CST

Question 1

What does CAMP stand for?

Answer 1

Clinical

Academic

Management

Personal

Question 2

When is CAMP structure used?

Answer 2

Background and motivational i.e. portfolio

Question 3

What does STAR stand for?

Answer 3

• Situation– context of situation
• Task
• Action– what you did, why you did it that way
• Results/ reflect– what happened at the end. Good points and negative points, which you will learn from? How this has influenced your practice

Question 4

When is STAR structure used?

Answer 4

Situational demonstration of skills/ ability (management or portfolio) = STAR

Question 5

What is SPIES structure used for?

Answer 5

Managing situations/ problem solving (for management scenario)

Question 6

What does SPIEs stand for?

Answer 6

• Seek information– more context, challenge assumptions
• Patient safety– emphasise central importance and if it is compromised
• Initiative– what actions you would take to manage the situation
• Escalate– senior discussion and whom
• Support– personal, emotional, psychological etc. Depends on the situation.
• (+Reflect– on what you learned in eportfolio for future reference and to consolidate thoughts)

Question 7

What is the opening setence for a major trauma patient assessment

Answer 7

Brief summary of issue i.e. high energy injury, haemodynamic stability
ATLS/CCRISP
Trauma call 2222
Differentials

Question 8

What should you include after the ABCDE in a major trauma assessment

Answer 8

Differentials
Bedside tests
Imaging
Escalation
Admin

Question 9

What are notifiable safety incidents

Answer 9

Must meet all three criteria
1. Unintended or unexpected
2. Must have occurred during the provision of an activity we regulate
3. In the opinion of a healthcare professional, has or might result in death OR moderate/severe harm

examples
wrong site marking
wrong medication

Question 10

What is required for valid cosent

Answer 10

Operator:
- competent in procedure

Patient
- voluntary
- capacitous
- risks vs benefits
- alternatives explained

Question 11

What are the nine dimensions of the healthcare leadership model
- inspiring shared purpose

Answer 11

Inspiring shared purpose
- valuing and ethos, curious about service improvement, behaving in a way that reflects positive values

Leading with care
- providing a caring, safe environment to enable efficient work

Evaluating information
- seeking out varied information
- generate new ideas

Connecting our service

Sharing the vision
- communicating a compelling and credible vision
- inspiring a vivid picture of what cohesive consistent work looks like

Engaging the team
- involving individuals and demonstrating their contributions and ideas are valued

Developing capability

Influencing for results
- using interprersonal and organisation understanding to persuade and build collaboration

Question 11

What are the NICE CT head criteria

Answer 11

Within 1 hour

GCS < 13 on initial assessment in the ED

GCS < 15 at 2 hours after the injury on assessment in the ED

Suspected open or depressed skull fracture

Any signs of basal skull fracture

Posttraumatic seizure

Focal neurological deficit

More than 1 episode of vomiting

Within 8 hours

Age >65

History of bleeding or clotting disorders

Dangerous mechanism of injury (pedestrian or cyclist struck by motor vehicle, an occupant ejected from motor vehicle or fall from a height greater than 1 meter or 5 stairs)

More than 30 minutes retrograde amnesia of events immediately before the head injury.