Interview questions Flashcards
Trust behaviour- valuing one another example
- Valuing one another
o Through IST and respecting differences in peoples approaches to therapy
o Being kind and compassionate with staff and service users-
o Treatment planning meetings:
Discuss progress of patients with OT, Physio, nurse and consultant
Big part of these meetings was respecting and understanding the different roles of HCP in order to provide a holistic approach to care
It was about respecting other peoples approachs to care, could be multiple different physios treating a patient- discussing clinical reasoning and interventions.
Valuring everybodys contribution/ ideas
It gave members of staff a chance to express concern about a patient- and allowed all the staff members to be supportive
It allowed for members of staff to consult each other before making big decisions about a patients care- for example discharge, and discharge location
During these meetings, I contributed lots of information about what treatments I had completed with patients and why, and it also allowed me to learn from senior members of the team. The feedback I received showed I provided valuable input.
Trust behaviour- valuing one another- how i will continue showing it
IST- taking part in IST to allow for development of the team
Being a good team player- forming close relationships with other members of staff to allow for a positive work environment, where every body feels supported.
Being open with MDT- allow for people to express concerns
Having discussions with other physios about patinets- respect other peoples approaches- self development and team development
Trust behaviour- recognising and valuing peoples differences- example
o Treating patient with Autism
Whilst on this placement I treated a patient who was suffering from fibromyalgia, and they had been diagnosed with Autism.
Before seeing this patient I identified that Autism and Learning difficulties is an area that I do not feel confident in understanding. To overcome this, I completed online training in this area, and done reserch into how I could make reasonable adjustments for this type of patient. This included, speaking clearly to the paitnet, avoiding asking multiple questions at a time, given the patient time to speak without interrupting. I also completed research into health inequalities around learning difficulties and autism and made sure I was aware of what patients with this conditions have to go through with healthcare professionals, and ways I could prevent this happening. Within the appointment with the patient, I took my time and did not rush anything, I made the patient feel comfortable and respected. At the start of the appointment, the patient was visibly anxious and he had his partner there for support, by the end of the appointment he had opened up and was comfortable around me and my colleague. The outcome of this event was we were able to change this patients perception of physiotherapy and healthcare, and we were able to educate this patient about their condition and managing it.
Trust behaviour- recognising and valuing peoples differences- how i will continue showing this value
Respecting cultural differences within the healthcare team and showing equal amounts of respect to all
Ensuring I am able to make reasonable adjustments to patients that need them, through organising and planning, and communicating with senior members of staff if needed.
Using interpreters to ensure that everyone can have equal access to healthcare, no matter of their background
Being open minded and empathetic
Supporting equal opportunities and career development
Trust behaviour- working together example
o Joint sessions with OT at DMRC
Whilst on placement at DMRC I completed a couple of joint sessions with OT’s for patients. These were crucial, as it allowed patients to benefit from the input of two healthcare professionals. I arranged a joint session with an OT for a patient who was being discharged. They were a keen gardener and they were concerned about getting down the slope into their garden. Me and the OT found a slope similar to their garden, and completed an assessment of the patients gait, with 2EC. The outcome of this event was the patient felt a lot more confident about going home. Before this session I had conversations with seniors about what was expected within my scope of practice with joint sesisons, and I completed reading around the roles of OTs. This allowed me to respcect my own scope of practice as well as the OTs. I received feedback from this event saying I provided clinically relevant and useful information, and I was respectful throughout
Trust behaviour- working together- how i will continue showing it
Respecting my scope of practice- asking for support if needed
Taking accountability for professional decisions- taking pride in work
Valuing everybody’s input equally, no matter of their role
Building trusting relationships with members of the team
Being receptive to feedback and adapting my practice according to feedback- adopting communication skills
Embracing collective plans within team to allow for overall better experience with service user
trust behaviour- Taking personal responsibility- example
o I always take pride in my work and working to the best of my abilities- for example always ensure I have prepared for all of my patients, with research about their condition and the gold standard treatments.
