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AKT > Administration and health infomatics > Flashcards

Administration and health infomatics Flashcards

1
Q

Requirements for universal credit are: (must satisfy all requirements)

A

low income or out of work
>18
< State Pension age
You and your partner have £16,000 or less in savings between you
live in the UK

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2
Q

Prescription exemption certificate (in England) - conditions that do not require payment for medication

A

hypoparathyroidism
Addisons (hypoadrenalism)
diabetes insipidus (hypopituitarism)
diabetes mellitus
myasthenia gravis
hypothyroidism
epilepsy
Cancer related treatments - medication, dressings, fistula

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3
Q

DVLA: drug and alcohol misuse
“misuse”
“Abuse”

A

“misuse” = 6 months no drive
“Abuse” = 12 months no drive - eg heroine, cocaine, alcohol dependency

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4
Q

What are local medical comittees?

A

Local Medical Committees (LMCs) are independent bodies that represent all NHS general practitioners, including GP Registrars, in a specified area. They act as a conduit between the General Practitioners and the NHS health authorities. GP Registrars, who are trainee GPs in their final year of training, have representation in LMCs because they form an integral part of the primary care workforce.

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5
Q

Key Facts about foster care (2)

A

limit of 3 foster children per family
all children in long-term foster care require a 6-monthly medical examination until 5yo. then 12 monthly unless child refuses.

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6
Q

Consultation method Calgary-Cambridge

A

CLASSIC Consultation

initiating the session
gathering information
building the relationship
giving information, explaining and planning
closing the session

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7
Q

Consultation method Stewart

A

EXPERIENCE - exploring both the disease and the illness experience

UNDERSTANDING THE PERSON - understanding the whole person

HEALTH PROMORTION + PREVENTION - incorporating prevention and health promotion
enhancing the doctor-patient relationship
being realistic (with time and resources)

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8
Q

Consultation metho Pendleton

A

ICE - define the reason for the patient’s attendance (ideas, concerns and expectations)

SHARED - achieve a shared understanding of the problems with the patient

RESPONSIBILITY - involve the patient in the management and encourage him/her to accept appropriate responsibility

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9
Q

Consultation method - Fraser

A

CLASSIC

interviewing and history-taking
physical examination
diagnosis and problem-solving
patient management
relating to patients
anticipatory care
record keeping

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10
Q

Consultation Method - Neighbough

A

connecting
summarising
handing over
safety netting
housekeeping

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11
Q

Consultation method - Tuckett

A

DOCTORS = MEDICINE
PATIENT = OWN HEALTH
seek understanding of each other

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12
Q

Consultation Method - Stott and Davies

A

management of presenting problems
management of continuing problems
modification of help-seeking behaviour
opportunistic health promotion

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13
Q

Coroner Office definitions
Inquest
Confidential enquiry

A

Inquest - investigate the circumstances of death. eg who, where, when - establish the facts

Enquiry - aim to improve patient care through learning from different cases

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14
Q

Controlled drugs schedule (1-5)

A

2 - diamorph, morph
3 - gabapentin, barbituates, buprenorph
4 - benzo, zolpidem, steroids
5 - oramorph

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15
Q

What is the Personal Independence Payment (PIP)

A

Has two components: daily living and mobility.

The daily living component is for people who need help with tasks like preparing meals, washing, dressing or communicating.

The mobility component is for people who have difficulty moving around or going out. PIP does not include a housing component.

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16
Q

Fitness to fly CVD

Unstable angina/ Uncontrolled HTN/ Arrythmia/ Decompensated heart failure
MI (uncomplicated)
MI (complicated)
CABG
PCI
Stroke

A

Severe Angina/ htn/ arrythmia - do not fly
MI (uncompl) - 7-10 days
MI (compli) - 4-6 week
CABG - 10-14 days
PCI - 3 days
stroke - 10 days

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17
Q

Fitness to fly Respiratory

pneumothorax

A

pneumo - no fly. can fly after two weeks if successful drainage and cxr shows no residual air

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18
Q

Fitness to fly Pregnancy

A

36 weeks - single preg
32 weeks - multiple preg

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19
Q

Fitness to fly surgery

Abdominal surgery
Laparoscopic
colonoscopy

A

abdominal - 10 days
lap - 24 hr
colonoscopy - 24 hr

20
Q

Fitness to fly haematology

A

Must have Hb >8 to fly

21
Q

Caldicott guardian role

A

Protect patient data

22
Q

Income support criteria

A

16-59 yo
low income
working less than 16 hours per week and not receiving Job Seekers Allowance

23
Q

Job Seeker Allowance

A

> 18 years old to state pension age (currently 66yo)
Claimants must be capable of working and agree to actively seek work

24
Q

Personal Independence Payment (PIP)

A

Replaced the Disability Living Allowance (DLA)
16-64 yo
Need help with personal care due to physical or mental disability
For children there is still the ‘DLA for children’

If >65yo = Attendance Allowance

25
Q

Statutory Sick pay

A

For employees unable to work due to illness. Unable to work for > 4 days in a row. Paid up to a maximum of 28 weeks

26
Q

Incapacity Benefit & Employment and Support Allowance

A

Employment and Support Allowance replaced Incapacity Benefit for new claimants from October 2008. Claimable by those NOT entitled to Statutory Sick Pay (SSP), for example self-employed, or when SSP has ended

27
Q

Bereavement support payment

A

Replaced ‘Bereavement payment’ and ‘Bereavement allowance’
Lump sum followed by 18 monthly payments
Spouse must be under state pension age when their partner died
Depends on national insurance contributions
Must claim within 3 months of your partner’s death to get the full amount.
You can claim up to 21 months after their death but you’ll get fewer monthly payments.

