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Question 1

What should you do first if a patient asks for an unlicensed dose of a drug

Answer 1

tell them that you are not able to prescribe that without senior consultation

Question 2

When should you look up national guidance to help management?

Answer 2

last resort - only after using BNF and then speaking to nursing staff

Question 3

T/F: you should give your bleep away if discussing patient concerns

Answer 3

False - this could put other patients in danger

Question 4

T/F: if you have mixed up patient identities you should tell the consultant and then edit the letters to correct the mistake

Answer 4

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

Question 5

Are you allowed to go to help another ward?

Answer 5

yes only once all tasks are completed on your own ward

Question 6

What is the best way to address a patient who is concerned?

Answer 6

find out what exactly is the cause of their concern so you can address it

Question 7

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

Answer 7

writing in notes before leaving in doctors room before handing to a nurse

Question 8

what is better: a translator present or a doctor who speaks the language

Answer 8

Dr who speaks the language

Question 9

T/F: you cannot tell a patient you need to check with a senior if you are aware of the patient’s exact condition

Answer 9

True - this would be evasive

Question 10

When should a formal complaint be offered to a patient?

Answer 10

only after you have taken the time to listen to the families concerns and attempted to explain the situation

Question 11

Only after what can you call a crash team?

Answer 11

After you have assessed the patient yourself

Question 12

T/F: if patients have a concern they can be reassured it is standard practice

Answer 12

False - this is not reassuring - listen to the patient’s concerns

Question 13

What should you do if a relative approaches you angrily on the ward?

Answer 13

explore concerns with both the patient and relative(s) and attempt to explain

Question 13

What should you do if a relative approaches you angrily on the ward?

Answer 13

explore concerns with both the patient and relative(s) and attempt to explain

Question 14

T/F: do not reassess a patient closely after a colleague has assessed them without speaking to the colleague first

Answer 14

true - to reassess would be doubling work

Question 15

Which takes precedence: a possible conflict with colleagues (regardless of who is in the right) or leaving late?

Answer 15

avoiding conflict with colleagues most important

Question 16

When can you discuss with FY colleagues about a situation you are troubled by?

Answer 16

if you are being abused - could also prompt others to come forward

Question 17

T/F: if an FY is struggling you should ask their ward to be supportive to them

Answer 17

False - this takes the responsibility away from the staff member who is suffering

Question 18

T/F: if an FY is suffering you should offer to go with them to speak to their consultant

Answer 18

true - may help give them the confidence they need to come forward

Question 19

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?

Answer 19

1. leave on time unless tasks are urgent
2. do NOT hand over to the on-call team - this is only for medical emergencies
3. speak to your consultant about unequal workloads

Question 20

What should you do if there is a patient safety incident?

Answer 20

1. solve the issue
2. speak to those involved
3. report to both nursing and medical teams

Question 21

How should you deal with a violent confused patient who has assaulted a staff member?

Answer 21

1. check staff member is ok
2. 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

Question 22

What should you do if you witness abuse?

Answer 22

1. speak to abuser about incident to promote conversation about incident
2. do NOT expect the subject to speak to the abuser themselves

Question 23

Can nurses speak to relatives?

Answer 23

YES - remember what you saw in surgical HDU