Training activity information
Details
Develop or review an existing risk assessment for an exercise testing procedure and present to the team
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.
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 are the key elements of a comprehensive risk assessment for an exercise testing procedure? What guidelines or local policies inform risk assessment in your department?
- What information do you need about the specific exercise testing procedure before you can develop or review its risk assessment?
- What specific aspects of hazard identification and risk mitigation in the context of exercise testing do you hope to understand better?
- What do you already know about risk assessment principles and procedures?
- Will you discuss existing risk assessments or risk assessment templates with your training officer? What examples will you seek?
- What potential risks associated with exercise testing procedures will you consider (e.g., patient safety, equipment malfunction)? How will you consider control measures for these risks?
- How do you feel about the responsibility of developing or reviewing a document related to patient and staff safety? How will you prepare for presenting this to the team?
In action
- Pay attention to how you are identifying potential risks associated with the exercise testing procedure. Are you considering all stages of the procedure (pre-test, during test, post-test)? What decisions are you making about the likelihood and severity of different risks? How are you approaching the development or review of control measures for these risks?
- How are you progressing with the activity? How effective is your approach in identifying a comprehensive list of potential risks? What challenges are you facing in determining appropriate control measures? What can you learn about risk assessment in the context of exercise testing as you do this? How does this task relate to your broader understanding of patient safety and clinical governance?
- How are you adapting to the situation? Are there alternative frameworks or checklists you could be using to ensure you’ve considered all relevant risks? If you are reviewing an existing risk assessment, what prompts you to question certain aspects or suggest changes? What support or guidance might you need if you are unsure about the severity of a particular risk or the suitability of a control measure? Are you ensuring your risk assessment is appropriate for the scope of the exercise testing procedure and your role?
On action
- What were the main potential risks associated with the exercise testing procedure that you identified (or were already identified in the existing assessment)? What were the proposed (or existing) control measures for these risks? What discussions or feedback did you have with the team during your presentation? Were there any risks that were more challenging to assess or control?
- What did you learn about the process of identifying and evaluating risks in a clinical setting? What did you learn about different types of control measures and their effectiveness? Did you gain a better understanding of the specific risks associated with the exercise testing procedure? How did the team’s feedback enhance your understanding of the risk assessment?
- How will you incorporate the feedback received from the team into the risk assessment document? How will this experience influence your approach to identifying and managing risks in other clinical activities? What further information or training might be beneficial to enhance your skills in risk assessment? What actions will you take to ensure the risk assessment is implemented and reviewed appropriately? What support or resources might you need to further develop your understanding of risk assessment methodologies?
Beyond action
- Have you had opportunities to see the risk assessment in use during exercise testing procedures?
- Have any unforeseen incidents or near misses occurred during exercise testing since you completed this training activity that might necessitate a re-evaluation of the risk assessment?
- Consider if your understanding of potential risks and effective control measures has deepened through other experiences or learning.
- Have you had further discussions with the team about risk assessment in general or this specific assessment?
- Has your awareness of potential risks in clinical procedures increased as a result of this activity?
- When you are now involved in or observing clinical procedures, do you actively think about the associated risks and control measures?
- Has this training activity influenced your approach to contributing to or developing other risk assessments in your workplace?
- How will you approach the development or review of risk assessments for new or unfamiliar procedures in the future?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Prepare equipment and the environment in order to undertake clinical exercise assessments. |
| # 2 |
Outcome
Prepare patients to undertake field and formal clinical exercise assessments. |
| # 3 |
Outcome
Select the appropriate clinical exercise assessment based on referral criteria. |
| # 8 |
Outcome
Demonstrate a patient centered approach to practice, considering communication with patients and relatives and the patient experience. |