Step 4 · After your course

Supervised Clinical Practice Logbook

Turn simulation practice into supervised clinical experience.

After the course, keep building your skills under supervision. Use a log like the one below (or your e-portfolio) to record each lumbar puncture you perform or assist with, and ask your supervisor to review it.

DateIndication and positionUltrasound: level and depthAttempts, outcome and opening pressureSupervisorReflection

Next steps towards competence

  • Supervised clinical lumbar punctures
  • Workplace-based assessments, such as DOPS
  • Direct observation and a procedure logbook
  • Regular lumbar spine ultrasound practice
  • Your trust's competency framework and sign-off
Practise within your competence
Follow your employer's policies and local sign-off requirements.

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