o Taking account for time managing- whilst on placement in msk outpaients- have short slots with back to back patients- ensured I was always ready for next patient on time. Demonstrates my ability to manage my workload effectively
o Acknowledging I have got things wrong- being open and respectful to other members of teams input
o On all of my placements I have received feedback that I have demonstrated a good initiative with regards to identifying learning aims and addressing them. I often complete learning development tables, which identify areas of weakness and ways to address them. I frequently complete verbal and written reflections which allow me to develop as a HCP
- Meeting deadlines and keeping on time- strategies (making crib sheets, prioritising assessments and adding to plan if neccesary)
trust behaviour- Taking personal responsibility- how i will continue
o I am an autonomous practitioner who will challenge malpractice, to ensure a high standard of safe patient care is maintained
o Raising concerns to seniors if I need to
trust behaviour- always learning and improving- example
o Whilst on placement I always take on challenging situations as I believe this will allow me to develop as a physio. For example, whilst on placement in MSK outpatients- I would volunteer to take patients who were more complex and challenging. I would use my initiative to problem solve, but I am also able to recognise my scope of practice, and ask for support if I need too.
o CPD:
Reflecitons
Reading
Podcasts
Discussions with seniors
Preceptorship
o Leading IST for TI’s at DMRC
Trust behaviour- always learning and improving- how I will continue to show it
o How I will show this whilst working here:
Continued CPD
Identifying and completing service improvement projects such as audits, which will allow for the development of this service as a whole.
- How do you prioritize patient safety and manage potential risks in your daily practice?
- Training- IST, Madatory training, training from seniors
- Conduct thorough patient assessment- identify any serious pathologies such as red flags (DVT)- PMH, contraindications to treatment
- Development individualised treatment plans- mitigate against risk such as Theraband warning with exercises
- Use EBP- guide your interventions and decision makings – assessment and treatments that have been proven to be safe
- Monitor and evaluate patient progress- Education to prevent adverse events
- Maintain accurate documentation- helps identify potential risks and steps taken to prevent these risks
- Seek on going education and collaborate with other HCP
- How do you ensure effective communication with patients and other healthcare professionals during a critical incident?
- Establish clear lines of communication with people present (HCP and patients family)-
- Use clear and concise language- when communicating with HCP and patients to prevent panic and allow for safety
- Establish roles- CPR? Defib? 999?
- Debrief after critical event to mitigate against situation happening again- support members of staff and people involved
- How do you maintain professionalism when working with patients who may be in pain or frustrated with their progress?
- Empathy- understanding and acknowledging patients pain or frustration to try and show understanding from their perspective
- Remain calm and composed- can help to reduce anxiety and stress- help to make patient feel at ease
- Use active listening and be patient- pay attention to patients concerns and try to understand from their POV
- Provide education and set realistic expectations- set realistic, and evidence based expectations for patients- can help to prevent future frustrations. Educate around their conditions and prognosis
- Seek support from senior member of staff if necessary
- Can you describe a time when you had a disagreement with a colleague regarding patient care, and how did you handle the situation professionally?
• Whilst at DMRC, patients would have 3 weeks intensive inpatient rehab, and then 3 weeks away from DMRC. One of my patients had CRPS and had no sensation in their foot, and they had developed a blister on the sole of their foot. This patient had a known history to not follow healthcare advice unless he was being monitored regularly, and this blister on the base of his foot was at serious risk of deterioration with serious consequences such as becoming infected.
• The consultant wanted to d/c this patient without a package of care, and without a follow up for 3 weeks. Through having a discussion with this patients OT, we decided that we would have a discussion with the consultant about this. The consultant stated that we did not have the resources to check up on this patient and that if he didn’t listen to our advice, then there is not much we could do. The OT and I expressed our concerns for deterioration and how we have a duty of care for this patient, and through clear communication skills we were able to change the consultants minds.
• From this event I learnt it is important to stick up for what you believe is right even if a more senior member of staff has a differing opinion, as this allows for a high level of care to be maintained .
- How do you manage your workload and prioritize patient care while maintaining a positive attitude and work-life balance?
- Create a schedule- ensure there is enough time in my diary to allow me to stick to it
- Have conversations with my educator if I believe my workload is too much and ways we can adapt it
- Prioritise tasks- when assessing patients, prioritise which methods of assessments are a necessity for the sessions. Try to complete appointments with 5 mins to spare to allow time for documentation
- Manage stress- health and well being time, speaking to members of team if overwhelmed. Use clinical admin times effectively
