Record of Completion of Programme (Pre-Hospital Chest Drain Insertion)
CS MEN Record of Completion of Programme
Pre-Hospital Chest Drain Insertion
All staff must complete and return this slip to: Andrea Baker, Educational Resource Developer, CS MEN, NHS Education for Scotland, Postgraduate Medical Office, Level 8, Ninewells Hospital & Medical School, Dundee, DD1 9SY.
This record must be completed by all practitioners completing this clinical skills programme. Their assessor should sign below on satisfactory completion of the study guide and a copy should be retained by both the practitioner and their manager.
Full Name: |
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Address (for certificate): |
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Profession (Please circle one): | Nursing & Midwifery | Medicine | AHP |
SAS |
Other |
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Job Title: |
Clinical Area: | ||
NHS Board (If applicable):
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Hospital/Primary Care Facility: |
Signature (Practitioner) | Signature (Assessor/Facilitator) | Date | |
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Attendance at simulated practice session | |||
Completion of theoretical assessment/s | |||
Completion of practical assessment/s |