Manage CPR & trauma calls

At the early registrar level it is expected that a prevocational doctor will have acquired the skills, knowledge and behaviours to competently manage  CPR and trauma calls.

This task describes a number of activities, as below, where proficiency should be achievable by the end of PGY3.  The doctor is encouraged to access the key clinical task guidelines and seek the support of his/her supervisor for feedback on performance. Updated key clinical tasks will be available soon for download.

  • Able to be part of a team
  • When able, review patient file for CPR
  • When able, plan next steps for trauma
    • Primary to secondary surveys
    • Discuss management with senior doctor

Related Competencies:

Collaboration and teamwork

Respond positively to requests for help from team, as needed
Collaboration and teamwork

Adopt flexible roles within different teams and accept assigned tasks
Collaboration and teamwork

Self-awareness of how one’s views may contribute to team tension
Medical expertise

Recognise and effectively assess acutely ill, deteriorating and dying patients
Medical expertise

Perform basic emergency and life support procedures while continuing full assessment of the patient to include:

  • Apply principles of triage and medical prioritisation
  • Identify patients requiring immediate resuscitation and when to call for help, e.g. Code Blue, MET calls
  • Implement basic airway management, ventilatory and circulatory support
  • Identify indications for advanced airway management
  • Participate in decision making, and debriefing, about cessation of resuscitation
Technical expertise

Perform some generic elementary technical skills
Collaboration and teamwork

Recognise issues that impede teamwork and suggest/implement actions to improve it
Collaboration and teamwork

Recognise expertise and roles of other health team members and staff
Communication

Keep patients and significant others informed of management plan progress
Health advocacy

Note and understand the Enduring Power of Attorney and the Advanced Care Directives
Health advocacy

Consider how culture, beliefs and health literacy can affect patient understanding of their care and expectations
Judgement and clinical decision making

Able to succinctly present the patient scenario and discuss management plan
Judgement and clinical decision making

Implement the ISBAR approach of identification, description of case, clinical background, assessment and recommendation for discussion
Judgement and clinical decision making

Recognise when advice and guidance is required in development of management plans
Leadership and management

Recognise stressful situations and know when to ask for help
Medical expertise

Identify medical errors or adverse events and implement the appropriate clinical protocols to manage them
Scholarship and teaching

Provide constructive, timely and specific feedback to interns based on observation of a junior’s performance, encouraging them to reflect on their own learning
Technical expertise

Perform generic elementary technical skills
Technical expertise

Engage with Basic and Intermediate surgical constructs
Collaboration and teamwork

Work within the team to identify and remedy errors, particularly using a systems approach
Collaboration and teamwork

Encourage participation of all team members and allocate appropriate tasks to junior members
Communication

Use graded assertiveness where appropriate
Judgement and clinical decision making

Recognise when a management plan is failing and, where appropriate, seek senior input to devise an alternative plan
Judgement and clinical decision making

Discuss imperfect management and reflect on one’s own clinical reasoning process
Judgement and clinical decision making

Recognise instances of uncertainty and conflicting values, and able to alleviate their potential impact
Leadership and management

Use existing systems to manage adverse events and near misses
Leadership and management

Delegate appropriate tasks to junior members, ensuring supervision is maintained
Medical expertise

Audit own and team performance in relation to patient progress and outcome
Technical expertise

Able to demonstrate that basic essential surgical skills constructs are well established
Technical expertise

Able to assess advanced Essential Surgical Skills constructs (competent with basic and intermediate) both for use in current position as well as for surgical education and training (SET) application – career pathway
Technical expertise

Competent with intermediate and many of the advanced Essential Surgical Skills constructs

The JDocs website is an initiative of the Royal Australasian College of Surgeons.

The aim is to provide career guidance to junior doctors in Australia and Aotearoa New Zealand during the early prevocational years.

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