SLO 8 – Lead the ED shift

Domain 1: Professional values and behaviours

Domain 2: Professional skills

• practical skills
• communication and interpersonal skills
• dealing with complexity and uncertainty
• clinical skills (history taking, diagnosis and medical management; consent; humane interventions; prescribing medicines safely; using medical devices safely; infection control and communicable disease)

Domain 5: Capabilities in leadership and team-working

Domain 6: Capabilities in patient safety and quality improvement

• patient safety

Domain 7: capabilities in safeguarding vulnerable groups

Key EM capabilities

At completion of Intermediate training a trainee will: 

• have an awareness of other’s workload and supports other staff members. 
• be able to be function as senior clinician in the ED overnight.

with Supervisor ‘on call’ from home for queries, able to provide directions via phone and able to attend the bedside if required to provide direct supervision

At completion of higher training a trainee:

• Will provide support to ED staff of all levels and disciplines on the ED shift
• Will be able to liaise with the rest of the acute / urgent care team and wider hospital as shift leader
• Will maintain situational awareness throughout the shift to ensure safety is optimised
• Will anticipate challenges, generate options, make decisions and communicate these effectively to the team as lead clinician 

and would be able to manage with no supervisor involvement

Intermediate & Higher Descriptors

Demonstrate understanding of:

• Patient flow management & escalation procedures
• Clinical Governance: risk management across the ED; corporate responsibilities.
• Emergency preparedness principles; major incident and HAZMAT/CBRN plan

• • Demonstrate effective problem-solving skills
  • Manage workload: delegation, time management, task prioritisation
  • Manage staff & allocate resources (including staff)
  • Demonstrate effective situational awareness
  • Communicate effectively
  • Manage conflict
  • Conduct a ‘board round’
  • Lead and receive at handover or huddle meetings
  • Liaise effectively with the rest of the hospital regarding safety and performance
  • Demonstrate contingency planning and risk mitigation skills to maximise departmental safety
  • Identify and act upon potential flow or staffing issues
  • Provide leadership in a hospital major incident response
  • Remain calm and professional at all times
  • Demonstrate flexibility and responsiveness
  • Demonstrates appropriate assertiveness whilst maintaining professionalism
  • Provide an acceptable role model to others
  • Looks after staff well-being (management of breaks, fatigue etc)