Ethics Flashcards
What have to be with patients who are angry
Be open about other priorities and offer the complaints system
What do if someone who works in care wants to go in with communicable disease
The correct answer is to Advise her that you need to contact the Local Health Protection Agency (HPA) and she should not go into work. If she does not consent, confirm that you will still need to inform the HPA.
Fitness to fly after surgeries
travel should be avoided for 10 days following abdominal surgery
laparoscopic surgery: after 24 hours
colonoscopy: after 24 hours
following the application of a plaster cast, the majority of airlines restrict flying for 24 hours on flights of less than 2 hours or 48 hours for longer flights
What do if GMC requests to see a patients notes for a case but patients refuses
The GMC have authority in this scenario
When writing controlled prescriptions what needs to be on the written prescription
Name and address of patient
Strength and administration
Number of pils in words and figures
Prescribers name, signature, address and current date
What details need to give about a chaperone
Full name and role of chaperone
If someone has a LPA what do before making any decision on their care
Assess capacity
What need to do to confirm death after unsuccessful CPR attempts
Full assessment for signs of life for a further 5 mins
What do if patient has no advance DNACPR or LPA, who does decision lie with
Senior clinician- they can make decisions regarding DNRs
Can you prescribe for your close family
No
What do if someone who lacks capacity needs to stop driving
Contact the DVLA yourself
When is only time can disclose information to police about a patient
If case will lead to harm to others not for example a tax fraud
What do if a child asks to speak to you without the parent
Politely ask the mother to step outside for a few minutes
What do if a patient in an emergency setting refuses to be treated
Under common law can treat if patient refuses
If someone comes in with either gunshot or knife wound and does not want you to call police what must you do
Tell them you have to call the police but you will not give patient details at this point
What do if patient doesnt want to have important medical investigation as does not fit with their schedule
Try to explain further why should have it
When is a registered nurse able to verify a death
If happens in a nursing home, DNACPR in place and no features which would warrant referral to coroner
What temperature must body be at to verify death
At least 35
What is done under common law
Treating people who refuse to be treated in an emergency
What do if someone requires non urgent intimate exam but no one around to chaperone
Ask to book appt tomorrow when one will be available, no need to wait around as yet because waiting would be a waste of time
What do you do if been given a rota feel is very unfair
Go and speak to person in charge of rota and discuss
Can you drive if schizophrenic or manic
Must not drive during exacerbation where unwell
Inform DVLA
Must be well for 3 months following consultation with consultatn
When can you stop treating a patient
When breakdown of trust means you cannot provide good care
What is key requirement of an advanced directive
Must refer to a specific treatment in specific scenario
What do if person has DNR but then decides they dont want despite having severe comorbidities that would mean it would be unsuccessful
Do not let them have it as patients can only refuse treatments in advance not request
