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Egyptian Fellowship Board

Anesthesia & Surgical ICU

logbook

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CONTENTS………………….

Instruction for the use of logbook…………………..……………………………... 7

Operative logbook ……………………………...….………………………………. 11

Guidelines for the use of Operative Logbook…….………………………………. 12

Obstetric logbook ……………………………...….………………………………. 75

Guidelines for the use of Obstetric Logbook…….………………………………. 76

ICU logbook………………………………..………..……………………………… 91

Guidelines for the use of ICU Logbook…………...………………………………. 92

Pain management logbook………………….……………………………………… 105

Guidelines for the use of Pain management Logbook……………………………. 106

Academic activities ………………………………………………..……………….. 119

Lectures ……………………………………………………………………………. 120

Journal Clubs and clinical meetings ……………………………………………... 126

Workshops and conferences ………………………………………………………. 130

Rotation table ………………………………………………………………………. 131

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وب ردتايسلس ب ردس و فشارس و تسيفشتسملا

فشس وب ردا فشس وب ردا

يفشتسس فابس وب ردا (ميفس ل لااس و فشار)

يفشتسس فابس وب ردا (ميفس ل لااس و فشار)

ىايشسمياشس وب ردا ىايشسمياشس وب ردا

فشس وب ردا فشس وب ردا

يفشتسس فابس وب ردا (ميفس ل لااس و فشار)

يفشتسس فابس وب ردا (ميفس ل لااس و فشار)

ىايشسمياشس وب ردا ىايشسمياشس وب ردا

ةفشخسمةرتص

مفشس:

: ياشامس وبتراس

وينف نسسس:

شششسيبىت س د لوصس وبلنصسس:

: شششس و لتدفنس

: شششس وبابفقس

: ويبافس لوا بللتسس

و ةر سسس:

ياشامس وايفقسماود اوصس وبرباصسس:

متالايسمةرتصسصخس وب فشت

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Aim of the logbook

The purpose of the logbook is to provide one source of evidence for the oral and Jaw surgery scientific

council that you have attained the desired level of competency required for licensure. It is the place where

you are going to document experiences and operations you performed during your training.

The logbook is divided into several sections. These instructions will help you completing those sections

correctly.

Personnel information

Please fill in all your personnel information required . This will help the Egyptian Fellowship Administra-

tors to process your logbook during scientific council evaluation yearly and finally before sitting for the

final exam. Your personnel photo should be attached to the logbook and you should sign the personnel

information page.

Operative Logbook

The first section of the logbook deals with your operative experiences. This section should be filled through

the first 3 years of training. One hundred operation each year. Operative experiences must be diverse and

cover all areas of the curriculum and corresponds accurately to the stage of training. In this section you

need to fill in the following data: Patients’ information, the specialty and type of operation, the type of an-

esthesia used and any performed procedures. Please notice that detailed guidelines on how to fill this

part are available at page 12-13.

Obstetric logbook

The second section of your logbook deals with your obstetric operative and procedural experiences. This

section should be filled through the 1st 3 years of training. Twenty obstetric operations every year. The ex-

periences must be diverse and cover all the obstetric anesthesia curriculum and corresponds accurately to

the stage of training. In the section you need to fill in the following data: Pateints; information, the type of

operation and obstetric co-morbidity, the type of anesthesia and drug used and report summary on any

complications or critical incidents. Please notice that detailed guidelines on how to fill this part are

available at page 76-77.

ICU Logbook

The third section of the logbook deals with your ICU experiences. This section should be filled through the

fourth year of training. The experiences must be diverse and cover all the ICU curriculum and corresponds

accurately to the stage of training. In this section you need to fill in the following data: Patient’s infor-

mation, summary of clinical condition and diagnosis, airway and inotrope management, any performed pro-

cedures and summary of the overall case management including the type of nutrition provided. You also

need to mention the patient outcome. Please notice that detailed guidelines on how to fill this part are avail-

able at page 92-93.

Pain management logbook

The fourth section of the logbook deals with the pain management experiences. This section should be

filled though all the training period. The experiences must be diverse and cover all the pain management

curriculum and corresponds accurately to the stage of training. In this section you need to fill in the follow-

ing data: Patient’s information, the duration and site of pain, the type of pain session provided, the types of

drugs and blocks used for pain management and any other medications. Please notice that detailed guide-

lines on how to fill this part are available at page 106-107.

