LEVY MWANAWASA MEDICAL UNIVERSITY

FACULTY OF MEDICINE AND HEALTH SCIENCES

Bachelor of Science in Clinical Anaesthesia (BSc

CA)
Logbook for Clerkship .
CONTENTS

Page No.

General Information iii

Trainee’s Personal Details v

Blocks and Competencies 1

Patient Case Log 4

Procedure Log 15

Critical Incidents Log 24

Academic Activities and Log 27

Leave Records 30

Summary Sheets 32

Certificate of completion 36

ii
GENERAL INFORMATION

This logbook is the day-to-day record of your clinical and academic activities. It’s purpose is
to provide one source of evidence that you have 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 determined by your supervisor.
2. The patient name is not required. You will, however, need to enter the patient’s file number
and mention the patient’s provisional or final diagnosis.
3. Indicate in the appropriate column your level of participation in case management
(observer, supervised management or independent management of the case)
4. Each case should be counter signed by your supervisor. His/her 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 supervisor should countersign each procedure to document your participation.

Academic activities
1. Academic activities that must be documented are journal clubs, morbidity and mortality
meetings and simulations attended.
2. You will find empty tables, where you will record the topic and date of the activity and it
should be signed by your supervisor.

Tutorial Log
1. All tutorials attended must be documented.
2. You will find empty tables, where you will record the topic and date of the tutorial and
attendance should be signed off by the tutor.

Assessment of logbook activities

Your course coordinator will review tour logbook at the end of your clerkship. 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

This logbook is a prerequisite for sitting the examination at the end of the academic year. It
is your responsibility to maintain it in a neat and orderly manner. It is your responsibility to
ensure that your logbook is kept safe and secure at all times.

Please ensure that you make all required entries on the day they occurred and are
accordingly signed off by your supervisor/consultant for that session

iii
Operating room Responsibilities

Reporting time to theatre is 07:30. You are expected to remain in theatre until 16:00, unless
your programme coordinator has informed your supervisor otherwise.

When there is no operation in the theatre to which you have been assigned, you will be
expected to assist in other theatres.

In case of any problem, inform your supervisor immediately.

Information for the supervisor

This logbook contains the day-to-day record of the student’s clinical and academic activities

Please ensure that you inform the student of any areas that require improvement

Please ensure that all completed competencies are signed on the day they occurred.

Key for procedures level of competence:

O: Observe
A: Assist
C: Competent

iv
STUDENT INFORMATION

Name

Computer Number

Year of Study

Course Code

Contact Number

Email Address

Hospital

Signature __________________________

Date ____________________

v
BLOCKS AND COMPETENCIES

1. Course co-ordinators will determine the scheduling of these rotations, adding more time
to some or omitting others not available at some institutions.

Duration (weeks)

Pre-operative assessment 1

General Surgery 2

Paediatric Surgery 2

Orthopaedics 4

Obstetrics 4

Gynaecology 1

Plastic, Urology, Ophthalmology & ENT 1

Neurosurgery, Maxillo-Facial & Ortho-Spine 1

Intensive Care Unit 8

Total 24

Please ensure that you:

 Record of all the cases done either with a consultant or independently;
 Record of any unusual or interesting anaesthetic problems;
 Record of presentations done in the department;
 Record of anaesthesia meetings attended in and outside the department.

