The PHECC re-registration cycle runs on evidence of continued clinical competence. The Clinical Practice Guidelines define the scope; PHECC's registration framework requires practitioners to demonstrate ongoing engagement with that scope. What it does not provide is a standardized mechanism for capturing the data trail that proves it. That gap — between what the CPGs authorize and what a practitioner can actually document at re-registration — is where this log exists.
The Registration Dependency Chain
An EMT working under a service Clinical Governance structure has their competency data nominally tracked by the service. In practice, that tracking is PCR-derived, retrospective, and designed for clinical audit rather than practitioner portfolio management. The AP on a Community First Responder scheme or working across multiple services is in a worse position: their clinical encounters are distributed across systems that don't talk to each other.
This template maps directly to the PHECC scope tiers. The Airway fields cover OPA, NPA, Suction, FBAO, FBAO with Laryngoscopy and Magill's, SAD, and ETI. The ETI field is AP-scope only in the Republic. The presence of SAD alongside ETI in the same record is deliberate — a practitioner logging an ETI should also be recording whether a SAD was attempted first, because the failed-SAD-to-ETI sequence is clinically distinct from a primary tube and has its own competency currency implications.
The Clinical Status Decision field — Life Threatening, Serious, Not Serious — feeds the acuity distribution that any competence assessor or service clinical lead will want to see. An AP logging exclusively Not Serious over a twelve-month period is a practitioner whose advanced interventions are never being triggered. That's not inherently a problem, but it's data that needs explaining, not data that should be invisible.
Where the Irish Drug List Diverges
The medication fields in this template reflect the PHECC CPGs rather than the broader international paramedic formulary in the previous-generation log. Syntometrine appears here — a uterotonic used in PHECC's OBGYN protocols that doesn't appear in many other national frameworks. Benzylpenicillin for suspected meningococcal sepsis is PHECC-specific. Tenecteplase for prehospital thrombolysis — at AP scope, under specific STEMI protocols — is present.
What's absent is equally diagnostic. No Etomidate, no Rocuronium, no Succinylcholine. This is not an RSI-capable formulary. The ETI field exists, but medication-facilitated intubation at the AP level in Ireland operates under a different mechanism, and the drug list reflects the current CPG state rather than aspiration.
The Entonox checkbox is the high-frequency entry for most practitioners. A log that shows Entonox on 40% of calls, Morphine on 12%, GTN on 8%, and everything else in single digits is an accurate reflection of what prehospital analgesia and cardiac care actually looks like in volume. The rare-drug fields — Tenecteplase, Benzylpenicillin, Syntometrine — may log zero entries in a given year and still need to be in the structure, because when they're used, the record of that use matters disproportionately.
The Portfolio When It Has Three Years of Data
A practitioner maintaining this log from initial PHECC registration through their first re-registration has something the standard re-registration process doesn't generate on its own: a longitudinal competency map.
Filter by Presentation Type: Trauma-Paed over 36 months. If the count is two, and both have On Scene Time under 10 minutes, and neither triggered a Haemorrhage Control or Fracture Management entry, then the practitioner has encountered pediatric trauma twice and neither encounter generated meaningful intervention opportunity. That's useful self-knowledge, and it's the kind of knowledge that should inform CPD planning — simulation, case review, or additional exposure — before the next re-registration cycle, not after.
The Cardiac block for PHECC practitioners runs to 12-Lead ECG, CPR, Defibrillation, ECG Monitoring, Therapeutic Hypothermia, and Cease Resuscitation/TOR. The TOR field is the one that accumulates slowly and matters most for PHECC's ongoing clinical governance discussions. A practitioner who has documented TOR decisions over time — with corresponding Clinical Status: Life Threatening entries, scene times, and the absence of ROSC-indicating interventions — has a record of clinical judgment that a bare PCR count doesn't capture.
The Notes field is where the edge cases land: the protocol deviation that was medically appropriate, the equipment substitution, the multi-agency scene where another service's AP took the airway. One precise sentence per record. The boolean matrix handles frequency. Notes handle the variance.