Abstract：
Increased demand in services, workforce pressures and continued financial constraints has resulted in a significant expansion in advanced clinical practice roles in the United Kingdom. This article will describe the personal experience of a perioperative Advanced Clinical Practitioner in the design and implementation of a training programme to achieve competence in ultrasound-guided lower limb peripheral nerve blockade. Three specific lower limb peripheral nerve blockade were included in the training programme, namely sciatic nerve block at the popliteal fossa, saphenous nerve block, and femoral nerve block. Key service drivers underpinning development, rationale for Advanced Clinical Practitioner involvement in lower limb peripheral nerve blockade and governance will also be discussed.
摘要：
服务需求增加，劳动力压力和持续的财务限制导致英国高级临床实践角色的显着扩展.本文将描述围手术期高级临床医师在设计和实施培训计划以实现超声引导下下肢周围神经阻滞能力的个人经验。训练计划中包括三种特定的下肢周围神经阻滞，即坐骨神经阻滞在pop窝，隐神经阻滞,股神经阻滞.支撑发展的关键服务驱动因素，还将讨论高级临床医师参与下肢周围神经阻滞和治理的基本原理。
