Abbreviations: mi: mini-cex; C/CbD: case based discussion; MSF/M: multisource feedback, D/DOPS: direct observations procedural skill, PS: patient survey, AA: Audit assessment tool.
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UNIT 9: Management of injuries to ear, nose and throat by autonomous practitioners in a
Abbreviations: mi: mini-cex; C/CbD: case based discussion; MSF/M: multisource feedback, D/DOPS: direct observations procedural skill, PS: patient survey, AA: Audit assessment tool.
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nose
mouth
throat.
3.2 Conduct physical examinations of individuals presenting with injuries to the:
ear
nose
mouth
throat.
3.3 Use radiological and biochemical information to inform clinical consultations in injuries to the:
ear
nose
mouth
throat.
4. Be able to diagnose minor injuries to the ear, nose, mouth and throat.
4.1 Interpret evidence from a clinical consultation to produce a differential diagnosis for minor injuries to the:
ear
nose
mouth
throat.
4.2 Justify the diagnosis and treatment plan for injuries to the:
ear
nose
mouth
throat.
5. Be able to manage the treatment of minor injuries to the ear, nose, mouth and throat.
5.1 Treat minor injuries to the:
ear
nose
mouth
throat.
5.2 Provide aftercare advice to individuals with injuries to the:
ear
nose
mouth
throat.
6. Be able to evidence the clinical
management of injuries to the ear, nose, mouth and throat.
6.1 Produce clinical case management records for injuries to the:
ear
nose
mouth
throat.
Assessment Methods:
There is no assessment information available for this unit. Assessments used should be fit for purpose for the unit and learners, and generate evidence of achievement for all the assessment criteria.
Assessment Information:
For standardisation purposes, assessment of this unit must be conducted using the Emergency Nurse/Paramedic
Abbreviations: mi: mini-cex; C/CbD: case based discussion; MSF/M: multisource feedback, D/DOPS: direct observations procedural skill, PS: patient survey, AA: Audit assessment tool.
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Development Programme for Autonomously Managing Minor Injuries, commissioned by the Chief Executive Officers of University Health Boards Wales, the Wales Ambulance Services Trust (WAST) and Wales University Council of Deans for Health (CYNGOR).
Minor injuries to the ear, nose, mouth and throat must include:
EAR: Foreign bodies, insect in external meatus, wounds (including to cartilage), embedded earrings, pinna haematoma, tympanic rupture, inner ear trauma, haemotympanumbenign paroxysmal positional vertigo (BPPV).
NOSE: nasal #, septal haematoma, epistaxis from trauma; wounds to nose/flares.
THROAT: Foreign body, application of local anaesthetic, battery/magnetic ball ingestion.
Red Flag is defined as a condition, sign or symptom considered to be urgent and should not be missed.
Treat minor injuries must include evidence of:
pain management
local anaesthesia, including pinna block
Dix Hallpike manoeuvre
removal of foreign bodies
washout
medication
referral to other healthcare professionals.
LO 3 – LO 6 Evidence must be given for a minimum of four cases and include:
child
adult and
older adult.
If not specifically stated in the assessment information, a plural statement in any assessment criteria means a minimum of two.
For Health and Social Care, Clinical Care, early years Care and the care of Children and Young People:
To meet standards for clinical governance, organisational liability, professional and regulatory requirements, all new units containing assessments that are competence based and are for learners who are employed in, or volunteering in, health and social care, clinical care or childcare settings:
learners must have completed any mandatory H&S training or education required for their job role
context-specific health and safety must be explicitly stated WITHIN individual units.
Other Mappings:
Code 2015. RCEM CC12, CC6, CC3.4, CC1, CC2, CC3, CAP23, CC16, CC4, CC5, CC17, CC18, CC19, CC21, CC24, PAP6.
C3AP1D HAP9, CAP13, HAP13, PAP8, PAP15.
Assessor Requirements:
Registered practitioners with a minimum of two years experience of working in minor injuries settings as:
an emergency nurse/paramedic/advanced care practitioner
Consultant nurse or
Consultants in emergency medicine.
© 2016 Agored Cymru
Abbreviations: mi: mini-cex; C/CbD: case based discussion; MSF/M: multisource feedback, D/DOPS: direct observations procedural skill, PS: patient survey, AA: Audit assessment tool.
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Maxillofacial injuries, ENT & dental emergencies [RCEM C3AP1d HAP9]
The EP will be able to evaluate the patient who presents with facial, aural and oral injuries, identify the life-threatening presentations, produce valid differential diagnosis, appropriate investigation and implement a management plan.
Knowledge Assessment
Methods
NMC:
Know the anatomy of the nose, mouth and ear E, Mi, C, PE
Understand epistaxis and it’s appropriate treatment
Be able to identify and initially manage nasal fractures. E, Mi, C, PE, A
Be able to recognise hyphaema, lens dislocation, orbital floor fractures, penetrating injuries of the eye and eyelid lacerations
E, Mi, C, PE, A
understands the management for traumatic auricular hematomaand wounds to the auricular cartilage
Know the presentation of dental abscess, dental fractures including teeth avulsion
E, Mi, C, PE, A
Skills
Be able to systematically assess the facial structures and recognise when the airway is threatened
Mi, C, D PS, A
Be able to insert a nasal tampons to treat significant epistaxis
Be able to replace and advise further management/referral for avulsed permanent teeth
Mi, C, D PE, A
Identify those who require immediate referral for drainage of dental abscess Mi, C PE, A Behaviour
Know when to refer to maxillofacial specialists in a timely fashion Mi. C PE, A
Ensure appropriate follow-up Mi, C
ENT/ oral [RCEM PAP8]
The EP will be able to evaluate the child with and ENT injury and formulate an appropriate management plan Assessment
Methods
NMC:
Knowledge
Be aware of the possibility of NAI in cases of ear trauma e.g. slapped ear AA, C, Mi, PE Be aware of the possibility of NAI in oral injuries ie. tongue frenulum tear PE Skills
Be able to perform otoscopy correctly; In toddlers, apply appropriate technique to remove FB from nose and ear
AA, C, Mi, PS
Abbreviations: mi: mini-cex; C/CbD: case based discussion; MSF/M: multisource feedback, D/DOPS: direct observations procedural skill, PS: patient survey, AA: Audit assessment tool.
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