Safer Surgery part 22. There have been few research investigations into how highly trained doctors and nurses work together to achieve safe and efficient anaesthesia and surgery. While there have been major advances in surgical and anaesthetic procedures, there are still significant risks for patients during operations and adverse events are not unknown. Due to rising concern about patient safety, surgeons and anaesthetists have looked for ways of minimising adverse events. | 184 Safer Surgery Mini CEX Trainee Assessment Victoria Infirmary Demographics Trainee name Assessor name Date Stage of training Case Details _ Surgical subspecialty Surgical complexity minimal moderate high Focus of Encounter __ Grading Grade the following taking into account the level of training NB a descriptor for each competency is outlined overleaf Unsatisfactory Satisfactory Superior CATEGORY 1 2 3 4 5 6 7 8 9 UC Patient assessment preparation Equipment and theatre preparation Management plan Technical skills Communication skills - Patient Communication skills - Staff Clinical judgement Organization efficiency Professionalism Overall clinical care ----- Assessor s Comments ----------------------------------------------- What did the trainee do well Areas for improvement Agreed Action ---- Feedback 1 2 3 4 5 6 7 8 9 10 Trainee satisfaction with Mini CEX Assessor satisfaction with mini CEX Assessor training circle as many as apply None written training Time taken in minutes web-based training face-to-face training observation of trainee feedback Interval between observation and feedback Figure Mini CEX trainee assessment Victoria Infirmary Non-Technical Skills and Anaesthetists Workplace-based Assessment Tools 185 Mini CEX Competency Descriptors Patient assessment preparation Elicits relevant information from history and examination of patient Gathers information from patient s notes a nd investigations including medication history and allergies Orders further investigations or treatment appropriately Equipment and theatre preparation Carries out machine check Ensures that equipment necessary for case is working and is prepared including fluid warming devices invasive monitoring airway equipment equipment for regional or local anaesthesia Prepares emergency drugs Confirms that relevant personnel are present Management plan Formulates
