NBT Qs Flashcards
Can you describe your experience working in emergency medicine and what strength suits you to this post?
Trained Severn, variety
Also; Welsh system, CF, PRU and ED
PRU; strength working MDT; para, frailty
Patient centred care
Experience L&M; leading project utilise community teams aid discharge.
Strongest L&M: Delivered EPR; vision
Experience T and R reliant Communication skills. Employed Uni Bath. Associate PI DEXACELL study
How do you handle high pressure situations in the emergency department and what specific skills have you developed to cope?
Incident. Example. CA in car park. EPIC at night
Skills I used as EPIC in this scenario
Prepared for unexpected: resus spaces, trolley
Lead my team calm but motivated attitude.
Clear, direct communication . closed loop.
Share mental model. utilise experience team.
ROSC. Transfer PCI.
Debriefed ensure wellbeing and thank staff, identify learning opportunities
Demonstrates prep, leadership and com.
Can you share an example of how you resolved a conflict within a team?
Incident. EPIC busy night shift. Nurse crying. Rude doctor.
Responsibility for patient and departmental safety and staff wellbeing.
Checked Pt, Abx. Break. Collect thoughts.
Doctor discuss.Importance civility. Other patients. Break
Outcome: patient Abx, apologised, informed Ed supervisor in case pattern.
Example shows; de-escalation, resolve conflict: ensure patient, depart, staff safety, used learning opportunity - avoid future conflict
What strategies do you use to ensure high quality patient care in a fast paced environment?
Strategies to ensure high quality care
As a doctor leading a shift
- Manage resources; redeploy staff, resus space
- Situational awareness, overview. Proactively deal with potential issues; patients, department, staff.
- resolve issues, consider preventative measures, report risk, DATIX. Hand over
As a manager of a department engage CG to ensure high quality care:
- experience respond DATIX COD
- Clinical supervisor; CF; welfare, train, perform
- creating guidelines
What do you understand about call to Convey and do you think this is a useful initiative in this trust?
My understanding; utilise SPA, paramedics
Aim; clinician knowledge system direct appropriate service.
Experience. Aneurin Bevan. Flowcentre, ED and acute Med Cons.
Benefits; efficiently use complex care systems
- better patient experience; streamlined
- opportunities better integration services
Challenges
- economic cost service and staffing
- some staff may not want work at SPA
- clinical governance ensure quality and safety service ?data for evidence value
Overall, a version would be of benefit. Complex network services other than ED. Keen to be involved in. Aligns with my interests
What initiatives have you been involved in to improve patient outcomes or departmental efficiency?
Overall 8 QIP.
QIP improve EoL. Increase in EoL med prescription and consideration use 33% to 83%. Delivered EoL bundle EPMA. Still used.
Developing digital tech
Led project; new EPR. Designed data fields.
Aim; productivity, streamline, automation. Value added by PRU. Evidence value PRU and allow QIP and research. EPR currently in use
How do you stay updated with latest guidelines and best practices in emergency medicine.
Practise EBM;
papers; SHED;
conferences; L&M
courses; HALO procedures; LC
Reflective practice identify CPD
Continue these practices: improve dept and hosp
What are your long term goals, and how does this locum position fit into them?
Hoping locum lead to Substantive post NBt
Work at NBT partly;
Centre excellence, MT, research
Mostly Staff; friendly proactive. Experived
Improve department, hospital and community
Particular continue lead projects; community management patients to aid discharge; missed opportunities form QIPs
Continue developing as a teacher; recently employed by Uni Bath; masters once per month. Mixed methodology. Importance teaching MDT.
Finally continue active research. PI help develop research team to allow for seamless research activity alongside excellent service provision.
This how develop Consultant and my long term goals
Start and end
Hello
Exciting - thank you for this opportunity
No thank you I have had lots of really helpful discussions with the consultant body whilst working here. I won’t take up more of your time here.
