b'Regional Anaesthesia (i)Neuraxial and Foundation Peripheral Nerve BlockadeDescription:After completing this unit, the trainee will demonstrate sufficient skill to deliver safe regional neuraxial anaesthetic care for both anaesthesia and analgesia purposes. The trainee will demonstrate sufficient skill to perform basic regional anaesthetic techniques with distant supervision, including axillary nerve block and femoral nerve block. Legend for Competency TableDomain KSA Expected Standards AssessmentPRE-PROCEDUREObtains consentRN_C_1 3 S,A Accepts the right of the patient to decline regional anaesthesia, even DOPSwhen there are clinical advantagesRN_C_2 8 S Conducts appropriate patient assessment and identifies risk factors andDOPSpreoperative medical interventionsRN_C_3 6 K Discusses advantages and disadvantages of regional anaesthesia FCAIDiscusses indications and contra-indications- including relative and absoluteRN_C_4 6 K Outlines principles inguidelines on anticoagulation and neuraxial MCAIanaesthesiaRN_C_5 4 S Demonstrates list planning to allow time for the conduct of a block and forMini-CEXit to take effect RN_C_6 3,4 A Shows good communication skills towards the patients and staff duringMini-CEXthe use of regional blockadePROCEDUREDescribes anatomy relevant to neuraxial blockadeDescribes the anatomy of the vertebral column, spinal cord and meninges relevant to the performance of central neuraxial block with appropriateMCAIRN_C_7 6 K surface markingsDescribes the dermatomal innervationsDescribes the myotomal innervationDescribes the pain and sensory pathwaysDescribes anatomy relevant to axillary nerve blockRN_C_8 6 K Describes the anatomy of the brachial plexus relevant to the performanceMCAIof axillary nerve blockDescribes sensory and motor innervation of the brachial plexusDescribes anatomy relevant to femoral nerve blockRN_C_9 6 K Describes the anatomy of the lumbar plexus relevant to the performanceMCAIof femoral nerve blockDescribes sensory and motor innervation of the lumbar plexusRecalls relevant physiology and pharmacology of local anaesthetic agentsDescribe factors influencing dose and choice of anaesthetic agents for spinal anaesthesia and epidural anaesthesia/analgesiaRN_C_10 6,8 K Describe how the baricity of the agents used and positioning of patientsMCAImay affect the extent of block in spinal anaesthesiaDescribe the drugs which may be injected into the intrathecal orepidural space as adjuvant agents to a central neuraxial block and discuss their risks and benefitsRN_C_11 2,3 A Shows care and sensitivity to the patients needs during performance ofDOPSregional blockCurriculum for the National Specialist Anaesthesiology Training Programme 49'