Training activity information
Details
Participate in the WHO surgical safety checklist as part of the multidisciplinary team in the CRM cath lab
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.
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 does success look like?
- Identify what is expected of you when participating in the WHO surgical safety checklist in the CRM cath lab.
- Consider how the relevant learning outcomes or curriculum considerations apply, specifically concerning multidisciplinary teamwork and communication.
- Discuss with your training officer to gain clarity on expectations for your participation and role within the team, for example, ensuring time-out verification of patient identity and procedure site.
What is your prior experience of this activity?
- Think about what you already know about participating in this checklist.
- Consider possible challenges you might face during the activity, such as communication barriers within the team or unclear verification of required equipment, and think about how you might handle them.
- Recognise the scope of your own practice for this activity, i.e., know when you will need to seek advice or help, and from whom.
- Acknowledge how you feel about participating in the WHO surgical safety checklist. How do you feel about working within a multidisciplinary team?
What do you anticipate you will learn from the experience?
- Consider the specific skills you want to develop related to multidisciplinary teamwork and adherence to safety protocols.
- Identify specific insights you hope to gain, for example, regarding the importance of safety checks in the CRM procedure flow.
What additional considerations do you need to make?
- Consult actions identified from previous experiences with similar checklists or teamwork exercises.
- Identify any important information you need to consider before participating, such as the specific procedural steps covered by the checklist or relevant local safety protocols.
In action
Is anything unexpected occurring?
- Are you noticing anything surprising or different from what you anticipate whilst participating in the checklist?
- Are you encountering situations such as:
- A hesitation or ambiguity from a team member regarding verification of the patient, procedure, or site, potentially compromising safety?
- Identifying a checklist item that seems incorrect or missed based on the specific procedure details being confirmed?
How are you reacting to the unexpected development?
- How is this impacting your actions? For example, are you responding to the situation appropriately? Are you deciding when to speak up if something seems incorrect or missed?
- Consider the steps you are taking in the moment, such as:
- Actively confirming information or preparing specific items relevant to your role?
- Seeking immediate clarification from a senior team member about a specific item on the checklist or its relevance to the patient?
- How are you feeling in that moment? For instance, are you finding it difficult to contribute to the team discussion? Is it affecting your confidence in verifying checklist details?
What is the conclusion or outcome?
- Identify how you are working within your scope of practice. For example, are your contributions appropriate for your role and level of training?
- What are you learning as a result of the unexpected development? For example, are you gaining insight into the team’s process for ensuring safety?
On action
What happened?
- Begin by summarising the key points of the experience of participating in the checklist.
- Consider specific events, actions, or interactions which felt important, such as how you approached verification of patient identity or the procedure site. Note who was involved, the items covered, and the overall atmosphere and communication within the team.
- Include any ‘reflect-in-action’ moments where you had to adapt to the situation as it unfolded, for instance, speaking up when an item was ambiguous or missed. How did you feel during this experience?
How has this experience contributed to your developing practice?
- Identify what learning you can take from this experience regarding patient safety and team communication. What strengths did you demonstrate e.g., active participation? What skills and/or knowledge gaps were evident?
- Compare this experience against previous engagement with similar activities – were any previously identified actions for development achieved? Has your practice improved?
- Acknowledge any changes in your own feelings now you are looking back on the experience. How does this activity contribute to your awareness of patient safety protocols in the cath lab?
What will you take from the experience moving forward?
- Identify the actions or ‘next steps’ you will now take to support the assimilation of what you have learnt, including from any feedback you have received on your contribution and engagement.
- Identify how you will ensure active and effective participation in future safety checklists. Has anything changed in terms of what you would do if you were faced with a similar situation again?
- Do you need to practise any aspect of the activity further, such as understanding specific aspects of the checklist or local safety protocols?
Beyond action
Have you revisited the experiences?
- Have you reviewed your actions from your previous reflections for this activity? What specific actions did you previously identify you would need to take to improve your practice related to communication, team roles, or ensuring all mandated checks were completed? Have you completed these previously identified actions? For example, if you planned to review the specific script or sequence of the WHO checklist, how did completing this review impact your subsequent performance in leading or contributing to the time-out process?
- Engage in professional storytelling with peers, near peers, or colleagues about challenges and successes in applying the surgical safety checklist, perhaps instances where it prevented an issue or where communication was challenging. How has discussing these events influenced your perspective on team dynamics and safety culture in the CRM cath lab?
How have these experiences impacted upon current practice?
- Consider how the accumulated learning from performing or reflecting on checklist participation will support you in preparing for observed ‘in-person’ assessments for the module, such as Case-Based Discussions that involve discussing procedural safety protocols.
- How has your practice in contributing to procedural safety and effective team communication developed and evolved over time? For example, how does your foundational knowledge of the checklist steps inform your situational awareness during other complex device implants?
- What transferable skills e.g., meticulous adherence to protocol or crisis prevention did you develop through this activity, and how will this understanding help you evaluate and adopt new safety standards in the future?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Demonstrate effective physiological and scientific support for complex CIED implant, providing technical expertise, ensuring patient safety and appropriate procedural documentation. |
| # 6 |
Outcome
Perform cardiac physiological role for simple electrophysiology procedures for diagnostic investigations and delivery of therapies to help terminate arrhythmias. |