Section 3: Patient Management

Section 3: Patient Management

Code Title Core Competency Statement Core Learning Outcome
3.1.1 Care delivery Appraise the evidence base for the formation and delivery of care, taking into account patients’ age, gender, ethnicity, culture, values and spiritual beliefs Demonstrate expert practice in delivering appropriate care for patients, taking into account their age, gender, ethnicity, culture, values and spiritual beliefs
3.1.2 Care delivery Appraise the evidence base on delivery of emergency care, drawing on a wide range of data, including influential guidelines (e.g. National Service Frameworks) and legal principles, and integrate findings into care design Demonstrate appraisal of patient care, and lead in integrating a wide range of evidence into developing new practice and ways of working to meet the needs of vulnerable patients in the emergency care setting
3.1.3 Care delivery Modify the boundaries of practice by making properly considered decisions and safely working beyond the scope of conventional practice Demonstrate the ability to make properly considered decisions and push the boundaries of practice by working safely beyond the scope of conventional practice
3.2.1 Care delivery to vulnerable patients Appraise the evidence base on the care of vulnerable patients and use these appropriately in care delivery Demonstrate expert practice in delivering appropriate care for vulnerable patients, within the context of an appropriate risk management strategy
3.2.2 Care delivery to vulnerable patients Appraise the evidence on emergency care of vulnerable patients, drawing on a wide range of data including influential guidelines (e.g. National Service Frameworks) and legal principles, and integrate findings into care design Demonstrate appraisal of care for vulnerable patients and lead in integrating a wide range of evidence into developing new practice or ways of working to meet vulnerable patients’ needs in the emergency care setting
3.2.3 Care delivery to vulnerable patients Lead in the development of inter-professional, inter-agency working to facilitate care pathways for vulnerable patients Show leadership in facilitating care pathways between primary, secondary and social care for vulnerable patients
3.3.1 Communication Rapidly form therapeutic relationships with patients and carers who are experiencing emotional distress, and be able to explain what is happening in a way they can understand Demonstrate the rapid formation of therapeutic relationships with patients and carers who are experiencing emotional distress
3.3.2 Communication Utilise expertise in negotiating patient pathways with the multi-professional, multi-agency teams by leading in pathway development across the primary, secondary and social care boundaries Demonstrate expertise and a leadership role in developing patient care pathways across the boundaries of primary, secondary and social care, helped by using principles of patient involvement
3.3.3 Communication Works with the employer and other agencies to develop strategies for effective care of patients with communication difficulties Substantiate the development of effective communication strategies for patients who have difficulty communicating, involving your employer and other agencies
3.4.1 Equity and dignity Develop strategies for providing an environment which treats all patients and staff with equity and dignity Critically analyse service provision to ensure equity and dignity for all patients and staff. Develop effective care pathways that are underpinned by the principles of equity and dignity for all patients
3.5.1 Consent and advocacy Provide an expert function in determining patients’ capacity and rationalising consent in relation to working ‘in the best interest’ of the patient Demonstrate expertise in decision-making processes, establishing consent and delivering care when working ‘in the best interest’ of the patient. Demonstrate the ability to respond to patients’ opinions when determining effective new ways of working or implementing new practices
3.5.2 Consent and advocacy Lead in the development of emergency care guidelines that are clearly underpinned by sound legal and ethical principles Demonstrate expertise in leading the development of patient care guidelines that are clearly underpinned by sound legal and ethical principles
3.6.1 Coping strategies Utilise expertise in evaluating the helping and coping strategies provided to patients, families and carers during critical events Demonstrates expertise in evaluating the helping and coping strategies provided to patients, families and carers during critical events
3.6.2 Coping strategies Utilises expertise to assist other health care professionals in the provision of helping and coping strategies for patients and families during critical events Demonstrate expertise in assisting other health care professionals to provide helping and coping strategies to patients and families during critical events
