LEVY MWANAWASA MEDICAL UNIVERSITY

FACULTY OF MEDICINE AND HEALTH SCIENCES

Bachelor of Science in Clinical Anaesthesia (BSc

CA).
Logbook for Critical Care Medicine

Name: _______________________
Year of Study: _______________________
Computer Number: _______________________
Date of Rotation: _______________________
Contents
General Information iii
List of required competencies iv
Patient cases log
2
Procedures log 4
Academic activities log
6
Tutorials log 7
Case Based Discussion
8
End Of Rotation 9

ii
General Information
Aim of the logbook
The purpose of the logbook is to provide one source of evidence that you attained the desired level of
competency. It is the place where you are going to document experiences and skills you attained
during your training.

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

Patient case log

1. You will find lists with all required cases in the curriculum. Your level of participation in each case
will be deter-mined by your trainer
2. Patient name is not required. You need to mention the case provisional or final diagnosis
3. For each case write the date of the interview
4. Make a check mark at the appropriate column indicating your level of participation in case
management (observer, supervised management of the case or independent management of the
case)
5. Each case should be counter signed by your trainer. His signature is the proof of your actual
participation

Procedures’ log
1. The logbook contains tables for required procedures during your clinical rotation. It includes empty
tables to write down the procedures, your level of participation and the date.
3. Your trainer should countersign each procedure to document the event

Academic activities
1. Academic activities that must be documented are journal clubs, morbidity and mortality meetings
and workshops or conferences attended.
2. You will find empty tables, where you will record the topic and date of the journal club and it should
be signed by trainer/supervisor.

Tutorial Log
1. All tutorials attended or given must be documented.
2. You will find empty tables, where you will record the topic and date of the tutorial and it should be
signed by facilitator/supervisor.

Case Based Discussion

1. You will be required to complete a Case Based Discussion based on one of the patients you will
manage, with a consultant.
2. You will find a form within the logbook that outlines the format and content of the discussion as
well as where it should be signed by the consultant.

Assessment of logbook activities

1. Your supervisor will review tour logbook at the end of your month in MICU. If your performance is
satisfactory, it will be signed off and you will be allowed to proceed. If your performance was not
satisfactory, remedial steps will be required, including repeating part, or the full rotation.

Important Notice:
It is your responsibility to maintain accurate and completed logbook and to regularly update your
records. Should you encounter any difficulty; you must contact your course coordinator.

iii
 List of required competencies
Level of
competence
Airway procedures
C -Basic airway techniques
C Bag and mask ventilation
C -Endotracheal intubation (oral-nasal)
C Mechanical ventilation primary settings
C Techniques for upper airway obstruction
C Tracheal Suction
Pulmonary procedures
C Oxygen delivery techniques
C -Non-invasive mechanical ventilation
C Invasive mechanical ventilation
Cardiac procedures
C CPR
O-A DC electrical cardioversion
C Defibrillation
C ECG and its interpretation
O-A Cardiac echocardiography in critically ill patients
Vascular access and volume support
C -Central venous line insertion
O-A -Arterial line insertion
Tracing skills
C ABGs interpretation
C ECG
C CT brain
C CT chest and abdomen
O-A MRI brain and spinal cord
Key for procedures level of competence:
O: Observe
A: Assist
C: Competent

and neuromuscular cases

and neuromuscular cases

iv
v
1
 Patients case log
File Number Sex/Age Summary of Diagnostic Summary of Final Diagnosis Outcome Supervisor’s
Clinical Work-Up Management Sign. & Date
Findings
e.g. IP123456/19 M/47 - Traumatic - CT Brain - Burr Hole - Hypoxic Brain - GCS Dr MICU
brain injury - - Blood - Injury improved to
EDH Culture Tracheostomy - sepsis 11/15
- Serial U&E - Dialysis - AKI - Weaned off
- Imipenem vent
x10/7 - Discharged
1.

2.

3.

4.

2
5.

6.

7.

8.

9.

10.

3
 Procedures Log
File Number Sex/Age Diagnosis Procedure Student’s Level of Performance Supervised By

Observed Performed Performed

w/ Independently
Supervision
e.g. IP123456/19 M/47 Traumatic Brain Intubation
Injury X Dr MICU

1.

2.

3.

4.

4
5.

6.

7.

8.

9.

10.

5
 Academic Activities Log
Date Topic Type of Presented By Facilitator’s
Presentation Signature
e.g. 01.01.19 Mechanical Simulation/Lecture/ Dr Registrar Dr MICU
Ventilation Grand Round/Etc
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

6
 Tutorials Log
Date Topic Presented By Facilitator’s Signature
e.g. IP123456/19 Transfusion Related Acute Dr Registrar Dr MICU
Lung Injury

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

7
 Case Based Discussion [CBD] Assessment
Form
Please complete the question using a cross (x). Please use black ink
and CAPITAL LETTERS
Surname ____________________________________________
Forename(s)
____________________________________________
Computer Number: ____________________________________________
Department
____________________________________________
Observation
____________________________________________
Observed by
____________________________________________

Date (DD/MM/YYYY) ☐☐/☐☐/☐☐☐☐

Signature of supervising doctor
______________________________________

Clinical setting: ICU ☐ ED ☐ Transfer ☐

Special focus of discussion*

What went well? **

What could have gone

better? **

Plan for learning and

development***

* Potential complications, Core Clinical Learning Outcomes

8
** Planning, preparation, grasp of theoretical background, understood procedure and alternatives, plans and risks
explained to patient, handling of patient, team communication, ability to cope with problems, mindful of cross-infection,
ability to evaluate own performance, maintenance of records, post-procedure instructions, professional
standards
*** e-Learning, simulation, courses, targeted clinical experience, journals

End of Rotation

This certifies that ………………………………………………………………. (Name of

Student) rotated through the Main Intensive Care Unit from …../…../……..
to …../…../…….. and has fulfilled the requirements for this logbook to be
signed off.

……………………………… ………………………………
Registrar’s signature Supervisor’s signature