Back Module: SPS200

Competency: 2

This is a compentency for the module "Clinical Assessment and Investigation Neurosensory".

Competency information

Details

Assist in a range of diagnostic and therapeutic procedures in a variety of clinical settings, recognising when results deviate from normal values/findings and appreciating the implication of results on patient treatment and care, for example:

Cardiac, Vascular, Respiratory and Sleep Science

  • Medical assessment units – point of care testing, e.g. blood and urine glucose tests.
  • High dependency settings – blood gas analysis, preparation of monitoring and ventilator system.
  • Community settings – spirometry, ankle brachial pressure indices measurements (leg ulcer clinics).

Gastrointestinal Physiology and Urodynamic Science

  • Endoscopy unit – assist with telemetric pH capsule placement; endoscopic placement of manometry catheter.
  • Operating theatre – assist with 2D/3D ultrasound pre and post-op assessment, g. sphincterotomy, ’search and find‘ procedures.
  • Diagnostic imaging – assist in the placement of small bowel manometry catheter.
  • Ward – undertake hydrogen breath tests on non-ambulant patients, e.g. small bowel overgrowth.
  • Assist with transrectal ultrasound (TRUS)
  • Continence/flows clinic – fluid management advice, bladder training.
  • Observe pressure/flow studies in patients with special needs, e.g. stoma, mobility issues, neuropathic.

Neurosensory Sciences

  • Neurological signs.
  • Neurological monitoring and function.
  • Life sign measures.
  • Cognitive function and wellbeing.
  • Screening.

 See relevant rotational modules for integration of clinical experience, competence and knowledge requirements.

Considerations

  • Relevant protocols and procedures for investigations.
  • How to communicate with patients in a way that respects their dignity, rights, privacy and confidentiality.
  • The importance of checking patient identity, fully explaining the procedure to the patient, including any potential contraindications, and obtaining informed consent prior to undertaking  investigatory procedures.
  • Requirements for the investigation environment to ensure privacy, dignity and comfort of the patient in order to facilitate the investigation procedure and optimise results.
  • How to check, calibrate and prepare the appropriate equipment and devices.
  • How to identify potential special needs of patients and the 
  • relevant action required to address any issues.
  • Infection control and decontamination procedures.
  • Normal and abnormal ranges of relevant results and their implication for the treatment and care of the patient.
  • Relevant patient pathways and referrals arising from these.
  • The relationship between the results of a range of investigations across gastrointestinal and LUT disorders and their implication for holistic patient treatment and management.

Relevant learning outcomes

# Outcome
# 2 Outcome Assist in performing a range of diagnostic and therapeutic procedures, recognising abnormal results/findings and appreciating the implication of results on patient treatment and care.
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