Understands and debates professional issues in relation to chest drain insertion and management

(Aligned to KSF specific dimensions: HWB2-2, HWB3-2, HWB4-3, HWB5-3, IK3-2, G2-1)

• Applies ethical principles and guidelines to inform decision making in practice, supports equality and values diversity
• Actively involves the patient in the decision making process.
• Demonstrates the ability to work in accordance with legal and statutory guidelines.
• Exercises autonomy and initiative.
• Demonstrates responsibility and accountability for own, and applicable others' practice.
• Maintains accurate record keeping.

Performs accurate assessment of patient requiring insertion of a chest drain

(Aligned to KSF specific dimensions: HWB7-2, HWB 6, HWB 3, HWB 4, IK 1-4, IK 2-3, IK 3-3)

• Demonstrates knowledge of the anatomy and physiology of the pleural cavity and thoracic wall.
• Identifies and analyses the appropriateness of chest drain insertion.
• Provides patient education regarding chest drains to aid decision-making.
• Recognises when assistance and supervision is required from seniors.
• Selects appropriate chest drain equipment with rationale for choice.
• Identifies the potential psychological impact of chest drain insertion for the patient.
• Discusses the indications for chest drain insertion.
• Details the precautions of chest drain insertion.

Demonstrates competence in the procedure of chest drain insertion

(Aligned to KSF specific dimensions: HWB 7, HWB 9)

• Obtains consent and prepares the patient for the procedure.
• Assembles necessary equipment, in accordance with devised checklists.
• Practises skill competently (see checklists)
• Justifies the skill/procedural checklists of chest drain insertion using evidence (published and other sources)
• Critically analyses the clinical risks associated with chest drain insertion and takes appropriate action to minimise risks.

Demonstrates competence in the management and removal of chest drains

(Aligned to KSF specific dimensions: HWB 7, HWB 9, HWB 2)

• Practises skill competently (see checklists)
• Justifies the skill/procedural checklists of chest drain management using evidence (published and other sources)
• Critically analyses the clinical risks associated with chest drain management and takes appropriate action to minimise these risks

Engages in evaluation and critical analysis post procedure.

(Aligned to KSF specific dimensions: HWB6-3, HWB 7, G1-2, G2-2)

• Responds promptly and appropriately to complications.
• Takes action to prevent commonly known associated complications of chest drain insertion and management.
• Recognises limitations and accesses assistance as required.
• Reflects on attitude, behaviour (skill) and cognitions post procedure.
• Appraises context in which skills were practised.
• Identifies learning, which has occurred to influence future practice.
• Identifies area/enquiries for further learning.
• Draws on a range of resources for further learning/reading.