Curriculum standards
Entrustable Professional Activities
LG10: Procedures
Procedures
Plan, prepare for, perform, and provide aftercare for important practical procedures
This activity requires the ability to:
- select appropriate diagnostic and therapeutic procedures in partnership with patients
- ascertain informed consent when applicable
- recognise unexpected events and complications that may arise during and after procedures
- facilitate aftercare for patients
- communicate aftercare protocols and instructions to patients and medical and nursing staff
- interpret the results and outcomes of procedures, including imaging and reports
- communicate the outcome of procedures and associated investigations to patients
Professional practice framework domain
Medical expertise
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- select procedures appropriate to patients’:
- goals of care
- place of care
- prognosis
- stage of illness
- consider alternatives to therapeutic procedures for symptom relief
- recognise and manage complications arising during or after procedures
- recognise and correctly interpret normal and abnormal findings of diagnostic procedures
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- assess patients and identify indications for procedures
- check for allergies and adverse reactions
- consider risks and complications of procedures
- interpret results of common diagnostic procedures
- organise and document patients’ post-procedure reviews
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- accurately document procedures in the clinical notes
- explain procedures clearly to patients, including reasons for procedures, potential alternatives, and possible risks
- address patients’ concerns relating to procedures, and provide the opportunity to ask questions
- communicate effectively with team members and patients prior to, during, and after procedures
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- explain the process of procedures to patients without providing a broader context
- help patients choose procedures
- communicate with members of procedural teams to ensure aligned awareness of individuals’ roles
- discuss post-procedural care with patients
- complete relevant patients’ documentation, and conduct appropriate post-procedure clinical handovers
Quality and safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- obtain informed consent or other valid authority before undertaking procedures
- identify, document, and appropriately notify of any adverse events or equipment malfunction
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- ensure patients are fully informed when consenting to procedures
- identify patients using approved patients’ identifiers before any treatments or interventions are initiated
- attempt to perform procedures in safe environments
Teaching and learning
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- use relevant published procedural guidelines when arranging or undertaking procedures
- initiate and conduct skills training for junior staff
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- participate in continued professional development around procedures
- help junior colleagues develop new procedural skills
- actively seek feedback on personal technique until competent
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- consider individual patients’ cultural perception of health and illness, and adapt practice accordingly with regards to procedures
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- respect cultural, linguistic, and religious values and differences of patients, families, whānau and/or carers when considering procedures
Ethics and professional behaviour
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- identify appropriate surrogate decision makers when required
- undertake procedures within own limits of expertise
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- perform procedures when adequately supervised
- follow procedures to ensure safe practice
Judgement and decision making
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- identify roles and optimal timing for diagnostic and therapeutic procedures
- select the most appropriate and cost-effective diagnostic or therapeutic procedures
- adapt procedures in response to assessments of risks to individual patients
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- prioritise which patients receive procedures first, if there is a waiting list
- assess personal skill levels, and seek help with procedures when appropriate
- use tools and guidelines to support decision making regarding procedures
Leadership, management, and teamwork
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- provide staff with clear aftercare instructions, and explain how to recognise possible complications
- collaborate with colleagues to identify differences in training and/or experience, and work together to reduce errors, prevent complications, and increase team efficiency
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- ensure all relevant team members are aware that a procedure is occurring
- discuss patients’ management plans for recovery with colleagues
Health policy, systems, and advocacy
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- discuss serious incidents at appropriate clinical review meetings
- initiate local improvement strategies in response to serious incidents
- use resources efficiently when performing procedures
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- perform procedures in accordance with organisational guidelines and policies