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

• COM 5.1. Document the encounter to convey the procedure and outcome

Context Variables

• Setting (single-choice)
  • ER
  • ICU
  • other setting
  • operating room
• Procedure (single-choice)
  • spinal
  • central line
  • arterial line
• Use of ultrasound (single-choice)
  • no
  • yes
• Anatomical site of central line (single-choice)
  • PICC
  • femoral
  • jugular
  • subclavian
  • not applicable

Requirements

• Collect 20 observations of achievement (minimum 20)
• At least 2 arterial lines
• At least 5 central lines
• At least 5 spinals