Adult Rheumatology — Foundation of Discipline

F4 Performing knee arthrocentesis

Key Features:
- This EPA includes all of the following: knowledge of the indications and contraindications; informed consent; appropriate use of or recommendation for analgesia; preparation; aseptic technique; performance; sample handling and sending fluid for appropriate analysis; and post-procedural care including documentation and management of any immediate complications.

Assessment Plan:
Direct observation by supervisor
Use Form 1
Collect 1 observation of achievement

Form

F2: Procedure

Milestones

• ME 3.1. Describe the indications and contraindications for knee arthrocentesis

• ME 3.4. Determine and select sedation and local analgesia, as appropriate

• ME 3.2. Obtain informed consent

• ME 3.4. Gather and/or manage the availability of appropriate instruments and materials

• ME 3.4. Prepare and position the patient for the procedure

• ME 3.4. Demonstrate aseptic technique: skin preparation, establishing and respecting the sterile field

• ME 3.4. Apply knowledge of anatomy, key landmarks and the procedure

• ME 3.4. Execute the steps of the procedure in a safe and efficient manner

• ME 2.2. Select appropriate fluid analysis

• ME 3.4. Handle samples in a safe manner

• ME 3.4. Optimize patient comfort and safety, including the need for analgesia, and modify the procedure as needed

• ME 4.1. Provide discharge instructions and plan for follow-up

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

• ME 3.4. Prevent and/or manage immediate complications of the procedure

Context Variables

No context variables defined.

Requirements

• Collect 1 observation of achievement (minimum 1)