2 Flashcards
What should you do if a patient asks you for an unlicensed dose of medication?
- tell patient you are not able to prescribe (warns of time wait to find out)
- ask ward pharmacist (quicker than getting consultant)
- phone consultant
NOTE: this is not patient safety issue so do not need to consult consultant immediately
When should you alert senior if staff member is injured / unwell
only once you have done what you can to help the injured / unwell staff member
e.g. get the person that fainted a cup of water first
if abuse during emergency surgery which has more weighting - the impact of you interjecting or impact on individuals in the team performance on rest of procedure?
impact on individuals in the team performance on rest of procedure
When can you tell a colleague directly they have been unprofessional?
if they have broken confidentiality
What should you do if angry relatives are in the room and you need to take blood urgently?
ask relatives to leave and you will address their concerns once you have taken the blood
What should you do if you have tried numerous times to contact your educational supervisor?
- try another method of contacting him
- report SITUATION to foundation programme director NOT ask for new supervisor
What should you do if you believe consultant to have done something wrong?
speak to them directly
What is the worst thing to do if doctor trying to get relative a shortcut onto your ward?
nothing - this is still someone that needs treatment
What should you do if a reg refuses to come to see a patient of yours?
speak to your consultant to see if anything wrong and call reg again
do NOT call their consultant
T/F: patients are not obligated to delete a recording they took of you without your permission
True
What should you do if someone does something that you don’t like / don’t think is acceptable?
ask them to rectify it
if they don’t, then rectify yourself
what should you do if there is a time sensitive death certificate needed for someone you’ve never met?
call ward manager to see if any staff available to do death certificate
NEVER write a death certificate for a patient you’ve never met
What’s the first thing you should do if something went wrong and it has now been rectified
speak to those involved
Under what circumstance can you ask the nurse to do something for you?
if you are busy with a task with a task and it is time sensitive
What should you do if you are blamed for something not being done and it now needs done?
do the task and then only afterwards explain that it was not your fault
What should you do if you only partly understand a disease and its management plan and relatives want to know more?
get senior staff involved and do not attempt to explain anything yourself
if you explain what you know this will only lead to further questions from the relatives which you do not have the ability to answer
What should you do if you have been asked to refer patient and do not have enough information and nobody is around or answering
look up on internet better than referring without sufficient information
-> wastes time and leads to frustration
What should you do if you are concerned with the performance of a nurse?
raise with nurse in charge not your consultant
What should you do if someone is working extra hours and you think they are tired?
need to be told you think they are tired
NOT you should not be working extra hours - staff can work extra hours if they wish
What should you do if it is the end of your shift, the FY hasn’t turned up and all other staff are in theatre
handover to a staff member which is in theatre
T/F: If an FY needs help with history taking you should offer to do role play with them
False - role play should only be conducted in the presence of a trained facilitator
T/F: you should apologise to a patient if you believe a colleague has acted inappropriately to them
True BUT apologise do NOT apologise on the staff members behalf
T/F: you have heard about a patient safety incident it is your obligation to investigate it
False - you should not conduct an investigation into an incident which did not involve you
What should you do if patient refusing to cooperate with urgent scan?
- ask them why
- inform consultant
+/- assess capacity
remember: if situation is yet to be resolved / needs diffused sort it out first and THEN report afterwards