Instructions for the use of logbook

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Academic activities

Academic activities that must be documented in the logbook are lectures, journal clubs, morbidity and mor-

tality conferences, and workshops or other conferences attended.

Workshops and conferences tables are the place where you will record your CME activities whether inside

or outside the training center. Any attended

activity must be signed by the workshop or conference organizer/coordinator

Annual summary table

At the end of each training year, you are requested to provide documented summary of all operative activi-

ties you participated in as assistant or first surgeon. The tables are present in the last page of each year log

and should be signed by your trainer and educational supervisor \

Assessment of logbook activities

1. Your trainer will assess your logbook weekly for completion and provide feedback

2. Your educational supervisor will assess your logbook monthly or every two months, provide verbal or

written feedback and counter sign important activities

3. The examination committee of the council will revise your logbook:

A) Annually before your progress from one year of training to another

B) At the end of training before the final exam

To be noted that unsatisfactory completion of the logbook would lead to delay of training progression.

Unsatisfactory logbook at the end of training will prevent you from entering the final exam

Important Notice:

It is your responsibility to maintain accurate and completed logbook and to regularly update your records.

Shall you meet any difficulty; you must contact your trainer or your specialty administrator at the Egyptian

Fellowship Board.

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Operative Logbook

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Please use the following instruction to fill the Operative logbook

1. Age should be written in years 2. ASA ( Anesthesia Score of American Association): Write the score from I - V 3. Priority:

4. Specialty & Type of operation: Write the speciality and the type of operation (e.g. ENT, Tonsillectomy)

5. Anesthesia used: 6. Procedures: mention below a guideline of the types of procedures that could be needed dur-

ing operations

Guidelines to Use Operative Logbook

Elective Expedited

Urgent Immediate lifesaving

GA mask Peri-bulbar

GA LMA IPPV GA LMA SV

GA ETT IPPV GA ETT SV

Subarachnoid (spinal) Epidural thorathic

Combined spinal-Epidural (CSE) Caudal block

Epidural block Cervical plexus deep block

Cervical plexus superficial block Brachial inter-scapular block

Cervical plexus combined block Brachial infra-scapular block

Brachial super-scapular block Hand block

Brachial maxillary block Sciatic block

Femoral block Illio-inguinal block

Lumbar plexus block Ankle block

Popliteal block Retro-bulbar block

Penile block Subtenon block

Fiber optic intubation Fiber optic awake

CP bypass Arterial line

CVP insertion Chest drain

PA catheter Gaseous induction

Double luminal tube Injector ventilator

Hypotension Nasal intubation

Inter-osseous injection Percutenous tracheotomy

RSI TCI

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Patient Name

HN Date Age ASA Priority Specialty & type of Operation

Anesthesia used

Mostafa Ali 723 11/11/

82 25y III Urgent

Surgery (Exploratotion ,

stab) GA ETT SV

7. Trainee Role

O: Observer

A: assistant

P: perform the procedure whether under supervision or independently

8. Supervisor Signature &Date: Please don’t forget write the date of the Operation.

You can find below an example showing you how can you fill the following tables

Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

Fiber optic intubation, CVP insertion

PLEASE USE A CLEAR HAND WRITIGN

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

HN Priority Specialty & type of Operation

Date Anesthesia used Age ASA

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Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Patient Name

Summary of patient clinical condition

Airway Inotropes HN Date

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Nutrition Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

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Obstetrics Logbook

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Please use the following instruction to fill the obstetrics logbook

1. Age should be written in years 2. Type of operation: Write the type of operation 3. A: Obstetric Risk: These are examples of obstetr ic r isks

B: Co-Morbidity: These are examples of associated maternal comorbidities

4. Procedures: In the Procedure column please write the type of anesthesia and the drug used.

A: Type of aneshesia: e.g.

4. B: Drugs used: e.g.

5. Critical incidence and complications A: Critical incidence: e.g.

B: Complications: e.g.

6. Procedures: Trainee role: - O: Observer - A: Assistant - P: Perform the procedure whether under supervision or independently.

