Foundation Programme Flashcards
0
Q
Tasks
WR
A
Dx Issues -Sx, Ix, Tx, pain, ED, UO, BO, drains Obs O/E Imp; ?MSFD Plan; indications for Ix
1
Q
Tasks
Before ward round
A
Update Pt list - night team - pt location and notes Request bloods and Ix R/V new Pt; write summary
2
Q
Issues before discharge
A
Recent temp spike Abx, med changes Lines, catheters Follow up Physio/ OT/ nursing issues Mobility E&D
3
Q
Tasks
Post WR
A
Compile full list of jobs
Request Ix, Bloods, Referrals
TTOs
4
Q
Tasks
After lunch
A
R/V pt who are unwell To do box, nursing issues Chase bloods, Ix Request bloods, Ix: mane Discuss managements Pt, relatives
5
Q
Tasks
Before home
A
Warfarin/ insulin Pt prescribed?
IV fluids prescribed?
Handover issues night team
6
Q
Bleep
Information required over phone
A
S; ward? Nurse? Pt name? Age B; dx, issue A; Obs, BM, ECG, Urine R; cont Obs, ECG, cannula, bloods, - fluids, analgesia, drug chart - bleep again if...
7
Q
Write up controlled drugs
A
Morphine sulphate MR 10mg capsules
Dose; 10mg/12h, PO, for 7 days
Total; 140mg ( one hundred and forty miligrams)
8
Q
Resus alarm
Order of actions
A
Resus trolley, Obs machine, notes, BM A - O2 B; sats, RR C; HR, BP, Defib monitor, cannula, blds D; pupils, BM, AVPU E; expose, temp, BG
9
Q
Resus call
Pt apparently not responsive
A
Resus trolley, Obs machine, Notes Can you open your eyes! Pain stimulus (AVPU) No response -> Lie pt down A; head tilt chin lift B; effort? -> expose chest -> CPR C; pulse D; pupils E; expose everything
10
Q
Bowel prep for GI ops
A
Clear fluids 24 h
11
Q
Nil by mouth rules
General ops
A
No eating 6h pre op
Stop clear fluids 2h pre op
Normal meds may be taken with small amount of fluid
12
Q
Important medications
To ASK about
A
Anti coagulants, Steroids Alendronate Contraception GTN, inhalers, eye drops Vaccine
13
Q
Safety net Re:…
A
Persistent or worsening Sx
14
Q
ROS
A
Comfortable - pain, sickness, fever: tx E&D CP, SOB, cough Abdo pain, N&V BO, PU Dizzy, falls
15
Q
sHx
A
Lives with Occupation Mobility - aids, WD, stairs, home ADLS Carers Smoking, alcohol, driving, travel