1
MINIMUM NUMBER OF PROCEDURES / CASES TO BE ENTERED IN
LOG BOOK

Procedure/cases Number of cases Competency

Level
1 Regional 50

Neuraxial block – spinal anaesthesia 50 C

2 General Anaesthesia 57

General surgery 10 C

Paediatric surgery 20 C

Urology 5 C

Neurosurgery 2 C

Ent 4 C

Ophthalmology 4 C

Orthopaedic surgery 10 C

Maxillo-facial 2 C

3 Procedure & Skill

Anaesthetic Machine Check 10 C

Appropriate IV Access 10 C

Induction of anaesthesia
 IV 10 C
 Inhalational 10 C
Mask Ventilation 20 C

Airway Insertion 20 C

Endotracheal Intubation
 Oral 10 C
 Nasal 5 O/A
Central Venous Line 5 A

Arterial Line 2 O

Rapid Sequence Induction 10 C

Airway Assessment 10 C

Fluid and Blood loss measurement 10 C

Safe blood transfusion 10 C

Universal precaution and waste 5 C

disposal

2
4 Preoperative Assessment 10 C

3
PATIENT CASE LOG

4
 DATE FILE AGE/SEX ASA DIAGNOSIS OPERATION TYPE OF LEVEL OF SIGNATURE
NUMBER ANAESTHESIA SUPERVISION
e.g. 12.12.12 123456/12 34/F II Ectopic Exploratory GA consultant Dr Anaesthesia
pregnancy Laparotomy

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PROCEDURE LOG

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 File Number Sex/Age Diagnosis Procedure Registrar’s Level of Performance Supervised By

Observed Performed w/ Performed

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

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CRITICAL INCIDENT LOG

27
 INCIDENT DATE PLACE MANOEUVRE AND OUTCOME SIGNATURE

Difficult Intubation

Failed Intubation

Hypotension

Inadequate
Blockade

Laryngospasm

28
Other

29
ACADEMIC ACTIVITIES AND TUTORIALS LOG

30
 Date Topic Type of Academic Presented By Facilitator’s
Activity Signature
e.g. 01.01.19 Mechanical Simulation/Lecture/ Dr Registrar Dr MICU
Ventilation Grand Round/Etc

31
 Date Tutorial Topic Presented By Facilitator’s Signature

e.g. IP123456/19 Transfusion Related Acute Dr Registrar Dr MICU

Lung Injury

32
LEAVE FORM

33
 Prior leave permission should always-be sought from your course co-ordinator after being
allowed your local supervisor. Please note, university regulations allow a maximum of
[number] missed days.

FROM TO NUMBER REASON SIGNATURE

OF DAYS
SUPERVISOR COURSE CO-
ORDINATOR

34
SUMMARY SHEETS

35
 Rotation Summary Form

Block/Rotation Supervisor Start Date End Date Remarks Signature

Pre-operative
assessment
General Surgery

Paediatric Surgery

Orthopaedics

Obstetrics

Gynaecology

Plastic, Urology,
Ophthalmology &
ENT
Neurosurgery,
Maxillo-Facial &
Ortho-Spine
Intensive Care Unit

Summary of Academic Activities

EVENT MINIMUM REQUIRED NUMBER

NUMBER FOR THE TRAINING ATTENDED
PERIOD
Lectures attended 90% of scheduled lectures

Tutorials attended 90% of scheduled tutorials

Other n/a

36
Summary of Procedures Completed

Procedure/cases Minimum Competency Total Remarks

Number of Level Number
cases Done
1 Regional

Neuraxial block – 50 C
spinal anaesthesia
2 General Anaesthesia 57

General surgery 10 C

Paediatric surgery 20 C

Urology 5 C

Neurosurgery 2 C

Ent 4 C

Ophthalmology 4 C

Orthopaedic surgery 10 C

Maxillo-facial 2 C

3 Procedure & Skill 147

Anaesthetic Machine 10 C
Check
Appropriate IV Access 10 C

Induction of
anaesthesia
 IV 10 C
 Inhalational 10 C
Mask Ventilation 20 C

Airway Insertion 20 C

Endotracheal
Intubation
 Oral 10 C
 Nasal 5 O/A
Central Venous Line 5 A

Arterial Line 2 O

Rapid Sequence 10 C
Induction
Airway Assessment 10 C

Fluid and Blood loss 10 C

measurement

37
 Safe blood transfusion 10 C

Universal precaution 5 C
and waste disposal
4 Preoperative 10 C
Assessment

38
 Certificate of Completion

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

Student) has completed their clerkship and has satisfied the
requirements to sit the end of year exam.

……………………………… ………………………………
Student’s signature Course coordinator’s
signature

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