parent concerned about daughter on the ward Flashcards

1
Q

main assessment aims

A

listen to the concerns of a parent
gather history about the patient with first episode mania
psychoed regarding mania and associated risks
discuss immediate management plan

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2
Q

must discuss

A

apologise for not being told of the incident
respect the confidentiality of the other patient involved
conduct risk assessment specific to mania
provide details of both the incident and complaint management process
confirm mother’s understanding of the psychoed provided
explain purpose of HDU/PICU
justify the current use of practice that is not least restrictive

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3
Q

important, brief risk screening for manic patient

A

risk taking or impulsive behaviour
incidences of aggression
risk of self harm or suicide

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4
Q

specific risks associated with mania

A

heightened risk taking behaviour- vehicles, crossing roads without due care, swimming in unsafe situations, attempting to fly/jump

excessive spending, inappropriate generosiyt

excessive alcohol or drugs

irritability and aggression

disinhibited behaviour

socially disruptive

excessive and personally offensive sarcasm and rudeness that can damage interpersonal relationships

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5
Q

key principles of effective complaints management

A
  1. commitment to consumers and quality improvement
  2. accessibility
  3. responsiveness
  4. effective assessment
  5. appropriate resolution
  6. privacy
  7. open disclosure
  8. gathering and using information
  9. making imrpovements
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6
Q

natural justice

A

procedural fairness ensures the actions and decision making is fair and reasonable

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7
Q

external consumer complaint management organisation

A

office of the health ombudsman

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8
Q

first point of contact in privacy complaints

A

The privacy and confidentiality contact officers

know the information privacy act 2009

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9
Q

open disclosure standard

A

developed by Australian Council for Safety and Quality in Health care
OD is integral prt of clinical incident management in QLD health
all SAC 1 and SAC 2 or 3 when HHS executive determines a formal disclosure process needs to be activated.
complaints coordinator part of the OD team
open disclosure consultant

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10
Q

where to document complaints

A

information should be lodged in the consumer complaint management systemfor assessment and investigation
should be entered in to risk man

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11
Q

effective complaints management

A

addressing needs of consumer
improving consumer satisfaction with the management and resolution outcome
improving community confidence in HHS
supporting staff participation in the process and encourage better practices
reducing number of escalated complaints
identify service and quality improvement opportunities
resolving complaints at the first point of contact wherever possible

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12
Q

when investigating a complaint

A

establish purpose and scope of the investigation
develop a list of people to be consulted and interviewed
develop a list of documents and files to be reviewed
estimated date of completion
gather information from all people involved and document the findings
notify the relevant people and provide relevant info to people involved in the investigation
give those youre interviewing 24 hours notice
advise anyone being interview support person can be there

use LACE process- listen, acknolwedge, check, enquire
environment
remove physical barriers
identify all factors contributing to matter being investigated
check evidence is fatual
give all those affected oopportunity to respond
outline the findings of investigatioin, any factors that contributed to matter being investigate
contirubiting factors or root causesproduce findings as a result of the investigation process

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13
Q

a way to elicit information for an investigator

A

TEDS system

tell you about it
explain it to me
describe to me
show me

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14
Q

what is root cause analysis

A

useful in idnetifying factors that contribute to coomplaints, not about finding who did something wrong

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