Principles of Healthcare Governance

Question 1

Define first aid

Answer 1

First aid is the actions taken in response to someone who is injured or suddenly taken ill.

Question 2

Describe the aims and objectives of a first aider

Answer 2

A first aider is a person who takes this action whilst taking care to keep everyone else involved safe and causing no further harm. A first aider should be able to:

• Take into account their own skills, knowledge and experience
• Assess a situation quickly and calmly whilst being able to summon appropriate help where needed
• Remain safe and calm at all times
• Recognise their own needs, ability and limitations
• Assist the casualty and provide the necessary treatment, with the help of others if possible
• Pass on relevant information to the emergency services, or person who takes responsibility for the casualty

Question 3

State the priorities of first aid

Answer 3

• Assess a situation quickly and calmly
• Protect yourself and any casualties from danger
• Prevent cross infection
• Comfort and reassure casualties at all times
• Assess the casualty
• Give early treatment
• Arrange for appropriate help (Call 999/112 for emergency help)

Question 4

Describe the role of an MA

Answer 4

Strive to meet the key principles in daily routine as far as is practicable. Implementation of the DMS Common Assurance Framework (CAF). Maintain patient safety and report any near miss or safety incidents (Significant Events). To be able to provide high quality treatment in a comfortable, caring and safe environment, delivered in a calm and reassuring way and in a timely manner.

Question 5

Explain the recording requirements for incidents in the workplace

Answer 5

• First aider to generate accident paperwork (Form 510)
• Line management responsibility
• Central database managed by Defence Analytical Services and Advice. (DASA)
• Database also used to identify significance of accidents & production of reports to TLB holders & the Secretary of State for Defence
• JSP 375 gives complete guidance

Question 6

Describe Serious Event Reporting in Peacetime and on Deployed operation

Answer 6

A SE is defined as any unintended or unexpected incident (clinical or otherwise) which could have or did impact on the patient care process. SE incorporates all terms such as adverse events, patient safety incident and near misses. SE are reported online. Works operationally or in UK wherever there is Dii access.

Question 7

Describe Quality Improvement techniques including Clinical Audit risk management

Answer 7

QI is the application of knowledge, tools and techniques from several inter-related disciplines for the purpose of accomplishing improvements in patient care.

QI acknowledges that poor systems and processes are usually the cause of failures in quality rather than poor performance of individuals.

Qi includes:

• Risk management
• SER
• Audit
• Research
• Evaluation

Question 8

Identify the domains of Healthcare Governance in line with the Common Assurance Framework (CAF)

Answer 8

• Safety
• Clinical and Cost
• Effectiveness
• Governance
• Patient Focus
• Accessible and Responsive
• Care Environment and
• Amenities
• Public Health
• Occupational Health