Ahmed

Please be aware that the procedures explained here are  only for educational purposes and if in doubt, kindly refer to your local guidelines and ask your seniors. Please remember that these guidelines vary from trust to trust which you will be introduced to during your induction and your first few days in your trust. Please also note that there are simulation sessions in almost every trust to enable health care professionals become more confident in their skills.  As a SHO ( trainee/non trainee) you are expected to learn and do the following procedures independently: 1. Ascetic taps 2. Lumbar punctures 3. NGT placement and checking 4. Pleural aspiration for pneumothorax or pleural fluid 5. Cardioversion, advanced CPR  These are mentioned in the ARCP decision aid for IMT here: https://www.jrcptb.org.uk/training-certification/arcp-decision-aids This is the rule I use for procedures: Always observe, then assist , then do it under supervision, d...

This post is just an educational post. This is not MEANT as a resource for doctors working in the NHS as they have their own local guidelines and they MUST observe someone who has done it multiple times before ( ie- a consultant or a registrar), do this under supervision ( of a registrar or consultant), then do this independently and then teach. I am making this to share with medical students, international medical graduates and just to give an idea about the importance of ceiling of care in the NHS. What happens if a patient stops breathing/their heart stops beating? A CRASH call is put out. What is a CRASH call? This a fast bleep to all relevant on call doctors, nurses and other health care professionals which include: 1. The ITU registrar on call 2. The ITU SHO on call 3. The critical care outreach nurse 4. CCU nurse 5. Medical registrar on call 6. Medical on call doctors - SHOs and FY1s 7. Porter 8. Bed manager 9. Matron 10. Resus officer on call The team may vary...