Leadership and Management

Question 1

What is leadership

Answer 1

CPR
Change: have a goal, initiate change
People: develop people 
(get the best out of them): positive environment
Results: deliver results

Question 2

Qualities of a leader

Answer 2

Change: decisive, persuade
People: communication, persuade
Rsults:
approachable, decisive, diplomatic, supportive, communication

Question 3

Difference between leadership and management

Answer 3

Leadership
– changes direction, develops people and environment, delivers results
Managing
– controlling a situation, based on known principles

Question 4

Leadership and management:

Answer 4

change direction, manages resources to achieve goal

Question 5

Situation you showed leadership

Answer 5

Peri-arrest; hypoglycaemic, opioid
On-call nights.
ENT equipment: poor stocking, new

Question 6

New/different approach proved beneficial

Answer 6

On call - ring wards
Steven Johnsons: mouth ulcers; read up: ?mycoplasma
Epistaxis – 3 days A+E: otrovine

Question 7

Situation where you had to deal with a difficult situation

Answer 7

Supraglotitis

Obstructed trache

Question 8

Experience of managing others

Answer 8

Gen Surg, ENT, lab work

Question 9

Organisation and planning

Explain how you manage your workload or time

Answer 9

ENT week day
- handover, ward round, prioritise jobs, ensure time for emergencies or referals. contact with seniors.
On call – Prioritise, contact wards if busy, closed loop communication

Question 10

Good Delegation skils:

Answer 10

Optimising work throughout a team
Communication
Assigning jobs to people who are competent in that skill
Closed loop communication
Peoples names

Question 11

Discuss how you delegate and/or provide examples of delegation and management

Answer 11

5pm. Cyanotic, obtunded patient.
Needed assistance. Hypoglycaemic and opioid toxic
Emergency call bell. Crash trolley, not crash call. ABCDE.
Asked nurses for Obs and BG
Asked nurse in charge BG, presenting complaint.
Asked sister to inform team looking after the patient (surgical on call)
BG low, Pupils pinpoint. Recently started opioids.
Glucagon, glucose, naloxone (other staff nurses to draw up)
Patient GCS now 14 – very confused and aggressive.
Parent team arrived, handed over, helped stablise patient.

Question 12

Situation you showed leadership/ creative thinking

Answer 12

Ward cover at night for medicine: Winter
Staff sickness, very busy night
Hospital at night computer system
- NS write jobs, manager triages jobs sends to Dr
Dr does not talk directly to staff
COMMUNICATION ISSUE – multiple wards, multiple sick
Large volume of highest priority jobs to do
I prioritised, call the wards, patients ANTICIPATED issues: actively monitor and inform me direct
Manage expectations
ANTICIPATE AND PREVENT possible problems