Training activity: 1

Details

Select the appropriate diagnostic pathway for patients with a suspected diagnosis of the following conditions:

• High anion gap metabolic acidosis
• Paracetamol overdose
• Drug overdose causing reduced level of consciousness

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

Considerations are suggestions about what may be useful for the trainee to think about while undertaking a training activity. They should not be considered as a mandatory checklist. Trainees should not be expected to demonstrate or provide evidence for each of the considerations listed.

• Non-specific tests to support diagnosis
• Clinical presentation
• Local and national guidelines, standards and pathways.
• Follow on actions and escalation

Relevant learning outcomes

#	Outcome
# 1	Outcome Analyse drugs, vitamins and trace elements in various biological matrices via quantitative and qualitative assays using automated and manual methodologies.
# 2	Outcome Apply the appropriate investigative strategy to clinical situations which may involve drugs or poisons, advising clinical teams on the appropriate course of action.
# 4	Outcome Summarise the limitations of comprehensive toxicology screening in clinical practice.
# 6	Outcome Illustrate how toxicology results are used in clinical practice and the legal consequences of drug testing in various settings.