Key:

   
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Core  Module  6:  Postoperative  Care  

 
Learning  outcomes:  
§ To  understand  and  demonstrate  appropriate  knowledge,  skills  and  attitudes  in  relation  to  postoperative  care  
 
Knowledge  criteria   GMP   Clinical  competency   Professional  skills  and  attitudes  
GMP   GMP   Training  support   Evidence/assessment  
POSTOPERATIVE  CARE  
               
Knowledge  of  the  NHS  Improvement           Learning  resources    
Use  Enhanced  Recovery  principles  to  ensure  optimal  
Programme  Enhanced  Recovery  principles  to           available  at  NHS    
enhance  patient  safety  and  ensure  patients     post-­‐operative  rehabilitation         Improvement    
experience  optimal  post-­‐operative             Programme  website  –    
rehabilitation               Enhanced  Recovery    
            (Gynaecology)      
          http://www.improvem  
 
          ent.nhs.uk/enhancedre  
            covery2/Gynaecology.a  
            spx      
               
             
 
      Recognise  and  initiate  collaboration  with   1,2,3   Basic  Practical  skills   Attend  morbidity  and  
eneral  pathological  principles  of  post   1   Make  appropriate  postoperative  plans  of  management     1   other  disciplines.     course  (RCOG   mortality  meetings    
operative  care             approved)    
    Conduct  appropriate  review  of:   1   Demonstrate  the  need  for  effective   3     Audit  project  
Postoperative  complications  related  to   1     communication  with  other  healthcare     RCOG  guidelines  on    
§ fluid/electrolyte  balance  
obstetric,  gynaecological  and  non-­‐     professionals.     thromboembolism   MRCOG  Part  One  
gynaecological  procedures     § catheter            
    § surgical  drainage     Demonstrate  the  need  for  effective   3   StratOG.net:  Surgical   MRCOG  Part  Two  
Fluid/electrolyte  balance   1   § sutures     communication  with  patients  and     Procedures  and    
        relatives.     Postoperative  Care  e-­‐ Mini  CEX  
Wound  healing   1   Manage  complications  including  wound,   1,2       tutorial    
    thromboembolism,  and  infection.     Document  the  surgical  procedure  with       CbD  
Late  postoperative  complications,  including   1       appropriate  notes     National  Patient  Safety    
secondary  haemorrhage   Deal  competently  with  the  unexpected  complication   1,2       Agency.  Surgical  Safety   Reflective  diary  
e.g.  bladder  or  ureteric  injury.     Construct  an  appropriate  discharge  letter   1,3   Checklists.  Available    
        online.   ARCP  
Psychological  support  for  patients  and  relatives   3   Recognise  limits  and  refer  appropriately   2,4    
    The  Obstetrician  and  
Initiate  management  for  primary  and  secondary   1   Gynaecologist  journal  
haemorrhage    
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

 
Competence  level                          Basic  level                                    Intermediate  level                                            Advanced  level                                Not  required  
Core  Module  6  Logbook  
Level  1   Level  2   Level  3  
  Date   Signature   Date   Signature   Date   Signature  
Conduct  appropriate  review  of:  

Fluid/electrolyte  balance              

Catheter              

Surgical  drainage              

Sutures              

Wound  complications              

Communicate:  

With  colleagues              

With  relatives              

Explain  procedure  to  patient              

Advise  on  postoperative  progress              

 
 
 
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Competence  level                          Basic  level                                    Intermediate  level                                            Advanced  level                                Not  required  
Core  Module  6  Logbook  
Level  1   Level  2   Level  3  
  Date   Signature   Date   Signature   Date   Signature  
Manage  postoperative  complications,  collaborating  with  others  where  appropriate:  

Gynaecological              

Non-­‐gynaecological              

Late  complications              

 
 
Training  Courses  or  sessions  
 
Date  
Title   Signature  of  educational  supervisor  
     
 
     
   
 
 
 
 
 
 
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust
 Key:    
Common  competency  framework  competencies      Medical  leadership  framework  competencies      Health  inequality  framework  competencies  

Authorisation  of  signatures  (to  be  completed  by  the  clinical  trainers)  

Name  of  clinical  trainer  (please  print)   Signature  of  clinical  trainer  
 
   
 
   
 
   
 
   
 
   
 
   
 
 
COMPLETION  OF  MODULE  6  
I  confirm  that  all  components  of  the  module  have  been  successfully  completed:  
Date   Name  of  educational  supervisor   Signature  of  educational  supervisor  
 
     
 
 
   
 
   
 

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust