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    Procedure Competency Assessment Tool - Slit Lamp Examination

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    Ameng Gosim
    This document provides a competency assessment tool for evaluating a provider's skills in performing a slit lamp examination. It includes categories for assessing context of examination, slit lamp handling, examination flow and efficiency, recognition of key findings, tonometry, foreign body removal, patient comfort, and management of complications. For each category, the provider's performance is circled as novice, competent, or expert based on descriptors provided. The form also collects information on number of previous procedures and asks if the provider demonstrated overall competency to perform the procedure independently.

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    Procedure Competency Assessment Tool - Slit Lamp Examination

    Uploaded by

    Ameng Gosim
    71 views2 pages
    This document provides a competency assessment tool for evaluating a provider's skills in performing a slit lamp examination. It includes categories for assessing context of examination, slit lamp handling, examination flow and efficiency, recognition of key findings, tonometry, foreign body removal, patient comfort, and management of complications. For each category, the provider's performance is circled as novice, competent, or expert based on descriptors provided. The form also collects information on number of previous procedures and asks if the provider demonstrated overall competency to perform the procedure independently.

    Original Title

    PCAT-A2-Slit_Lamp_Examination

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    This document provides a competency assessment tool for evaluating a provider's skills in performing a slit lamp examination. It includes categories for assessing context of examination, slit lamp handling, examination flow and efficiency, recognition of key findings, tonometry, foreign body removal, patient comfort, and management of complications. For each category, the provider's performance is circled as novice, competent, or expert based on descriptors provided. The form also collects information on number of previous procedures and asks if the provider demonstrated overall competency to perform the procedure independently.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    71 views2 pages

    Procedure Competency Assessment Tool - Slit Lamp Examination

    Uploaded by

    Ameng Gosim
    This document provides a competency assessment tool for evaluating a provider's skills in performing a slit lamp examination. It includes categories for assessing context of examination, slit lamp handling, examination flow and efficiency, recognition of key findings, tonometry, foreign body removal, patient comfort, and management of complications. For each category, the provider's performance is circled as novice, competent, or expert based on descriptors provided. The form also collects information on number of previous procedures and asks if the provider demonstrated overall competency to perform the procedure independently.

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    © All Rights Reserved
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    Procedure Competency Assessment Tool – Slit Lamp Examination 

    Provider: ____________________________________ Date: ________________

    Examination: [ ] Slit Lamp Examination [ ] Applanation Tonometry

    Procedure: [ ] 65205 Remove superficial conjunctival FB [ ] 65222 Remove corneal FB with slit lamp

    How many of this procedure have you completed thus far? _______________________

    Please circle the descriptor corresponding to the candidate’s performance in each category, irrespective of the training level.

    Context of Examination:

    Novice Competent Expert

    Not sure of the patient’s history, Understands the general indications, Clearly articulates the indications,
    context of the examination, or has immediate contraindications, clinical clinical value, limitations, and
    knowledge gaps in the clinical value value, and limitations of slit-lamp potential complications of the
    and limitations of slit-lamp exam, or examination, and contraindications and examination and able to explain to
    contraindications and complications potential complications of foreign body patient to obtain informed consent
    of foreign body removal removal

    Slit Lamp Handling:

    Novice Competent Expert

    Unfamiliar, awkward, or careless with Properly and comfortably positions self Efficiently and carefully manipulates
    slit lamp controls, or needs guidance and patient for examination without slit lamp controls to achieve optimal
    to properly and comfortably position guidance; some tentative movements visualization while minimizing patient
    patient and operator but demonstrates ability to carefully discomfort
    manipulate controls to achieve proper
    views

    Examination Flow and Efficiency:

    Novice Competent Expert

    Frequently stops examination, Uses slit lamp to conducts systematic Systematic, complete, and efficient
    repeats or forgets examination eye exam (including eversion of the examination with effortless flow from
    elements, or seems unsure of next upper lid and fluorescein exam) with one move to the next
    move reasonable progression of the
    examination

    Recognition of Key Findings:

    Novice Competent Expert

    Has difficulty differentiating normal Recognizes key abnormal findings, Recognizes and reports all gross and
    and abnormal findings including blepharitis, corneal lesions, subtle examination findings
    foreign bodies, aqueous cell/flare,
    cataracts, floaters

     1
     
    Procedure Competency Assessment Tool – Slit Lamp Examination 

    Tonometry: [ ] Not Applicable

    Novice Competent Expert

    Unsure of how to use applanation Estimates intraocular pressure using Efficiently and accurately measures
    tonometer applanation tonometer intraocular pressure; troubleshoots
    tonometer independently

    Foreign Body Removal: [ ] Not Applicable

    Novice Competent Expert

    Unsure of method, or inadequate Chooses appropriate instrument; Precise handling of most appropriate
    motor control of needle, swab, spud, attempts removal of foreign body with instrument for complete foreign body
    or curette adequate motor control to prevent removal
    further injury

    Patient Comfort:

    Novice Competent Expert

    Unresponsive to patient discomfort; Seeks patient feedback; recognizes Anticipates sources of discomfort and
    does not seek patient feedback patient discomfort; alters technique and eliminates them to ensure maximal
    regarding comfort administers topical anesthetic drops as comfort
    needed to reduce discomfort

    Management of Complications: [ ] Not Applicable

    Novice Competent Expert

    Does not recognize or appropriately Recognizes and appropriately addresses Immediately recognizes developing
    address developing complication, or developing complication; halts the complication; manages with precise
    does not appropriately halt procedure appropriately direction and without hesitation
    procedure with failed attempts

    Overall on this task did the provider demonstrate competency to perform this procedure independently?

    Yes ______ No ______

    Comments:

    Attending Name (Print): ___________________________ Signature/Date: __________________________________________

     2

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