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Question 1

What should you do if a patient asks you for an unlicensed dose of medication?

Answer 1

1. tell patient you are not able to prescribe (warns of time wait to find out)
2. ask ward pharmacist (quicker than getting consultant)
3. phone consultant

NOTE: this is not patient safety issue so do not need to consult consultant immediately

Question 2

When should you alert senior if staff member is injured / unwell

Answer 2

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

Question 3

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?

Answer 3

impact on individuals in the team performance on rest of procedure

Question 4

When can you tell a colleague directly they have been unprofessional?

Answer 4

if they have broken confidentiality

Question 5

What should you do if angry relatives are in the room and you need to take blood urgently?

Answer 5

ask relatives to leave and you will address their concerns once you have taken the blood

Question 6

What should you do if you have tried numerous times to contact your educational supervisor?

Answer 6

1. try another method of contacting him
2. report SITUATION to foundation programme director NOT ask for new supervisor

Question 7

What should you do if you believe consultant to have done something wrong?

Answer 7

speak to them directly

Question 8

What is the worst thing to do if doctor trying to get relative a shortcut onto your ward?

Answer 8

nothing - this is still someone that needs treatment

Question 9

What should you do if a reg refuses to come to see a patient of yours?

Answer 9

speak to your consultant to see if anything wrong and call reg again

do NOT call their consultant

Question 10

T/F: patients are not obligated to delete a recording they took of you without your permission

Answer 10

True

Question 11

What should you do if someone does something that you don’t like / don’t think is acceptable?

Answer 11

ask them to rectify it

if they don’t, then rectify yourself

Question 12

what should you do if there is a time sensitive death certificate needed for someone you’ve never met?

Answer 12

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

Question 13

What’s the first thing you should do if something went wrong and it has now been rectified

Answer 13

speak to those involved

Question 14

Under what circumstance can you ask the nurse to do something for you?

Answer 14

if you are busy with a task with a task and it is time sensitive

Question 15

What should you do if you are blamed for something not being done and it now needs done?

Answer 15

do the task and then only afterwards explain that it was not your fault

Question 16

What should you do if you only partly understand a disease and its management plan and relatives want to know more?

Answer 16

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

Question 17

What should you do if you have been asked to refer patient and do not have enough information and nobody is around or answering

Answer 17

look up on internet better than referring without sufficient information
-> wastes time and leads to frustration

Question 18

What should you do if you are concerned with the performance of a nurse?

Answer 18

raise with nurse in charge not your consultant

Question 19

What should you do if someone is working extra hours and you think they are tired?

Answer 19

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

Question 20

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

Answer 20

handover to a staff member which is in theatre

Question 21

T/F: If an FY needs help with history taking you should offer to do role play with them

Answer 21

False - role play should only be conducted in the presence of a trained facilitator

Question 22

T/F: you should apologise to a patient if you believe a colleague has acted inappropriately to them

Answer 22

True BUT apologise do NOT apologise on the staff members behalf

Question 23

T/F: you have heard about a patient safety incident it is your obligation to investigate it

Answer 23

False - you should not conduct an investigation into an incident which did not involve you

Question 24

What should you do if patient refusing to cooperate with urgent scan?

Answer 24

• ask them why
• inform consultant
  +/- assess capacity

Question 25

remember: if situation is yet to be resolved / needs diffused sort it out first and THEN report afterwards