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
  • Will be able to pre-operatively assess, optimise and prepare patients for anaesthesia
  • Will be able to provide urgent or emergency anaesthesia and perioperative care to ASA 1 and 2 patients requiring uncomplicated elective and emergency surgery
  • Will be able to provide safe procedural sedation for ASA 1 and 2 patients

Level 2b by end of ACCS

Evidence to inform decisions include:

  • HALO in Sedation
  • IAC
  • MCR
  • DOPS
  • MSF
  • Logbook of cases
  • Simulation training with assessment 

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