ACCS Learning outcome: Provide safe basic anaesthetic care including sedation

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

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

At completion of ACCS a trainee will be able to:

• Pre-operatively assess, optimise and prepare patients for anaesthesia
• Safely induce, maintain and support recovery from anaesthesia including recognition and management of complications
• Provide urgent or emergency anaesthesia to ASA 1E and 2E patients requiring uncomplicated surgery including stabilization and transfer
• Provide safe procedural sedation for ASA 1E and 2E patients

• Understand the risks, aetiology, treatment and control processes of infection including the need for and ability to perform an aseptic non-touch technique
• Pre-operatively assess patients’ suitability for anaesthesia, prescribe suitable pre-medication and recognise when further investigation or optimisation is required prior to commencing surgery and adequately communicate this to the patient or their family
• Safely induce anaesthesia in ASA 1 and 2 patients, recognise and deal with complications associated with induction
• Maintain anaesthesia for the relevant procedure, utilise appropriate monitoring and effectively interpret the information it provides to ensure the safety of the anaesthetised patient, as a member of the multi-disciplinary theatre team
• Safely care for a patient recovering from anaesthesia, recognise and treat the common associated complications and manage appropriate post-operative analgesia, anti-emesis and fluid therapies
• Provide urgent or emergency anaesthesia to ASA 1E and 2E patients requiring uncomplicated surgery
• Plan and deliver safe sedation using appropriate agents for ASA 1E and 2E patients requiring procedures