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Record of Completion of Programme (Chest Drain Removal)

CS MEN Record of Completion of Programme

Chest Drain Removal

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:

Address (for certificate):

Profession (Please circle one): Nursing & Midwifery Medicine AHP

SAS

Other

Job Title:

Clinical Area:

NHS Board (If applicable):

Hospital/Primary Care Facility:


Signature (Practitioner) Signature (Assessor/Facilitator) Date
Attendance at simulated practice session
Completion of theoretical assessment/s
Completion of practical assessment/s