Observed Clinical Practice

• Shift Name

• Call Sign

• Conducted on

  Date

• Observation carried out by

• Personnel

• Should any issues or concerns be raised a follow up must be raised against the item. To create a follow up press the ... to the right of the question

• Start of shift checks observed?

• Vehicle checks observed

• Checked vehicle for damage?

• Tyres checked adequately?

• Tyre checks undertaken

  Select Visual check of tread depth Tread depth measured Tyre pressure checked Not Undertaken

  • Visual check of tread depth
  • Tread depth measured
  • Tyre pressure checked
  • Not Undertaken

• Under bonnet checks

  Select Screen wash Break fluid Steering fluid Oil

  • Screen wash
  • Break fluid
  • Steering fluid
  • Oil

• Lights checked

  Select Side lights Dipped and Main beam Left indicator Right Indicator Reverse Break Fogs

  • Side lights
  • Dipped and Main beam
  • Left indicator
  • Right Indicator
  • Reverse
  • Break
  • Fogs

• Emergency reponse lights and audible warnins checked

• Clinical equipment checks observed?

• Medical Gas levels and flow checked

  Yes

  No

  N/A

• LSU checked

  Yes

  No

  N/A

• AED / LP15 checked correctly

  Yes

  No

  N/A

• Did you observe patient interactions
Observations

• Date & Time of incident

  Date

• Age of patient

• Sex of pt

  Male

  Female

• Incident number

• Lead member of staff

• Did the crew....

• Introduce themselves and confirm patients name?

• Complete a primary survey?

• Select elements not completed

  Select Airway Breathing Circulation Disability

  • Airway
  • Breathing
  • Circulation
  • Disability

• Explain intentions and seeks consent as they assess casualty

  Yes

  No

  N/A

• Requests to relatives/onlookers are polite and reasonable

  Yes

  No

  N/A

• Treatment options are clearly explained before they are begun

  Yes

  No

  N/A

• Casualty appears happy with choices available to them

  Yes

  No

  N/A

• Ensure Consent is obtained prior to commencement of any treatment<br><br>Auditor via observation should be able to comment on whether communication with service user was of sufficient quality to ensure consent was informed<br>

  Yes

  No

  N/A

• Ensure Casualty is not unnecessarily exposed during examination

  Yes

  No

  N/A

• Ensure Examination is appropriate to history of illness/injury

  Yes

  No

  N/A

• Two sets of observations completed?

  Yes

  No

  N/A

• Ensure Immediate treatment reflects nature of injury or symptoms

  Yes

  No

  N/A

• Ensure Contraindications/possible allergy discussed prior to dispensing medicines

  Yes

  No

  N/A

• Correct swabbing technique is used when cleaning wounds

  Yes

  No

  N/A

• Communication with the casualty is continued throughout treatment

  Yes

  No

  N/A

• Where appropriate back-up has been requested

  Yes

  No

  N/A

• Manual Handling was

  Safe

  At Risk

  N/A

• Overall patient care was compliant with the BRC scope of practice

  Yes

  No

  N/A

Documentation

• A PCR has been completed

  Yes

  No

  N/A

• Medical Model used appropriately

  Yes

  No

  N/A

• All observations documented

  Yes

  No

  N/A

• Medical and Trauma codes completed

  Yes

  No

  N/A

• Narrative is not condensed onto CAS101

  Yes

  No

  N/A

• Is the Handover signed and timed

  Yes

  No

  N/A

• Medicines Procedure has been followed and appropriately recorded on PRF

  Yes

  No

  N/A

• Did you observe Routine driving?

  Yes

  No

  N/A
Routine Driving

• Date and time of drive

  Date

• Drivers Name

• Was the speed appropriate for the circumstances?

  Safe

  At Risk

  N/A

• Did the driver adhere to traffic signs?

  Yes

  No

  N/A

• Did the driver make appropriate use of mirrors?

  Yes

  No

  N/A

• Did the driver apply the system of car control (IPSGA)

  Yes

  No

  N/A

• Was the drive safe and adhere to BRC standards?

  Safe

  At Risk

  N/A

• Did you observe an Emergency Drive?

  Yes

  No

  N/A
Emergency Drive

• Date and time of drive

  Date

• Drivers Name

• Were exemptions claimed appropriately

  Safe

  At Risk

  N/A

• Did the driver adhere to traffic signs?

  Yes

  No

  N/A

• Did the driver make good use of their mirrors?

  Yes

  No

  N/A

• Did the driver demonstrate the system of car control (IPSGA)

  Yes

  No

  N/A

Emergency Response driving

• Was the speed appropriate for the circumstances?

  Safe

  At Risk

  N/A

• Were exemptions claimed appropriately

  Safe

  At Risk

  N/A

• Following & Overtaking

  Safe

  At Risk

  N/A

• Acts on signals from others?

  Yes

  No

  N/A

• Use signals appropriately

  Yes

  No

  N/A

• Hazard perception is

  Safe

  At Risk

  N/A

• Progress made is

  Safe

  At Risk

  N/A

• Approach to pedestrian crossings is

  Yes

  No

  N/A

• Actions taken whilst under Emergency Response were

  Safe

  At Risk

  N/A

• Yes

  No

  N/A

• Overall the Emergency drive was

  Safe

  At Risk

  N/A

Health and Safety

• Are crew aware of their H&S responsibility?

• Crew know how to report an accident / incident / near miss

  Yes

  No

  N/A

• Do the crew have access to the following PPE available?

  Select Hi Vis (Either waterproof or long sleeve light - weight ) Protective boots Helmet

  • Hi Vis (Either waterproof or long sleeve light - weight )
  • Protective boots
  • Helmet

• Did the crew carry their panic alarm?

  Yes

  No

  N/A

Infection Control

• Can the crew explain when they would clean equipment?

  Yes

  No

  N/A

• Did the crew demonstrate during the observation correct infection control processes?

  Yes

  No

  N/A

• Can the crew explain when they would clean / wash their hands?

  Yes

  No

  N/A

Safeguarding

• Can the crew explain the types of abuse?

  Yes

  No

  N/A

• Can the crew explain when consent is required to make a Safeguarding referral?

  Yes

  No

  N/A

• Can the crew explain the process for reporting safeguarding?

  Yes

  No

  N/A

• Can the crew explain what is meant by Dignity

• Can the crew name and explain Consent

  Select Implied Explicit Assumed

  • Implied
  • Explicit
  • Assumed

• End of Shift observed?

• Did the crew clean all surfaces?

• Did the crew remove clinical waste from the vehicle

  Yes

  No

  N/A

• Did the crew mop the vehicle?

  Yes

  No

  N/A

• Did the crew restock the vehicle?

  Yes

  No

  N/A

• Did the crew plug the vehicle in?

  Yes

  No

  N/A

• Date and time observations concluded

  Date

• General Comments

• Please sign to confirm observations have taken place

• Crew 1

  Sign

• Crew 2

  Sign

• Observer

  Sign