p Flashcards

1
Q

policy for accepting gifts

A

NEVER accept money but small gifts ok

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2
Q

(importance) patients wishes

A

very important?

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3
Q

when are you allowed to breach confidentiality

A
  • when patient has given consent
  • if there is a potential risk to society (a doctor is obliged to infrom the DVLA if a patient has seizures and has not reported them as there is a risk when driving)

PATIENTS HAVE A RIGHT TO BE INFORMED OF ANY BREACHES OF CONFIDENTIALITY

if you do need to share information, only the required info should be given and in a private setting

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4
Q

what are the top priorities for confidentiality

A
  • stop the breach as soon as possible
  • do not draw attention to the event (inappropriate but not awful)
  • prevent any future breaches
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5
Q

(importance) to do with confidentiality: how well you know the person

A

not important

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6
Q

(importance) to do with confidentiality: how widely the information has been shared

A

not important

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7
Q

(importance) to do with confidentiality: the intention of offender

A

not important

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8
Q

(importance) to do with confidentiality: the usefulness of the information to others

A

not important

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9
Q

(importance) the doctor’s wellbeing

A

important/very important

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10
Q

(appropriate) asking a more senior member of staff for advice

A

always

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11
Q

(approptiate) empathy

A

always very appropriate

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12
Q

should details be kept confidential for minors from parents

A

YES unless risk of patient harm

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13
Q

(appropriate) attend all required teaching

A

approptiate

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14
Q

(appropriate) apologising on behalf of someone else

A

appropriate/but not ideal - you are apologising that they went through the situation, it is sometimes not ideal because the main issue is the behaviour of the other person

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15
Q

importance - reputation

A

not important at all ALWAYS

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16
Q

importance - whether or not someone has done something like this before

A

not important

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17
Q

appropriate - expecting people to accomodate you rwithout notice

A

inappropriate

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18
Q

appropriate - attending a tutorial with on prior notification

A

not ideal and could be counterproductive

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19
Q

just because a patient is asleep, response should be the same as if they were awake

A
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20
Q

importance - how you would use time if you missed any session you were expected at

A

of minor/no importance

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21
Q

appropriate - confrontation in the context of teamwork

A

appropriate but not ideal - you are rasining an important issue but could raise tension or may not be received

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22
Q

appropriate - offer suggestions that will indirectly solve a problem

A

very appropriate

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23
Q

appropriate - trying to accomodate people where possible and appropriate

A

very appropriate

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24
Q

appropriate - reassigning tasks without informing poeple

A

very inappropriate

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25
Q

importance - a project needs to be completed by a certain date

A

important

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26
Q

importance - (teamwork) people’s roles/background/experience

A

not important

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27
Q

importance - people’s opinions of you (teamwork)

A

of minor importance

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28
Q

importance - having/maintaining good working relationships (teamwork)

A

important but not very impotant

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29
Q

in a scenario when it is unclear whether a person did or did not cheat/do something

A

you would still need to pursue the situation and find out more information

30
Q

appropriate - report possible cheating to the medical school

A

appropriate

31
Q

CHEATING

A
  • the main factor of importance is the necessity for the problem to be reported

most other factors are not so important as the issue should be raised regardless

32
Q

importance - whether or not an event happened a long time ago (cheating)

A

not important at all - should still be reported

33
Q

appropriate - to offer medical advice ,perform unsupervised procedures as a medical student

A

very inappropriate: must aslways be honest in your skills and work within your limits

34
Q

appropriate - being honest with your patients about what you can do

A

very appropriate

35
Q

CONTEXT IS CRUCIAL - a patient may look confused but not actually be so

A

appropriate: ask if they are ok or to alert a nurse
inappropriate: give directions to help desk

36
Q

importance - a patients feelings when turning down a gift

A

important (not very important because you still need to turn it down)

