1 Flashcards
What should you do first if a patient asks for an unlicensed dose of a drug
tell them that you are not able to prescribe that without senior consultation
When should you look up national guidance to help management?
last resort - only after using BNF and then speaking to nursing staff
T/F: you should give your bleep away if discussing patient concerns
False - this could put other patients in danger
T/F: if you have mixed up patient identities you should tell the consultant and then edit the letters to correct the mistake
False - this is time sensitive so first put in new entry to patient notes and then once done tell consultant
do NOT edit previous letters - this is covering up mistakes
Are you allowed to go to help another ward?
yes only once all tasks are completed on your own ward
What is the best way to address a patient who is concerned?
find out what exactly is the cause of their concern so you can address it
better to write in notes, hand over a task to a nurse or leave it in thei doctors room for a doctor to come back to
writing in notes before leaving in doctors room before handing to a nurse
what is better: a translator present or a doctor who speaks the language
Dr who speaks the language
T/F: you cannot tell a patient you need to check with a senior if you are aware of the patient’s exact condition
True - this would be evasive
When should a formal complaint be offered to a patient?
only after you have taken the time to listen to the families concerns and attempted to explain the situation
Only after what can you call a crash team?
After you have assessed the patient yourself
T/F: if patients have a concern they can be reassured it is standard practice
False - this is not reassuring - listen to the patient’s concerns
What should you do if a relative approaches you angrily on the ward?
explore concerns with both the patient and relative(s) and attempt to explain
What should you do if a relative approaches you angrily on the ward?
explore concerns with both the patient and relative(s) and attempt to explain
T/F: do not reassess a patient closely after a colleague has assessed them without speaking to the colleague first
true - to reassess would be doubling work
Which takes precedence: a possible conflict with colleagues (regardless of who is in the right) or leaving late?
avoiding conflict with colleagues most important
When can you discuss with FY colleagues about a situation you are troubled by?
if you are being abused - could also prompt others to come forward
T/F: if an FY is struggling you should ask their ward to be supportive to them
False - this takes the responsibility away from the staff member who is suffering
T/F: if an FY is suffering you should offer to go with them to speak to their consultant
true - may help give them the confidence they need to come forward
What should you are never finished your tasks at the end of the day and someone in ward next to you always finished at midday?
- leave on time unless tasks are urgent
- do NOT hand over to the on-call team - this is only for medical emergencies
- speak to your consultant about unequal workloads
What should you do if there is a patient safety incident?
- solve the issue
- speak to those involved
- report to both nursing and medical teams
How should you deal with a violent confused patient who has assaulted a staff member?
- check staff member is ok
- speak to patient in a reasonable manner to calm them down - do NOT say they are being inappropriate - they are confused and this is confrontational could lead to situation escalating
What should you do if you witness abuse?
- speak to abuser about incident to promote conversation about incident
- do NOT expect the subject to speak to the abuser themselves
Can nurses speak to relatives?
YES - remember what you saw in surgical HDU
