Scenarios

Question 1

what are the steps for negotiating with a colleague (eg cardio reg) for a patient review when they decline?

Answer 1

1. make sure patient is seen by colleague of approproate level (eg senior on your ward)
2. Re-contact colleague and ask them to reconsider
3. contact the consultant of the speciality you are contacting
4. manage the patient yourself
5. do nothing

Question 2

What are the steps you should take if a dr is drinking ?

Answer 2

1. ensure they do not see the patient
2. get someone else to see patient
3. contact your consultant
4. get nurse to handle it

Question 3

what is the order of priorities when there is a breech in confidentiality? (specifically when they have dismissed your concern)

Answer 3

1. the patients right to confidentiality
2. the risk of patients relatives hearing
3. the fact you have approched them already about it
4. people in the room dont know your patient
5. its not your responsibility

Question 4

If you make a mistake or get a complaint what 3 things must you do

Answer 4

Appologise + explain + plan for future

Question 5

If you have a problem with a colleague eg with their behaviour what 3 things should you do

Answer 5

Explain the problem + offer a solution + offer to help

Question 6

If you have forgotten to pass on information before you left the hospital what should you do + in what order?

Answer 6

1. contact the ward dr and explain
2. contact reg on call and explain
3. contact nursing staff on ward and explain
4. ask a colleague on another ward to help
5. send a text message to dr
6. go back in
7. wait till next day

Question 7

what should you do if you are uncertain about what to prescribe? and in what order?

Answer 7

1.ask senior for advice
2. check local guidelines
3. Ask the pharmacist/microbiologist
4. consult BNF
5. Ask nurse for advice
6. consult national guidelines

Question 8

who do you escalate to if you have a problem with a nurse?

Answer 8

your consultant

Question 9

who do you escalate to if a patient reports an issue with a nurse?

Answer 9

nurse in charge

Question 10

what should you do for a patient who doesn’t speak English? and in what order?

Answer 10

1. ask another dr who speaks their language to speak to them
2. translation services
3. advice from senior
4. ask their relatives
5. continue trying to communicate

Question 11

what should you do if you have an unwell patient?

Answer 11

assess them before escalating

Question 11

what should you do if you have an unwell patient?

Answer 11

assess them before escalating

Question 12

what is the time limit for staying and helping (for non emergency tasks)?

Answer 12

30 mins or less should stay and help, more than that handover/prioritise leaving

Question 13

when a prescribing error or doubt is highlighted to you? who do you consult and in what order?

Answer 13

1. prescribing doctor
2. senior
3. pharmacist

Question 14

can FY1 discharge patients?

Answer 14

not without senior input

Question 15

what are steps that should be taken if you are asked to do a skill you have never done or seen?

Answer 15

1. explain to the person asking you that you have not done or seen this skill
2. ask a colleague to do it while you watch
3. ask a senior to supervise you doing the skill