During the compulsory residential school, you will individually complete a practical simulation assessment involving an authentic case of a traumatic and/or environmental emergency. The practical assessment will assess your ability to:

• Apply evidence-based knowledge in the management of trauma & environmental emergencies
• Demonstrate advanced critical care paramedic skills & interventions in the management of traumatic & environmental emergencies
• Communicate effectively & demonstrate leadership

Your practical assessment will be marked according to the criteria outlined in the rubric provided on the unit Moodle page. You will be offered a maximum of two (2) attempts at this assessment.

This is a PASS/FAIL assessment task.

If a critical error occurs during your assessment the assessment will immediately cease, no marks will be awarded and it will result in a failed attempt. Critical errors in this assessment will be classed as:

· An action which causes immediate harm to yourself, partner, patient or bystanders

· Unsafe use of the defibrillator/not recognising cardiac arrest (>1 minute delay in recognition)

· No or incomplete drug check

· Incorrect sharps disposal

· Performing a skill and/or procedure outside the scope of practice of a critical care paramedic (CCP).

Preamble

During the compulsory residential school, you will be required to present a ‘Grand Rounds’ presentation regarding one trauma or environmental patient whom you have attended. This is an in-depth look at the patient from initial presentation through to delivery into tertiary care.

Task Description

Your Grand Rounds presentation requires you to present a unique trauma or environmental case that you have attended, exploring the experience from start to finish. Your PowerPoint and presentation itself will need to address the following key points:

1. Your PowerPoint presentation will detail:

• The initial case details (case type, scene information, mechanism of injury etc.)
• Chief complaint and history of presenting illness or injury
• Allergies, medications, past medical history including social history
• Assessment (initial/general/focused), any diagnostic values obtained, and findings
• Impression, differential diagnosis and main diagnosis
• Overview of main diagnosis (i.e. pathophysiology, manifestations and how your patient fit the diagnosis)
• Epidemiology of the main diagnosis
• Management & treatment
• Your planned and actual treatment
• Note whether a critical care paramedic was involved in the case
• Reflect on whether you would now choose to do things differently as a process of continuous improvement (this is a key area that must be addressed)
• Further care needed in the hospital system (if known)
• Prognosis & outcome (if known)
• Your final thoughts on the case
• References

** a hard copy of your PowerPoint will need to be submitted at the time of presentation**

2. Your ability to do a Questions and Answers (Q&A) session. You will be asked questions by both students and assessors following your presentation.

You will be allocated 30 minutes to complete both your presentation and the Q&A session.

Your ‘Grand Rounds’ presentation, PowerPoint and Q&A performance will be marked according to the criteria outlined in the rubric provided on the unit Moodle page, covering areas such as:

· PowerPoint – structure, theme & layout, wording style & referencing, imagery & visual aspects

· Presentation – case details, chief complaint, previous history, assessment of presenting condition, integration of diagnostics and main diagnosis; management and treatment; reflection; relevance and timing

· Q&A – ability to appropriately answer questions in a timely manner

This is a PASS/FAIL assessment task.