7. Supervisor Signature &Date: Please don’t forget to write the date of your signature.

Guidelines to Use Obstetrics Logbook

PIH/PET

Eclampsia

Twins

Breech

PIH/PET severe

Coagulation problems

Cholestasis

Malposition

Asthma/COPD

Diabetes

Other medical diseases

Valvular heart disease

Sickle cell anemia

Epidural insertion

Spinal insertion

Re-site epidural

Regional block + GA

Central line

CSE insertion

Epidural top up

GA/ETT/LMA

Epidural blood patch

Arterial line

Bupivacaine

Bupivacaine + Diamorphine

Bupivacaine + Fentanyl

Lignocaine

Difficult intubation

Difficult insertion

Unilateral/Missed segment

Pain or paresthesia on insertion

Regurgitation and aspiration

Failed

Dural puncture

Hemorrhage

Sever hypotension

Pain during regional

Drug errors

High block

Hypertension

Equipment failure

Awareness

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You can find below an example showing you how can you fill the following tables

Patient Name

HN Date Age Obstetric risk and

co-morbidity Type of

Operation

Nada Amer 352 11/11/

08 35y

Twins Eclampsia Diabetes

CS

Procedures Critical Incidence

& complication

Trainee role

Supervisor Signature

0 A P

Spinal Insertion Bupivacaine + Fentanyl

You should write the incidence or compli-cation and how you managed them

0

PLEASE USE A CLEAR HAND WRITING

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Patient Name

Age Obstetric risk &

co-morbidity Type of operation or

intervention HN Date

79

Type of anesthesia and drug used

Critical incidence or complication

Trainee role

Supervisor Signature

& date O A P

80

Patient Name

Age Obstetric risk &

co-morbidity Type of operation or

intervention HN Date

81

Type of anesthesia and drug used

Critical incidence or complication

Trainee role

Supervisor Signature

& date O A P

82

Patient Name

Age Obstetric risk &

co-morbidity Type of operation or

intervention HN Date

83

Type of anesthesia and drug used

Critical incidence or complication

Trainee role

Supervisor Signature

& date O A P

84

Patient Name

Age Obstetric risk &

co-morbidity Type of operation or

intervention HN Date

85

Type of anesthesia and drug used

Critical incidence or complication

Trainee role

Supervisor Signature

& date O A P

86

Patient Name

Age Obstetric risk &

co-morbidity Type of operation or

intervention HN Date

87

Type of anesthesia and drug used

Critical incidence or complication

Trainee role

Supervisor Signature

& date O A P

88

Patient Name

Age Obstetric risk &

co-morbidity Type of operation or

intervention HN Date

89

Type of anesthesia and drug used

Critical incidence or complication

Trainee role

Supervisor Signature

& date O A P

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ICU Logbook

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Please use the following instruction to fill the ICU logbook 1- Airway: wr ite the type of used airway

2– Write the type of inotrope used:

3– Procedures: wr ite the type of procedure done for your patient: e.g.

4- Outcome: Write possible outcome of your patient:

5- Management: Summarize patient management plan including the type of nutr ition provided. 6– Trainee role - O: Observer - A: Assistant - P: Perform the procedure whether under supervision or independently.

7- Supervisor Signature &Date: Please don’t forget to write the date of your supervisor’s signature.

Guidelines to Use ICU Logbook

Adrenaline

Dobutamine

Milrinone

Adrenaline + Dopamine

Noradrenaline + Dobutamine

Noradrenaline

Dopamine

Adernaline + Noradrenaline

Dobutamine + Dopamine

CVP line

PA catheter

Intercostal drain

Lung biopsy

Brainstem test

Echocardiography

Arterial line

Hemofiltration

Bronchoscopy

ICP monitor

Trans-venous spacing

IA counter pulsation

Normal function

Out of hospital transfer

Died on ward

Discharged to ward

Restricted activity

Died on unit

Died at home

Discharged home on stable condition

Self ventilation

Nasal intubation

Mini tracheostomy

CPAP

Jet ventilation

Oral intubation

Percutaneous tracheostomy

LMA

NIPPV

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You can find below an example showing you how can you fill the following tables