37
Q

importance - whether or not someone has overheard a breach of confidentiality

A

not important at all - it should still be dealt with as though someone has

38
Q

NEVER DO ANYTHING TO SUPPORT DISHONESTY

A
39
Q

importance - patient’s wish

A

very important

40
Q

THE DOCTOR IS RESPONSIBLE FOR THEIR SHADOWING STUDENTS’ WORK

A
41
Q

importance - updating/maintianing medical notes

A

important

42
Q

CONSIDER URGENCY WHEN YOU OBSERVE SOMEONE MAKING A MISTAKE

A

if its a medical student ina harmless procedure then you can wait and inform them what they did wrong in private, if doctor and lifethreatening act immediately

43
Q

appropriate - find out what caused the mistake

A

appropriate

44
Q

appropriate - report a mistake if it did not cause harm/was not spotted

A

appropriate

45
Q

appropriate - escalating/reporting a scenario immediately when patients are at risk

A

very appropriate

escalation - only relevant people should be told

46
Q

importance - reasons behind inappropriate behaviour

A

important

47
Q

IMPORTANCE: 1 = your health 2 = medical work 3 = other commitments

A
48
Q

appropriate - providing reassurance when giving advice

A

appropriate

49
Q

appropriate - offer to help someone to the extent you are permitted to

A

appropriate

50
Q

appropriate - reminding people of their commitments when giving advice

A

inappropriate

51
Q

importance - whether or not someone wants to talk about issues

A

NOT IMPORTANT when they are being rude/affecting other people, in this case it is appropriate to push the issue

otherwise, respect the person’s privacy

52
Q

importance - doctor not wanting to ruin christmas by bearing bad news

A

not important at all - doctors should not think selfishly when it comes to patients

53
Q

importance - the content of lectures when deciding whether or not to skip

A

not important at all - he should attend them anyway

54
Q

appropriate - asking someone else to deal with another person as the leader of the group

A

very inappropriate - they should deal with the situation themself

55
Q

appropriate - reporting a serious issue without informing the patient of a breach of confidentiality

A

appropriate but not ideal - reporting is the right move but ideally the patient would be told

56
Q

CONSENT MAY NEED TO BE GIVEN BY PARENTS FOR CHILDREN UNDER 16 YEARS

A
57
Q

SELF PLAGIARISM = REUSING YOUR OWN WORK THAT HAS ALREADY BEEN MARKED

A
58
Q

CONSULTANT DOESNT NEED TO KNOW ABOUT A POTENTIAL BREECH OF CONFIDENTIALITY

A
59
Q

importance - fiona is about to perform a procedure as part of an assessment when she gets a call about her grandma being sick.

the welfare of fionas grandmother

A

important as it might impact on her ability to focus on the task

60
Q

consult more senior doctors on matters of confidentiality as seomtimes it is much more complicated due capacity of a patient so wihtholding information from a patient is a complex decision

A
61
Q

importance - considering a supervisor’s instructions

A

very important

62
Q

ON ANY OCCASION THAT A PATIENT IS WORRIED ABOUT A PROCEDURE, THEY SHOULD BE REASSURED BY ANYONE INVOLVED IN THEIR CARE

A
63
Q

approproiate - telling a tutor that she must be allowed to switch tutor groups

A

very inapproripate - should never TELL a tutor what they must and must not do

64
Q

importance - a parent of a young child’s wishes

A

important but not very important

65
Q

importance - a patient/patient’s parent’s right to make decisions about patient care

A

very important

66
Q

appropriate - suggesting rescheduling an appointment before any attempt is made to calm the patient down

A

appropriate but not ideal

67
Q

SHOULD PUT PATIENTS INTERESTS BEFORE OWN so do not push/persuade too hard to do something even if it would mean a missed opportunity

A
68
Q

IF SOMEONE IS SAID TO BE UNRELIABLE
- in the case that a patient is involved it is of minor importance, assume what they are saying is true and treat the patient immediately
- in the case of rumours/cheating, it is important as you will need to find out the truth before acting

A
69
Q

if someone is being agressive - whether or not there is someone else nearby to help

A

very important

70
Q

if a doctor does anything to compromise patient safety, breach of patient confidenitality or data handling - ignoring and monitoring would be very inappropriate, otherwise it can be inappropriate but not awful

A
71
Q

UNLESS THERE IS A MEDICAL EMERGENCY IT IS RARELY APPROPRIATE TO CALL SOMEONE IN OFF A BREAK

A
72
Q
A