COOP

Question 1

What is the framework used for breaking bad news?

Answer 1

SPIKES
Setting- privacy etc.
Perception- check patients understanding so far
Invitation- warning shot/would you like to have anyone with you whilst we have this conversation?
Knowledge- impart the information
Empathy- pause and listen. Make sure they talk first.
Strategy and Summary- plan going forward

Question 2

Things to be included in catheter documentation

Answer 2

Date and time
What happened: urethral catheter, inserted (e.g. at bedside) + indication (e.g. for relief of urinary obstruction). 1 attempt
Details of catheter: size e.g. 16Fr. Balloon inflated with 10mL of water for injection.
Urine: Return of e.g. 200mL clear, yellow urine. Urine dip shows…
Other niceties if time: Patient tolerated procedure well and was informed to report any leaking or discomfort. Also told to keep drainage bag below level of bladder at all times.
Sign, date, bleep