Patient Name & Age

HN Date Summary of patient clinical condition

Airway Inotropes

Mustafa Ali Age: 65 years

223 11/11/

08

Congestive heart failure unresponsive to ward

measures and admitted to the ICU for inotropes

Oral intubation

Noradrenaline Dopamine

Management plan summary Procedures

Trainee role

Supervisor Signature

Outcome

0 A P

Write here summary of the treatment provided to the patient

during ICU stay CVP line

Your trainer must sign clearly

Discharged stable to

ward

PLEASE USE A CLEAR HAND WRITING

94

Patient Name & Age

Summary of patient clinical condition

Airway Inotropes HN Date

95

Management plan summary

Outcome

Trainee role

Supervisor Signature

Procedures

0 A P

96

Patient Name & Age

Summary of patient clinical condition

Airway Inotropes HN Date

97

Management plan summary

Outcome

Trainee role

Supervisor Signature

Procedures

0 A P

98

Patient Name & Age

Summary of patient clinical condition

Airway Inotropes HN Date

99

Management plan summary

Outcome

Trainee role

Supervisor Signature

Procedures

0 A P

100

Patient Name & Age

Summary of patient clinical condition

Airway Inotropes HN Date

101

Management plan summary

Outcome

Trainee role

Supervisor Signature

Procedures

0 A P

102

Patient Name & Age

Summary of patient clinical condition

Airway Inotropes HN Date

103

Management plan summary

Outcome

Trainee role

Supervisor Signature

Procedures

0 A P

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Pain Management Logbook

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Please use the following instruction to fill the Pain management logbook

1. Duration of pain: For how much time does your patent suffer from his pain?

2. Type of session: Write the type of session used for your patient:

3. Pain site: mention the site of pain your patient suffer ing from : 4. Block type & drug used:

A- Block type: Write the type of block used for your patient :

B - Drugs: mention the drug used for your patient

Guidelines to Use Pain managment Logbook

3- 6 months 6- 12 months

1- 5 years > 5 years

Pain intervention Acute pain round

Cancer pain round Others ( mention it)

Head Neck

Upper limp Lower limp

Shoulder Chest

Spine Total body

Cervical epidural Lumbar epidural

Caudal epidural Stellate ganglion block

Lumbar sympathectomy Coeliac plexus block

Cervical facet joint Thoracic facet joint

Lumbar facet joint Intra-articular injection

Trigger point

Antidepressant Anticonvulsant

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Patient Name

HN Date Duration of

pain Type of session Pain site

Mostafa Ali 2331 11/11/02 6- 12 months Cancer pain management Chest

5. Other treatment: please mention any other treatment sued for your patient

6. Trainee Role

O: Observer

A: assistant

P: perform the procedure whether under supervision or independently

7. Supervisor Signature &Date: Please don’t forget write the date of the Operation.

You can find below an example showing you how can you fill the following tables

NSAID Paracetamol

Opioid Ketamine

Capsaicine cream Ligocaine cream

IV Ketamine infusion IV ligocaine infusion

Others ( mention)

Block type &Drug used

Other Treatment

Trainee role Supervisor

Signature 0 A P

Cervical epidural Antidepressant

Paracetamol tablet 4 times daily

PLEASE USE A CLEAR HAND WRITING

108

Patient Name

Duration of pain

Type of session Pain site Date HN

109

Block type &Drug used

Other Treatment

Trainee role Supervisor

Signature 0 A P

110

Patient Name

Duration of pain

Type of session Pain site Date HN

111

Block type &Drug used

Other Treatment

Trainee role Supervisor

Signature 0 A P

112

Patient Name

Duration of pain

Type of session Pain site Date HN

113

Block type &Drug used

Other Treatment

Trainee role Supervisor

Signature 0 A P

114

Patient Name

Duration of pain

Type of session Pain site Date HN

115

Block type &Drug used

Other Treatment

Trainee role Supervisor

Signature 0 A P

116

Patient Name

Duration of pain

Type of session Pain site Date HN

117

Block type &Drug used

Other Treatment

Trainee role Supervisor

Signature 0 A P

118

119

Academic Activities

120

Lecture Title Date Lecturer

121

Lecture Title Date Lecturer

122

Lecture Title Date Lecturer

123

Lecture Title Date Lecturer

124

Lecture Title Date Lecturer

125

Lecture Title Date Lecturer

126

Journal Club Title Date Trainer’s signature

127

Journal Club Title Date Trainer’s signature

128

Journal Club Title Date Trainer’s signature

129

Journal Club Title Date Trainer’s signature

130

Other courses and workshops attended

Course Name Date Location Supervisor’s signa-

ture

131

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