Med Reg Suitability Flashcards
What makes an effective handover
EXAMPLE - failed handover
learning experience
Safe
How do you prioritise patients on the take
Unwell eg NEWS
Waiting time
Discharge/flows
Learning opportunities
EXAMPLE SVCO
What do you enjoy about being med reg
GIVE EXAMPLE eg have learnt from previous regs
Develop leadership
Teach
Furnish a positive, enjoyable environment
Tell me about a stressful time on the acute take
SVCO
Stressed because a) family so upset and b) pending arrest with poor outcomes
Liased with other teams, reflected afterwards in portfolio, debriefed with consultant
What alternative options to hospital are there?
Can be divided into acute - virtual ward, home IVs, COPD nurses
Chronic - district nurses, GP follow up, home based therapy, D2A beds
How do you facilitate learning on the take
Identifying needs beforehand
Allocating clerking
Supervision
Presenting patients
Assessments
Asking other specialties
How do you decide where patients go
Clinical priority
Types of beds eg telemetry, NIV only on certain wards
Observation levels
Nurses equipped
Appropriate to pt eg 1:1
How do you avoid a failed discharge
MDT!
When do you consider the MDT when planning a discharge
EXAMPLE LTOT
How does the MDT facilitate a safe discharge
GIVE AN EXAMPLE
Eg LTOT
How do you delegate when on the acute take
GIVE AN EXAMPLE eg SVCO
What do you do when you see an interesting patient on the take?
Portfolio
Grand round
Handover
CBD
HAEMOTHORAX PUBLICATION
What would you do if someone called in sick for acute take
Gather resources
Tell staffing
Tell consultant oncall
Set safe expectations
