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Syllabus - Clinical Skills
THE FOLLOWING CLINICAL SKILLS SHOULD BE PERFORMED OR OBSERVED BY STUDENTS DURING ANESTHESIOLOGY IDEPT 470
Preoperative Evaluation
- Preoperative airway evaluation - the student should be able anticipate the degree of difficulty expected with mask ventilation and tracheal intubation after performing a history and physical examination of the patientıs airway.
- Preoperative cardiac evaluation - the student should be capable of performing a basic cardiac history and physical examination in order to determine the need for advanced preoperative cardiac work-up and patient preparation.
- Preoperative pulmonary evaluation - the student should be capable of performing a basic pulmonary history and physical examination in order to determine the need for advanced preoperative pulmonary work-up and patient preparation.
- Preoperative laboratory testing - the student should understand the logic behind currently used guidelines for the ordering of preoperative laboratory testing.
Intraoperative Care
- Airway management - the student should gain experience with bag and mask ventilation, the use of oral and nasal airways, and laryngoscopy and tracheal intubation. This experience can be gained through the use of mannequins as well as during patient care.
- Intravenous catheter insertion - the student should understand the decision making process involved with choosing the site and size of IV catheterization and gain experience with intravenous catheter insertion. In addition, the student should understand universal precautions, aseptic technique, and the wound care of the IV site.
- Arterial catheter insertion - the student should become familiar with the indications, complications, and techniques for arterial catheterization. Most students will not have an opportunity to perform arterial punctures on patients. An arterial puncture mannequin will be available during orientation to practice this technique.
- Central venous catheter insertion - the student should become familiar with the indications, complications, and techniques associated with central venous catheter insertion. Most students will be able to observe, but not perform, central venous catheter insertion.
- Pulmonary artery catheter insertion - the student should become familiar with the indications, complications, techniques, and limitations of pulmonary artery catheterization. Most students will be able to observe, but not perform, pulmonary artery catheterization.
- Lumbar puncture (spinal tap) - the student should become familiar with the anatomy of the subarachnoid space as well as the indications, complications, contraindications, and techniques for lumbar puncture spinal anesthesia.
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