Training activity information
Details
Identify patient requirements for CRRT, with reference to patient status and renal pathophysiology
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Considerations
- Communication with the clinical team
- Reference to prescriptions
- Reference to clinical requirements
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- What aspects of patient status and renal pathophysiology are crucial for determining the need for Continuous Renal Replacement Therapy (CRRT)?
- What specific insights do you hope to gain regarding the indications for CRRT based on different patient conditions and renal issues? What do you already know about the assessment of patient requirements for CRRT?
- Discuss this training activity with your training officer to ensure you have a clear understanding. Consider potential challenges you might face in linking patient status and pathophysiology to CRRT requirements, and how you might address them. Identify how you feel about undertaking this task.
In action
- Pay attention to how you are approaching the task of identifying patient requirements. Why are you using a particular method or resource? What decisions are you making as you assess the patient status and renal pathophysiology? What aspects of identifying these requirements feel intuitive based on your current knowledge, and what requires more conscious effort?
- How effectively are you identifying the key patient requirements in relation to CRRT? What challenges are you encountering as you try to understand the patient’s status and pathophysiology? What can you learn about the process of identifying patient requirements while you are doing it? How does this task connect with what you already know about renal physiology and CRRT indications?
- If you are struggling to identify a requirement, are there alternative approaches or resources you could consider in that moment? What support or guidance might you need from a colleague or supervisor during this activity if you are unsure? Are you ensuring that your identification of requirements is within your current level of training and scope of practice?
On action
- What were the key indicators of patient status that you observed and considered? What specific aspects of the patient’s renal pathophysiology were most relevant to determining CRRT requirements? What guidelines or protocols did you refer to during this activity?
- What did you learn about the specific criteria used to identify patient requirements for CRRT? How did analysing the patient’s status and pathophysiology help you understand their need for CRRT? Were there any discrepancies or uncertainties in the information available? How did you address these?
- What specific aspects of patient status or renal pathophysiology will you pay closer attention to in future assessments for CRRT needs? Are there any further resources or guidelines you need to review? How will this experience inform your communication with the clinical team regarding CRRT initiation?
Beyond action
- Consider evaluating and re-evaluating this experience to enhance your learning. What new understanding of patient selection for CRRT have you gained since this DTA, based on subsequent learning or experiences?
- Have you had experiences with other training activities where patient assessment and the rationale for interventions were key? If so, how does this DTA compare? What principles have you assimilated into your practice from both?
- Revisit your reflect-on-action notes from this DTA. Have your perspectives on the criteria for CRRT initiation changed? What learning or actions might you now identify?
- Have you engaged in professional storytelling with peers or colleagues regarding challenging cases or the nuances of CRRT initiation? Has this changed your view of the factors influencing the decision?
- How has understanding the requirements for CRRT influenced your approach to patient assessment or discussions with the clinical team in other contexts?
- Have you applied your knowledge of CRRT indications in subsequent patient encounters? How has your ability to recognise patients who might benefit from CRRT evolved? How has experience since influenced your wider practice?
- Identify the transferable skills you are developing, such as critical appraisal of patient information and understanding of physiological needs.
- Identify clear actions for continued development in understanding the complexities of renal pathophysiology and patient selection for CRRT.
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Set up and programme a renal replacement therapy machine. |
| # 3 |
Outcome
Prescribe therapies for clinical scenarios related to renal replacement therapies. |
| # 5 |
Outcome
Describe the renal replacement therapy modalities, with reference to patient needs. |