University of Newcastle / University of New England Targeted Observation Tool.Use this form to document any feedback you have had from a supervisor. Once complete an email will go to you, your assessor and the JMP. Choose Observation - Select -Admit Or Consult New PatientProvide Handover with ISBARRecognise Sick PatientStudent Complete this SectionStudent InformationStudent ID First Name Last Name Student Email Student Group - Select -Year 3 MDYear 4 MDYear 4 BMedYear 5 BMedSupervisor Information (for verification purposes)First Name Last Name Email Brief Description of Case Patient Consent YesSupervisor / Assessor Complete this SectionCheckbox GridSatisfactoryPerforms appropriate targeted investigationPlans appropriate investigations Understands the significance of abnormal resultsProposes a management planCommunicates findings and/or plan empathically to patient and familyConveys these findings to the wider team membersRecords (as permitted by LHD) the above and seeks review and/or assistance as neededCheckbox GridSatisfactoryResponds when requested (with JMO)Observes, recognises sick patientIdentifies basis of concern (eg observations not between flags)Participates in ‘synthesis’ of patient problemAssists with initiation of managementAssists, follows local protocol (e.g sepsis pathway)Able to communicate to the wider team members Able to record the above and seeks review and/or assistance as needed Checkbox GridSatisfactoryIdentifies selfSituation - clinical issue describedBackground – relevant background information provided Assessment—relevant findings synthesizedRecommendation – clear request stated or recommendation on treatmentDemonstrates synthesis of the scenarioRequests assistance/review/follow-up/hands over careDocuments the above in eMR (if permitted by LHD) Overall Rating - Select -I had to do (required complete hands-on guidance or was not required to do)I had to talk them trough (able to perform tasks but required constant guidance)I had to prompt them from time to time (demonstrates independence but requires intermittent supervision)I needed to be in the room just in case (displays independence but needed to be around for safe practice)I did not need to be there (complete independence, understands risks and performs safely, practice-ready)Feedback for Student Student Complete this SectionStudent Learning Goal Submit Form