ACCS learning outcome: Manage patients with organ dysfunction and failure

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 3: Professional knowledge 

• professional requirements
• national legislation
• the health service and healthcare systems in the four countries
• Capabilities in health promotion and illness prevention  
• Capabilities in leadership and team-working
• Capabilities in patient safety and quality improvement
• 7. Capabilities in safeguarding vulnerable groups

At completion of ACCS a trainee:

• Will be able to provide safe and effective care for critically ill patients across the spectrum of single or multiple organ failure
• Will be able to plan and communicate effectively with patients, relatives and the wider multi-professional team when attending to the clinical and holistic needs of patients

• Recognise the limitations of intensive care and employ appropriate admission criteria
• Recognise, assesses and initiate management for acutely ill adults across the spectrum of single or multiple organ failure
• Recognise and manage the patient with sepsis and employ local infection control policies
• Perform safely and effectively the clinical invasive procedures to maintain cardiovascular, renal, and respiratory support. 
• Undertake and evaluate laboratory and clinical imaging investigations to manage patients during their intensive care stay
• Manage the ongoing medical/surgical needs and organ support of patients during a critical illness, including the holistic care of patients and relatives
• Plan and communicate the appropriate discharge of patients from intensive care to health care professionals, patients and relatives
• Support the management of end of life care within the intensive care environment with patients, relatives and the multi-professional team
• Understand the role of transplant services when appropriate and the principles of brain-stem death testing
• Support clinical staff outside the ICU to enable the early detection of the deteriorating patient