Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CST Interview > Management > Flashcards

Management Flashcards

Questions on ethics

1
Q

Framework for Management

A 
SPIES
S - Seek information
P - Patient Safety
I- Initiative
E - Escalate
S- Support
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Patient wishes to make a complaint

A
  • Patient advice liaison service (PALS) offers advice to patients on making complaint
  • Free to do so
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Duty of candour

A

Duty of healthcare professionals to

  • Inform patients of mistakes
  • Apologise for such mistakes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

WHO Surgical Checklist

A

Pre-anaesthetic

Before skin incision

Before patient leaves theatre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Preparing a patient for theatre

A 
Mark
Consent
Fasted
Pre op investigations (inc. ECG)
Bloods inc. Group and Save x 2
Discussed with anaesthetist
Booked
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

NCEPOD Stands for?

A

National Confidential Enquiry into Peri-operative Deaths.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CEPOD Categories

A

Immediate

Urgent

Expedited

Elective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Probity

A

Being honest, acting with integrity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define Bullying

A

Where a person or group abuse a position of power over another person leaving them feeling hurt, powerless or angry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Examples of bullying

A

Aggressive behaviour
Exclusion from activity or events
Malicious rumour
Aggressive or rude communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Unlawful victimisation

A

Where someone is treated unfairly or less favourably because they asserted their rights e.g. making a complaint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Examples of unlawful victimisation

A

Refusing requests
Blocking career progression
Refusing training
Subjecting a person to unwarranted disciplinary action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Age of consent

A

16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Can someone under 16 consent?

A

Yes, they may have capacity depending on ability to understand the information given.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Gillick Competence

A

Related to giving contraceptive advice to under 16s in 1982 leading to Fraser Guidelines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Fraser Guidelines

A

Doctor can give advice and treatment provided:

  • Patient (although under 16) will understand advice
  • Cannot persuade her to inform parents or allow the doctor to do so
  • Likely to continue having intercourse
  • That unless contraceptive advice is given patient mental or physical well being will suffer
  • Best interests require advice with or without parental consent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

DNACPR

A

Not to attempt CPR
Applies to scenario where patient “heart stops”
Up to that point patient given treatment that is felt provides benefit for them

18
Q

Can family’s refuse DNACPR

A

No, decision lies with medical team but best practise is for family to be kept informed of decision
Ultimately rests with the patient if they have capacity to have such discussions

19
Q

Capacity

A

Presumed in all adults

  • Ability to retain Information
  • Understand the information
  • Weigh up options
  • Communicate
20
Q

How often can a patient self discharge?

A

As often as they wish, ultimately
Important to treat the patient the same way and not to feel unwelcome
Explore why patients self discharge

21
Q

Why might patients self discharge?

A

Fear
Anxiety
Drugs and alcohol

22
Q

Safety check pre-op?

A

WHO Checklist
Can identify concerns pre-op, identify patient and operation to be undertaken
Can voice concerns
Equipment check done by scrub nurse towards end of op
Sign out at the end

23
Q

Drunk Colleague?

A

S - Witnessing provides enough information
P - Remove from the clinical area, quiet room, with supervision. Check any patients he may have come into contact with.
I - Contact consultant on call, or clinical director. Provide consultant water, and find a way to get them home safely
E - Escalate to appropriaste level as before
S - May need support, need to explore why event occurred, may need counselling

24
Q

Colleague in the mess - White powder falls out of pocket

A

S - What exactly is substance, if concerned and feel not innocent, raise with seniors early to investigate.
P - Patient safety is at stake hence the need to investigate and clarify what is going on
Does this affect colleagues performance

25
Q

Colleague has been late every day for past 4 days

A

S - Discuss with colleague. Anything causing them to be late. Transport issue? Personal problems? Burnout?
P - May not impact patients so early, but may hinder the on call team, patient information isn’t being handed over effectively. may be some night issues, may be patients waiting to be seen, puts strain on other members of team
I - Help cover initially. Discuss with colleague and find alternatives.
E - Escalate to senior if concerned, also discuss any change in plans or accommodating features, perhaps discuss with rota coordinator
S - Colleague may need support either via supervisor or counselling if personal problem, may need amended hours, colleagues can help temporarily

26
Q

Consequence of Going against parent wishes

A
  • Damage to doctor patient relationship
  • Need to emphasise that was in patient best interests
  • Ongoing communication needed
27
Q

When is a child competent to refuse treatment?

A
  • Complex
  • Refusal under age 18 not necessarily binding
  • Legal advice should be sought
  • If life at stake can still be given
  • Balance of treatment vs. irrevocable damage of doctor patient relationship
28
Q

Consent form 1

A

Patient agreement to investigation or treatment (full capacity)

29
Q

Consent form 2

A

Parental agreement to investigation or treatment for child

Can be signed by child themselves

30
Q

Consent form 3

A

Form for patient/parental agreement to investigation or treatment where consciousness NOT impaired

i.e. procedure where anaesthetist is not present

31
Q

Consent form 4

A

Best interest decision

Treatment or intervention for patients unable to provide consent

32
Q

Forms of abuse

A
  • Physical
  • Emotional
  • Psychological
  • Financial
  • Neglect
33
Q

Define research

A
  • Seeking new knowledge
  • Helps establish best practice
  • Develop new standards of treatment
34
Q

Breaking Confidentiality

A
  • Sharing with other healthcare professionals
  • Clinical Audit
  • Disclosures required by law
  • Court order
  • Disclosure to statutory regulatory body
  • Public Interest e.g. HIV, Epilepsy + Driving
  • Treatment of Child
  • Abuse or neglect of incompetent person
35
Q

GMC Guidelines on handling Patient information

A

1) Patient involvement
2) Share the minimum necessary
3) Manage and protect information
4) Comply with the law
5) Ask for consent
6) Support patients in accessing their information
7) Share information for direct care
8) Be aware of responsibility

36
Q

IMCA

A

Independent Mental Capacity advocate

37
Q

Role of IMCA?

A

Represent patient regarding decisions in which they lack capacity when there is nobody independent of service available e.g. family member

38
Q

Qualities of a good leader

A
  • Drive change
  • Inspiring
  • Managerial ability
  • Listen to feedback
  • Approachable
  • Act with integrity
39
Q

Examples of good leadership

A

Major trauma call

  • Vocal
  • Delegated
  • Formulated a management plan quickly
  • Took control of the situation and acted quickly based on the situation
40
Q

Examples of poor leadership

A
  • See multiple examples in small ways rather than one big example
  • Quiet
  • Does not receive comments well
  • Unwilling to relinquish managerial control
  • Unable to remain calm under pressure

CST Interview (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions