Training activity information
Details
Complete actions to conclude in-theatre intraoperative neuromonitoring for spinal surgeries, to include:
- Safely removing and disposing of equipment including electrodes
- Decontaminating equipment
- Ensuring data is safely saved
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?
- Have you identified the expectations for safely removing electrodes, decontaminating equipment, and ensuring data integrity?
- How do the learning outcomes apply to the conclusion of theatre monitoring?
- Have you discussed with your Training Officer the departmental protocols for data backup and sharps disposal?
What is your prior experience of this activity?
- What do you know about infection control and data management in the theatre setting?
- What challenges, such as maintaining sterility during cleanup or software errors during data saving, do you anticipate?
What do you anticipate you will learn from the experience?
- What systematic habits for procedural conclusion do you want to develop?
- What insights into post-surgical data review and reporting do you hope to gain?
What additional considerations do you need to make?
- Have you reviewed any previous ‘near-misses’ related to data storage or decontamination?
- What specific institutional guidelines for medical waste disposal must you consider?
In action
During the activity is anything unexpected occurring?
- Is there a data storage errorduring the shutdown?
- Is there a sharps disposal incident during clean up?
How are you reacting to the unexpected development?
- Are you taking steps to verify the data is safely saved and the equipment is decontaminated according to protocol to ensure data integrity?
- Do you feel positive that all concluding actions have been performed correctly?
What is the conclusion or outcome?
- Have you successfully maintained patient and occupational safety while working within the departmental guidelines?
On action
What happened?
- How would you summarise the key actions taken to conclude the procedure, including electrode removal and decontamination?
- What steps did you take to ensure that data was safely saved and backed up?
- How did you feel about your adherence to infection control and medical waste disposal protocols at the end of the case?
How has this experience contributed to your developing practice?
- What strengths did you demonstrate in ensuring patient and occupational safety during the cleanup?
- Did you notice any gaps in your knowledge regarding the departmental protocols for procedural conclusion?
- Was your ability to efficiently wrap up the technical setup improved compared to previous procedures?
What will you take from the experience moving forward?
- What actions will you take to ensure the final data review and storage are even more systematic next time?
- What would you do differently to improve the decontamination workflow for the equipment?
Beyond action
Have you revisited the experiences?
- Have you reviewed your actions regarding the conclusion of IONM procedures, specifically decontamination and data saving?
- Have you completed actions to improve your infection control and sharps disposal protocols?
- How has discussing the legal and ethical importance of data integrity with peers changed your post-procedural workflow?
How have these experiences impacted upon current practice?
- How has your attention to detail in the conclusion phase developed your professionalism and accountability as a scientist?
- Can you identify how your systematic habits for decontamination and data backup contribute to overall patient and occupational safety?
- What transferable skills in procedural closure and information management have you developed through this activity?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Follow the pre-operative plan for intraoperative neuromonitoring for spinal surgery, making any necessary adjustments based on information available on the day of monitoring. |
| # 4 |
Outcome
Identify and respond to factors that impact intraoperative neuromonitoring for spinal surgery including technical problems and physiological effects. |
| # 6 |
Outcome
Complete actions to conclude in-theatre intraoperative neuromonitoring for spinal surgery. |
| # | Outcome |