Training activity: 12

Details

Lead an assessment and discuss with a patient their requirements and expectations for a remake of a nasal prosthesis

Plan, design, manufacture and fit a nasal prosthesis based on their individual concerns, prognosis and their individual requirements

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

• Patient centred care and support
• Information requirements to complete the device
• Design requirements and options related to anatomical structures
• Psychological and functional nature of the deformity and its impact on the patient
• Treatment challenges related to device manufacture and fit
• Device design, material selection and manufacture custom medical devices
• Manufacture protocols and device risk assessment
• Patient expectations and experience in a remake situation
• Incidental findings, raising concerns and onward referral for specialist care
• Clinical fitting procedure
• Care and use instructions
• Retention options – implant systems and components
• Long-term treatment options
• Communication with the patient and family/carers
• Custom device market surveillance
• Impact of plan/design on patient quality of life
• Patient safety, dignity and confidentiality
• Complications and onward referral

Relevant learning outcomes

#	Outcome
# 1	Outcome Deliver quality patient centred care with the best interests of patients in all elements of practice.
# 2	Outcome Practice in accordance with local and national health and safety policies, regulatory requirements and overall service governance.
# 3	Outcome Communicate effectively with patients, relatives, healthcare professionals and other stakeholders.
# 4	Outcome Identify patients who need further specialist support and refer to the appropriate healthcare specialist.
# 5	Outcome Analyse and interpret patient investigations, multimodal imaging and information.
# 6	Outcome Perform clinical investigations, formulate treatment plans and manufacture medical devices to a safe clinical standard.
# 8	Outcome Select appropriate biomedical materials and components/instrumentation used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	Outcome Practice in partnership with other clinical specialisms as part of a multidisciplinary team and understand their roles and their impact on patient care and pathway.
# 10	Outcome Apply the principals of a quality management system to their professional practice.
# 12	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.