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
  • Will be able to provide safe and effective care for critically ill patients across the spectrum of single or multiple organ system dysfunction and 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.

Level 2a by end of ACCS

Evidence to inform decisions include:

  • MCR
  • CbD
  • Mini-CEX
  • MSF
  • Reflection

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