EPIC RULE BOOK
Credits are automatically added to each clinician’s totals from the live
system, for each patient seen according to triage category
TRIAGE CATEGORY
CREDITS
Red
20
Orange
15
Yellow
10
Green
5
Blue
2
Rapid Assess (Kumar)
5
Double points added between 7-8am (as activity is poor due to change
over of staff)
Further credits are added by each clinician submitting credit slips which
are then added manually by either the EPIC Coordinator or one of the
Trainers
PROCEDURES
ALS
APLS
ATLS
Aspirate Pneumothorax
Chest Drain
Aspirate Joint
Central Line
Arterial Line
External Jugular Cannulation
Catheter Insertion
CREDITS
40
100
70
20
100
30
50
30
5
20 10
Supra-pubic Catheter (new placement)
Large Joint (e.g. shoulder, ankle) Manipulation
Small Joint (e.g. finger, wrist) Manipulation
Removal of Foreign Body
Application of Plaster
Application of Thomas/Pelvic Splint (or equivalent)
Intra-osseus Insertion
Cardioversion
Pericardiocentesis
Intubation/LMA Insertion
Breaking Bad News
Needle Cricothyroidotomy
Surgical Cricothyroidotomy
Sengstaken Tube Insertion
Suturing
Ring Block
Nasal Packing
I&D
Delivery
Decompression Tension Pneumothorax
Adenosine
Ultrasound Guided Peripheral Cannulation
Femoral Block
70
40
25
15
20
30
50
50
150
50
25
150
200
150
15
10
25
15
50
40
15
5
20
An initial list was drawn up prior to the start of the game and the
highlighted items were added after being discussed at the steering group
28/09/12 & 17/10/12.
Catheter Insertion credits lowered after being discussed at the steering
group meeting 17/10/12
WORK BASED ASSESSMENTS
DOPS/CEX/CBD (Specialty Registrars/Doctors)
DOPS/CEX/CBD (FY1/FY2/GPBTS/ACCS/FTSTA/ST3)
BONUS in first month (per WBA)
BONUS in second month (per WBA)
BONUS in third month (per WBA)
360 Degree Appraisal/MSF etc
BONUS in first quarter (per WBA)
BONUS in second quarter (per WBA)
BONUS in third quarter (per WBA)
CREDITS
20
40
15
10
5
50
15
10
5
Doctors that are here for 1-6 months earn extra credits for completing
WBA’s in months 1, 2, & 3. Doctors who are here for 12 months earn
extra credits for completing WBA’s in quarters 1, 2, & 3.
To encourage more WBA’s to be completed in month 1 or 2, DOUBLE
credits could also be offered between certain dates. Anyone on annual
leave could then be offered the same on the week they return.
AUDIT
Completed and Presented Audit
Completed and Re-audited (loop closed)
CREDITS
150
250
TEACHING/LEARNING
Courses Completed (e.g. ALS, ILS, APLS, ATLS)
Providing formal teaching (medical students etc)
Case Presentation (grand rounds etc)
On-line modules completed
Supervising medical students (per day)
Successful passing professional exams (per part)
FY2
Ward Round
Discharge Letter
Clinic patient seen (and presented)
SPECIALITY/REGISTRAR DOCTOR
Dealing with a complaint
Acting on abnormal results
Prepare coroners report
Investigate incident
Lead trauma team
Perform WBA with junior
Lead Journal Club
Present at M&M
Perform Sedation (ST3’s also)
Perform Biers Block
Senior Review
CREDITS
10
5
5
CREDITS
30
30
50
30
50
10 20
30
50
40
40
4
CREDITS
100
30
50
30
20
150
Perform WBA with junior credit raised to 20 credits to compensate for
the time spent with junior away from seeing own patients. This was as a
result of a discussion at the steering group 28/09/12.
ST’3s added after discussion at the steering group meeting 18/12/12
Bonuses can be credited on an ad hoc basis by Consultants for improved
performance
BONUSES
Bonus 25
Bonus 50
Bonus 100
Bonus 150
Bonus 200
Bonus 250
Bonus 500
CREDITS
25
50
100
150
200
250
500
Credits can also be taken away
FINES
Excess or recurrent tardiness without excuse
Upheld patient complaints (after investigation)
Miscellaneous ad hoc fines
CREDITS
-10
-10
-10
WEIGHTINGS
Credits are currently weighted according to how many months each group
are in the game. Doctors who are here for a 4 month period get full value
for their credits, if they are here for 6 months they get .667 per credit
and if they are her for 12 months they receive .334 per credit.
Any part-time staff also need to be weighted to enable them to earn
points pro-rata to their hours.
LATE STARTERS
Clinicians starting their rotation late need to be compensated to bring
them on to a level playing field. The credits missed at the start of the
rotation could be added to their totals by way of a bonus equating to the
credits earned over the same time period after their start date
E.G. if one full month is missed the credits earned in month 2 can be
applied as a bonus. This ensures everyone is on a level playing field and
people do not feel disadvantaged by not being here at the start of the
game.
LEVELS
Iron
Bronze
Silver
Titanium
Gold
Platinum
CREDITS
0
1500
3500
5000
7500
8000
PRIZES
£10 £15 iTunes/Trafford Centre Voucher
£20 £25 iTunes/Trafford Centre Voucher
iPod shuffle
Half day off
iPod Touch 32GB
The initial prize levels of £10 and £20 raised due to iTunes vouchers not
being available in these denominations, discussed at steering group
28/09/12