Interview

Question 1

STAR?

Answer 1

Situation, Task, Action, Result

Question 2

What’s the name of the RACS support program?

Answer 2

Converge International

Question 3

What’s the age of consent according to the Consent Act in SA?

Answer 3

16

Question 4

What is the equivalent BAC of 17 hours with no sleep?

Answer 4

0.05

Question 5

What is the equivalent BAC of 24 hours with no sleep?

Answer 5

0.1

Question 6

What are some key points that RACS talks about with managing shifts and fatigue?

Answer 6

Minimizing shift work and night work, ensuring that there is sufficient time in rostered hours for handover (education and audits and peer review also), fatigue creates risk for surgeon and patients, with too much restriction of hours training may be impacted

Question 7

What is the definition of a sentinel event?

Answer 7

a serious event that is wholly preventable that causes serious harm or results in the death of a patient

Question 8

What are some things that help avoid sentinel events?

Answer 8

Surgical safety checklists, briefing and debriefing

Question 9

Which body has published standards for open disclosure?

Answer 9

The Australian Safety and Quality Commission

Question 10

What do the ASQC standards for open disclosure recommend?

Answer 10

openness and timeliness of communication, acknowledgment of the adverse event, apology of expression of regret, recognition of the expectations of patients, support for staff throughout the process, processes for risk management and systems, confidentiality

Question 11

What does RACS recommend with regard to what the clinical team must do after an adverse event?

Answer 11

Establish basic clinical and other relevant facts, assess event and level of response required, identify whose responsibility it is for informing the patient, identify other support and needs, ensure all staff are appropriately informed and provide consistent response to the patient

Question 12

What is a really key part of open disclosure?

Answer 12

Ensuring there is adequate follow up.

Question 13

What is the Safety Assessment Code (SAC) matrix?

Answer 13

Rates incidents affecting patients includes degree of consequence and likelihood of recurrence

Question 14

What level SAC is a sentinel event?

Answer 14

SAC1

Question 15

SPIES acronym?

Answer 15

Seek information, Patient Safety, Initiative, Escalate, Support- good way to sum up after is to reflect on our practice.

Question 16

What is ASERNIP-S?

Answer 16

Australian Safety and Efficacy Register of New Interventional Procedures- Surgical. The formal evaluation process for for new interventional procedures/ surgeries.

Question 17

What are issues considered by the ASERNIP-S team?

Answer 17

Clinical safety, efficacy and effectiveness, cost-benefit analysis, training of all staff involved in the procedure, ensure no conflicts of interest, informed consent from patients, follow up regime should be followed, auditing of results and re-evaluation once procedure is introduced

Question 18

What is the ASERNIP-S procedure when new intervention brought to them?

Answer 18

Systematically review the new procedure and prepare a statement covering safety compared to comparative procedure, efficacy compared to comparative procedure, evidence rating. They may suggest further data is required.

Question 19

What are the main principles to consider when a new product is being introduced?

Answer 19

• Patient safety and the principle of ‘do no harm
• Consideration of ASERNIP-S assessment outcomes
• Consideration of limited resources and ‘justice’

Question 20

Why is Richie McCaw a good leader?

Answer 20

He inspired confidence in those around him and consistently lead by example. He pushed his team mates to bring out the best in them. Great leaders take responsibility when things go wrong and set about making things right. Great leaders also recognise and reflect on what makes it possible for them to keep fulfilling their role and supporting their team. McCaw talked a lot about how he needed time away from the pitch and took up gliding. He was also incredibly disciplined and had set routines that would support him in crucial matches to allow mental space for decision making and risk taking in high pressure scenarios.

Question 21

What’s the RACS indigenous health plan?

Answer 21

Reconciliation Action Plan (RAP)