PTSR Flashcards
1
Q
Stages of raising concerns
A
Check workplace policy Raise internally Escalate internally Escalate concern to regulator Raise or escalate concern externally; going public
2
Q
What serious issues should be raised straight to GDC?
A
Sexual abuse/assault Violent behaviour Failures in safeguarding Under influence alcohol/drugs Health condition put pts at risk Serious cross infection control issues Fraud/theft Not having indemnity
3
Q
What are the steps to follow when something has gone wrong?
A
Duty of candour
Recognise incident occurred
Be open + honest that something has gone wrong
Offer apology + appropriate remedy/support to put things right
Explain fully short + long term effects
4
Q
What is the SPIKE model of breaking bad news?
A
Setting - quiet + private - avoid interruptions Perception - what already know - perceptions about situation Information/Invitation - how much + what info helpful - preferred learning styles Knowledge - gentle, non clinical language - small segments - +ve info + basic info re Dx, Tx, prognosis Empathy: acknowledge emotions + reactions Summarise + Strategise - in language pt understand - provide strategic plan for intervention - ask pt to repeat + summarise
