PBA: PONSETI CAST APPLICATION - Bscos.com
PBA: PONSETI CAST APPLICATION - Bscos.com
PBA: PONSETI CAST APPLICATION - Bscos.com
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(Children’s Orthopaedics) <strong>PBA</strong>: <strong>PONSETI</strong> <strong>CAST</strong> <strong>APPLICATION</strong><br />
BSCOS<br />
TEMPLATE 2012<br />
Trainee: Assessor: Date:<br />
Start time: End time: Duration:<br />
Operation more difficult than usual? Yes / No (If yes, state reason)<br />
Score: N = Not observed or not appropriate U = Unsatisfactory S = Satisfactory<br />
Competencies and Definitions<br />
I. Consent<br />
C1<br />
Demonstrates sound knowledge of indications and contraindications<br />
including alternative approaches to clubfoot treatment<br />
C2 Demonstrates awareness of sequelae of management<br />
C3 Demonstrates sound knowledge of <strong>com</strong>plications method<br />
C4 Explains the process to the patient and/or relatives or carers and checks understanding<br />
C5 Checks family have written information<br />
II. Pre operative planning<br />
PL1<br />
Demonstrates recognition of anatomical and pathological abnormalities (and relevant <strong>com</strong>orbidities)<br />
and understands plastering sequence<br />
PL2 Demonstrates understanding of scoring systems<br />
PL3 Checks materials, equipment and device requirements with plaster room staff<br />
PL4 Ensures the operation site is marked where applicable (tenotomy)<br />
PL5 Checks patient records, personally reviews investigations<br />
III. Pre operative preparation<br />
PR1 Gives effective briefing to assistants<br />
PR2 Ensures proper and safe positioning of the patient<br />
PR3 Demonstrates careful skin assessment<br />
PR4 Demonstrates appropriate preparation of the patient’s operative field (for tenotomy)<br />
PR5 Appropriate use of local anaesthetic – understands infant dosing<br />
<strong>PBA</strong> Assessment: Produced by OCAP, OpComp & the SAC for [specialty] 1/2<br />
Score<br />
N / U / S<br />
Comments
IV. Intra operative Technique<br />
Competencies and Definitions<br />
IT1 Careful and controlled tenotomy protecting neurovascular structures<br />
IT2 Controls bleeding promptly by an appropriate method<br />
IT3 Proceeds at appropriate pace with economy of movement<br />
IT4 Follows the correct manipulation and casting sequence<br />
IT5 Deals calmly and effectively with unexpected events/<strong>com</strong>plications<br />
IT6 Achieves satisfactory cast<br />
V. Post operative management<br />
PM1 Constructs a clear note including progressive scoring<br />
PM2 Records clear and appropriate post operative instructions<br />
Global summary<br />
Level at which <strong>com</strong>pleted elements of the <strong>PBA</strong> were performed<br />
Level 0 Insufficient evidence observed to support a judgement<br />
Level 1 Unable to perform the procedure under supervision<br />
Level 2 Able to perform the procedure under supervision<br />
Level 3<br />
Level 4<br />
Signatures:<br />
Able to perform the procedure with minimum supervision (would need<br />
occasional help)<br />
Competent to perform the procedure unsupervised (could deal with<br />
<strong>com</strong>plications)<br />
Trainee: Assessor(s):<br />
<strong>PBA</strong> Assessment: Produced by OCAP, OpComp & the SAC for [specialty] 2/2<br />
Tick as<br />
appropriate<br />
Score<br />
N / U / S<br />
Comments<br />
Comments
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