To decide whether you are going to do a procedure consider | | | |
• The indications and contraindications to the procedure | Clinical reasoning | Skilled clinician | Medical expert |
• Your own skills and readiness to do the procedure (eg, your level of fatigue and any personal distractions) | Clinical reasoning Professionalism | Skilled clinician | Medical expert Professional |
• The context of the procedure, including the patient involved, the complexity of the task, the time needed, the need for assistance, and the location | Clinical reasoning Selectivity | Skilled clinician | Medical expert |
Before deciding to go ahead with the procedure | | | |
• Discuss the procedure with the patient, including a description of the procedure and possible outcomes, both positive and negative, as part of obtaining consent | Communication skills Clinical reasoning | Skilled clinician | Medical expert Communicator |
• Prepare for the procedure by ensuring appropriate equipment is ready | Clinical reasoning | Skilled clinician | Medical expert |
• Mentally rehearse the following:
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-The anatomic landmarks necessary for procedure performance -
-The technical steps necessary in sequential fashion, including any preliminary examination -
-The potential complications and their management
| Clinical reasoning | Skilled clinician | Medical expert |
During performance of the procedure | | | |
• Keep the patient informed to reduce anxiety | Patient-centred approach | Doctor-patient relationship | Medical expert Communicator |
• Ensure patient comfort and safety always | Patient-centred approach | Doctor-patient relationship | Medical expert Professional |
When the procedure is not going as expected, reevaluate the situation, stop, or seek assistance as required | Clinical reasoning Professionalism | Skilled clinician | Medical expert Collaborator |
Develop a plan with your patient for aftercare and follow-up after completion of a procedure | Patient-centred approach | Doctor-patient relationship | Medical expert Professional |