3.7.1 Patient empowerment Ensure that developments in patient care are underpinned by the principles of support and empowerment Demonstrate an active role in ensuring that patient care developments are underpinned by principles of support and empowerment
3.7.2 Patient empowerment Evaluate available resources to ensure patients and enabled to make informed decisions Demonstrate expertise in understanding and evaluating available resources to ensure patients are enabled to make informed decisions
3.8.1 Managing relatives’ loss Develop and/or evaluate the effectiveness of methods used to manage relatives and friends who are experiencing loss and sudden bereavement Critically analyse current practice against best practice guidelines on the management of relatives and friends experiencing loss and sudden bereavement
3.9.1 Prioritisation Be expert in rationalising the choices made when prioritising care for individuals, groups of patients and the service Demonstrate expertise in rationalising the choices made when prioritising care for individuals, groups of patients and the service
3.9.2 Prioritisation Develop team efficiency in prioritising care for patients in the emergency care setting Demonstrates the ability to develop team efficiency in prioritising care for patients in the emergency care setting
3.10.1 Documentation Lead in the development of multi-professional patient care pathways Show leadership in the multi-professional development of effective patient care pathways which are underpinned by clinical evidence base and local and national guidelines
3.10.2 Documentation Develop documentation systems which meets clinical and legal requirements. Ensure utilisation of documentation systems which meet legal and clinical requirements Demonstrate the development and utilisation of documentation systems which meet clinical and legal requirements
3.11.1 Role modelling Act as a role model and resource to other members of the multi-professional team in the emergency care setting, employing organisation, regionally or nationally Demonstrate evidence of being a role model and providing advice to others in the emergency care setting, in the employing organisation, and at regional or national level
3.12.1 Multi-professional team working Develop effective multi-professional team working Demonstrate the ability to critically analyse the effective working of the multi-professional team and develop new ways of working. Act in a supportive, motivational and consultancy role to the multi-professional team. Create and sustain support mechanisms within the emergency setting and empower junior members of the multi-professional team
3.12.2 Multi-professional team working Be effective in supervising and facilitating team leaders’ learning in an emergency situation Demonstrate expertise in supervision and facilitation in an emergency situation
3.12.3 Multi-professional team working Initiate crisis intervention and evaluate each intervention effectively Demonstrate expertise in initiating and evaluating crisis intervention
3.12.4 Multi-professional team working Utilise expertise in effective day-to-day management of the emergency department Demonstrate effective management of the emergency service on a day-to-day basis
3.12.5 Multi-professional team working Utilise expertise in the clinical management of patients attending the emergency setting Demonstrate expertise in managing patients attending the emergency setting
3.13.1 Inter-agency working Analyse the evidence base on specific patient presentations and maximise on intermediate and social care opportunities, working inter-professionally and with other agencies to develop care pathways which reduce admission and ensure safe discharge of patients Demonstrate effective inter-professional, inter-agency working in developing care pathways, underpinned by an evidence base, to reduce admission and ensure safe discharge of patients
3.14.1 Audit & monitoring care delivery Utilise expert in undertaking audit and / or research, evaluating findings, report writing and implementing changes to practise arising from an action plan. Demonstrate effective change management as a direct result of audit and / or research findings.
3.15.1 Risk management policy Participate in developing risk management policy for the emergency service Demonstrate the ability to perform risk assessment, act on findings and develop risk management policy
3.16.1 Policy & practice development Be an innovator in emergency care delivery Demonstrate innovative ways of delivering care across the emergency service
3.16.2 Policy & practice development Provide leadership in stimulating discussion and critical review of government emergency care expectations and the local strategies to meet them Demonstrate leadership in stimulating discussion and critical review of government emergency care expectations and the strategies in place to meet them locally
3.17.1 Leads emergency care Lead in emergency developments on a regional or national basis Demonstrate effective leadership of projects which facilitate the development of emergency practice in the wider emergency care arena

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