• Health regulations in Jordan Laws, Bylaws and Policies of MOH: اللوائح الصحية في قوانين ولوائح وسياسات وزارة الصحة الأردنية

• Identifies legislation governing health professions in Jordan
• Choice the appropriate actions that show awareness of legal implications for health practices

• Ethics: الاخلاقيات

• Recall MOH code of conduct principles
• Recognize ethical dilemmas and take appropriate action

• Quality improvement: تحسين الجودة

• Describes how patients, families, individual clinicians, health care teams, and systems can contribute to promoting safety and reducing errors
• Recognize human factors and basic safety design principles that affect safety

• Therapeutic Relationship:العلاقة العلاجية

• Able to provide care that reflects the whole person,
• Identify principles of effective communication through various means

• Interdisciplinary Collaboration: التعاون بين متعددي التخصصات

• Ability to resolve conflicts with other members of the team.
• Apply basic group skills, including communication, delegation, and time management

• Evidence Based Practice: الممارسة القائمة عالادلة العلمية

• Differentiate reliable sources for locating evidence report and clinical practice guideline
• Discriminate between valid and invalid reasons for modifying Evidence based clinical practice based on clinical expertise or patient/family preferences

• Health Informatics: المعلوماتية الصحية

• Identify essential information that must be available in a Common database to support patient care
• Ability to Protect confidentiality of protected health information in electronic health record

• Ethical Performance

• Identify ethical principles
• Inform client/staff members of ethical issues affecting client care
• Aware of situations which compromise patient checking procedures

• Infection control and injury prevention

• Ability to secure a cannula, local anesthetic catheter or infusion line to minimize the possibility of accidental displacement.
• Ability to prepare anesthetic room and equipment for patient with known difficult airway.
• Ability to use safe practices for invasive monitoring lines
• Understand the management of accidental intra-arterial/ injection

• Reporting of Incidents and documentation 

• Describes processes used in error incidents and allocation of responsibility and accountability
• Ability to intervene in unsafe practice of health care personnel appropriately
• Identify and report any previous problems with anesthesia 

• Emergency response

• perform Basic life support
• Respond to emergency code
• Respond to patients with shock
• Assess comatose patients
• Ability to perform Discuss opening airway maneuver to clear the airway( effective head extension, jaw-thrust, oropharyngeal suction,..)
• Ability to assist in the management of failed intubation
• Identify individual or shared responsibilities in the provision of care in an emergency situation

• Care of Anesthetic Machine, Monitoring and Related Equipment

• Ability to safely change and refill CO2 absorption canister
• Ability to check machine-integrated and stand-alone ventilators
• Ability to use correct procedures in the storage and handling of gas cylinders.
• Demonstrate safe removal and replacement of cylinders on the anesthetic machine
• Ability to safely connect / disconnect anesthetic machine connectors
• Ability to perform a ‘tug test’ to ensure safe connection.
• Identify color-codes for piped gases and vacuum.
• Identify the circumstances where the shut off valve would be used.
• Ability to identify and correct breathing system leaks; high pressure within patient circuit; vaporizer malfunction; failure of gas supply; electrical power failure; suction failure; and  CO2 absorption failure

• Physical status classification system

• Define the American Society of Anesthesiologist (ASA) classification
• Recognize the clinical differences between the ASA scores.
• Discuss the required preparations in anesthetic room and theatre to provide individualized patient care taking into account ASA scores

• Clinical Assessment

• Apply basic clinical assessment of cardiovascular with emphasis on factors which have a bearing on anesthetic care for:
  1. Respiratory system
  2. Renal system
  3. Neurological system
  4. Hematological system
  5. Hepatic system
  6. Endocrine system
  7. GI system
• Recognize pre-existing medical conditions, which may adversely affect the patient during anesthesia

• Clinical Aspects for Fasting

• Identify the local guideline for pre-operative fasting
• Apply strategies to minimize regurgitation.
• Ability to manage regurgitation.
• Identify the signs aspiration.
• Ability to manage aspiration

• Pre-operative investigation

• interpret normal and abnormal values of: blood hemoglobin, platelets, white cell count, clotting studies, serum potassium, urea and creatinine, blood sugar, arterial blood gases
• Recognize the normal conducting pathway of the heart.
• interpret basic ECG

• Preoperative Medication and Therapy

• Identify the role of pre-medication.
• Recognize commonly used pre-mendicant drugs.
• Recognize effects of common pre-mendicant drugs.

• Pre-operative Stress and Anxiety care

• Recognize where anxiety may lead to patient harm, and acts appropriately to reduce anxiety where possible
• Identify the clinical effects of anxiety including altered drug dosages and increased risk of cardiac arrhythmias

• Pre-operative care for special cases

• Describe how to assess and manage the requirements of confused patients or patients with incapacity
• Summarize the assessment process of elderly or pediatric patients requirements

• Peripheral IV access

• select appropriate site for cannulation.
• Relate to techniques which improve venous filling.
• Identify techniques for increasing success-rate in patients who have ‘difficult’ veins

• Invasive monitoring/Invasive Arterial Pressure Monitoring

• Identify indications of arterial monitoring
• Demonstrate knowledge of transducer calibration.
• Identify dangers of intra-arterial injection and safety precautions.