28
Q

Data protection act principles (8)

A
  • used for the specific purpose
  • can NOT be disclosed to other parties without consent
  • individuals have right of access to the information held about them
  • information may be kept for no longer than is necessary and must be kept up-to-date
  • information may NOT be transmitted outside the European Union unless consent has been given
  • all entities must register with the Information Commissioner’s Office
  • adequate security measures must be in place.
  • subjects (i.e. patients) have the right to have factually incorrect information about them corrected
29
Q

Notifiable death criteria - when to refer to Coroner (12)

A
  • unexpected/ sudden deaths
  • attending Dr did not see them within 28 days before death
  • death occurs within 24 hours of hospital admission
  • accidents and injuries
  • suicide
  • industrial injury or disease (e.g. asbestosis)
  • result of ill treatment, starvation or neglect
  • death during an operation or before recovery from the effect of an anaesthetic
  • poisoning, including taking illicit drugs
  • stillbirths
  • prisoner or people in police custody
  • service disability pensioners
30
Q

Post operative recovery times

A

Laparoscopic Open
Abdominal/groin hernia 1 - 2 weeks 2 - 3 weeks
Appendicectomy 1 - 2 weeks 2 - 3 weeks
Cholecystectomy 2 - 3 weeks 3 - 5 weeks
Hysterectomy 3 weeks 7 weeks

31
Q

Forms to register patients to the GP Practice
Temporary
Permanent

A

Temp - GMS3 (up to 3 months)

Permanent - GMS1

32
Q

General Medical Services (GMS) contract is…

A

is a contract between general practices and primary care organisations (PCOs).

The contract is negotiated nationally every year between NHS England and the General Practice Committee.

33
Q

Working Hours mandatory breaks

A

11 hours within 24 hour period

20 minutes if working longer than 6 hours shift

34
Q

Parental leave Fx

A

Unpaid time off work for parental care

Criteria:
employee >1 year
up to 18 weeks unpaid leave for each (adopted) child up to 18th birthday
up to 4 weeks per child per year
named on Birth/ Adoption certificate
Not Foster parent

35
Q

Mefloquine - how long before to start and after travel to continue

A

Start 2-3 weeks prior to travel
Finish 4 weeks after travel return

36
Q

Shingles vaccination criteria

A

All 65-79 years old
>50 with weakened immunity (eg chronic disease)

37
Q

Positive predictive value of FIT

A

7%

38
Q

Abdominal aorta screening age

A

Men >65 yo

39
Q

Learning styles: Honey and Mumford Questionnaire

A

4 Learning styles:
Activist
Reflector
Theorist
Pragmatist

40
Q

Consultation methods: Calgary-Cambridge Observation guide

A

5 Tasks of a consultation:
initiating
gathering information
building the relationship
giving information (explaining and planning)
closing the session (summary)

41
Q

Caldicott Guardian is..

A

A senior person who protects confidentiality of patient information

42
Q

Industrial Injuries Disablement Benefit claim requirements

A

Sensorineural deafness > 50 dB in each ear
The average of losses at 1, 2 and 3 kHz frequencies (main speech frequencies)
>1 occupational noise hazard

43
Q

Controlled drugs schedules

A

Schedule 1 – ONE love Bob Marley and his spliff: Cannabis
Schedule 2 – TWO pupils pin-point/ dilated: Strong Opioids and Cocaine
Schedule 3 – THREE “B”ees in a bonnet: Buprenorphine, Benzos (Midaz + Temaz), Barbituates PLUS GaBapentin and PregaBalin
Schedule 4 – FOUR poster bed for sleep and muscle rest: all other Benzos, Z-drugs (Zopiclone, Zolpidem), Anabolic steroids
Schedule 5 – high FIVE (drugs that make you feel high): Oramorph, Codeine

44
Q

Requirements for universal credit

A

Live in UK
>18 + low wage/ no income
<£16,000 collectively in savings
<65
16-17yo can claim if carer

45
Q

Procedure and recovery time (laprascopic vs open)
Abdominal hernia
Appendicectomy
Cholecystectomy
Hysterectomy

A

Procedure Recovery time
Laparoscopic Open
Abdominal/groin hernia 1 - 2 weeks 2 - 3 weeks
Appendicectomy 1 - 2 weeks 2 - 3 weeks
Cholecystectomy 2 - 3 weeks 3 - 5 weeks
Hysterectomy 3 weeks 7 weeks

AKT (21 decks)

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