b'Transfer of the Critically Unwell PatientDescription:The trainee will demonstrate the knowledge and skill to safely perform intra-and inter hospital transfer of the critically unwell patient. They will demonstrate knowledge of safe transfer procedures, including the stabilisation of the patient prior to transfer. They will have an understanding of the organisational aspects necessary to ensure safe transfer of the critically unwell patient. Legend for Competency TableDomain KSA Expected Standards AssessmentPREPARATIONOrganisationalTF_C_1Discusses hospital protocols governing transfers between departmentsSALUS 1,5 K Outlines regional protocols for organising transfer between departments CBDTF_C_2 6 K Explains the risk/benefits of intra-hospital and inter-hospital transferFCAITF_C_3 6 K Explains the concepts of primary retrieval and secondary transport/retrieval FCAITF_C_4 6 K Explains how time-critical elements may influence the risks to the patientFCAIand transfer personnel and how these should be managedTF_C_5 SALUS 1,6 A Outlines the ethical issues related to patient transfer FCAITF_C_6 1,4,5 A Outlines the roles and responsibilities of all staff accompanying the patientFCAIduring transfer including the ambulance personnelTF_C_7 SALUS 1,6 K Describes minimum monitoring required for safe transfer MCAITF_C_8Describes basic equipment, including back-up equipment required for SALUS 1,6 K transfer MCAITF_C_9 6 K Describes the personal equipment needed when leading a transfer, MCAIespecially when a prolonged journey is anticipatedPatient relatedTF_C_10 SALUS 1,2,3 A Discusses the need for transfer with the patient and their family CBDTF_C_11 6,8 S Explains the importance of ensuring a patients clinical condition is CBDoptimised and stable prior to transferTF_C_12 6 K Outlines the hazards associated with inter-hospital transfer, includingMCAIphysical, psychological and organisationalTF_C_13 6 K Describes increased risk to critical care patients and the reasons for FCAIthese risksOutlines the specific considerations of transfer of patients with specific clinical conditions, including but not limited to TF_C_14 6 S head, spinal, thoracic and pelvic injuries FCAIcritically ill medical patientsburnsDiscusses the role of the anaesthesiologist as a team member toTF_C_15 1 S resuscitate and stabilise the critically ill adult patient MCAIOutlines specific considerations of the transfer of the critically ill adult patientDiscusses the role of the anaesthesiologist as a team member toTF_C_16 1 S resuscitate and stabilise the critically ill childMCAIOutlines specific considerations of the transfer of the critically ill childCurriculum for the National Specialist Anaesthesiology Training Programme 59'