• Invasive monitoring/ Central Venous Pressure CVP Monitoring

• Identify normal values of CVP
• Select sites used for central venous cannulation and associated potential complications.
• Demonstrate a knowledge of different central venous cannula.
• Identify correct positioning of patient during central venous cannulation.

• IV sedation

• Identify basic pharmacology of commonly used sedative agents.
• Identify principles of Conscious Sedation
• list the uses and advantages of Conscious Sedation
• Identify side effects associated with the use of sedation

• Spinal, Epidural and Other Regional Analgesia

• Understand the physiological changes in spinal and epidural anesthesia.
• Identify vasopressors in relation to spinal /epidural anesthesia.
• List the contraindications to spinal/epidural anesthesia.
• Identify basic knowledge of nerve pathways commonly blocked during regional anesthesia.
• Recognize complications of peripheral nerve block.
• Ability to assist in management of patient with symptoms and signs of local anesthetic toxicity

• Regional Anesthesia

• Ability to assemble appropriate equipment.
• Identify the correct patient position during regional anesthesia
• Identify the features of spinal needles.
• Recognize when cardio/respiratory function has been compromised as a result of regional block.
• Ability to alert anesthetist to changes in patient’s vital signs.
• Identify  the stages involved in each type of block

• Anatomy of the upper airway relevant to laryngoscopy, intubation, and other airways

• Understand airway anatomy.
• Describe airway anatomy and physiology in relation to:

1.  Fraction of Inspired Oxygen concentration (FIO2)
2.  End tidal CO2 (ETCO2)
3.  Tidal volume (TV) (ml/kg) and expired minute volume ( MV)
4.  End tidal anesthetic agent

• Identify factors affect airway pressure

• Airway Management

• Ability to support and maintain the patient’s airway.
• recognize anesthetist’s requirements and provide suitable airway adjuncts.
• Apply optimum position for airway management.
• Identify the placement of a laryngeal mask airway.
• Identify the placement of a nasopharyngeal airway.
• Recognize upper-airway obstruction
• Ability to assist the anesthetist in securing the airway

• Oxygen Delivery Equipment & Self-Inflating Bags

• Identify oxygen delivery devices.
• Ability to select appropriate O2 mask recognizing patient’s individual requirements
• Identify the use of self-inflating bags.
• Identify non-disposable / single use self-inflating bags and valves.
• Recognize  the requirement for and self-inflating bags in the operating department and during intra / inter hospital transfer

• Airway Equipment

• Identify types of laryngoscopes.
• Identify specialized laryngoscopes used for difficult intubation \
• Discuss types of endotracheal tube.
• Recognize the use of non-cuffed endotracheal tubes in children
• Identify types of laryngeal mask airway.

• Intubation of Trachea

• Identify the importance of endotracheal tube size and length.
• Ability to correctly calculate endotracheal tube length and size.
• Recognize complications due to wrongly sized endotracheal tube
• Ability to prepare and check equipment for routine intubation
• Ability to position the patient appropriately
• Ability to assist the anesthetist during intubation.

• Difficult intubation and Rapid sequence induction

• Identify equipment required for difficult intubation
• Discuss failed intubation management.
• Identify the process of rapid sequence induction
• Identify cricoid cartilage
• Demonstrate correct application of cricoid pressure

• Inhalation induction

• List the indications for inhalation induction
• Ability to ensure patient safety throughout stages of anesthesia
• Ability to Identify appropriate position patient during inhalation induction.

• Equipment preparation

• Able to set up patient controlled analgesia equipment
• Able to set up equipment to deliver nebulized drugs
• Able to set up equipment designed to deliver drugs by epidural infusion

• Patient monitoring

• Demonstrates ability to support and maintain the patients’ airway in the immediate postoperative
• Assess patient for signs of surgical and postoperative complications.
• Recognize upper airway obstruction.
• Demonstrate ability to maintain patients’ airway
• Identify principles of safe removal of an ET tube.
• Ability to assess/manage postoperative nausea and vomiting
• Evaluate patient for safe discharge on the day of anesthesia.

• Pharmacologic practice

• Identify drugs required for use by the anesthetist for elective and emergency surgery
• Prepare induction agents
• Prepare inhalation agents
• identify emergency drugs
• prepare drugs of anesthesia

• Obstetric

• Identify indications for spinal, epidural and general anesthesia for common obstetric interventions
• Prepare anesthetic gas for c/s
• Ability to participates in Rapid Sequence Induction.
• Recognize risk of regurgitation and its management.
• Ability to participate in management of sudden life threatening major obstetric hemorrhage including the use of invasive monitoring, rapid infusion devices, warming devices and cell salvage equipment

• Burns

• Recognize the impact of smoke inhalation to the provision of adequate ventilation.
• Identify strategies to improve ventilation. Discuss hypothermia in the burn’s patient
• Discuss the need for insertion of large bore venous access.
• Demonstrate ability to asses and manage the effects of:

                        – patient controlled analgesia;

                        – continuous opiate infusion.