Service user- Simulation notes patient interaction Flashcards
Good marks obtained by:
Introducing yourself to the patient
Sitting next to her or getting down to her level
Apologising for the delay with sincerity
Not interrupting
Remaining calm
Taking ownership and acting as an autonomous practitioner
Able to justify the need for x-ray
Being able to answer questions
Obtaining valid consent without coercion
Weaker answers
No introductions
Stood over the patient
Became defensive, frustrated or laughed
Did not take ownership – “it is the doctor’s responsibility”
Unable to justify the need for the x-ray
Unable to explain radiation risk
Assumed consent
Could not manage the scenario
Introducing yourself to the patient
Sitting next to her or getting down to her level
Apologising for the delay with sincerity
Not interrupting
Remaining calm
Taking ownership and acting as an autonomous practitioner
Able to justify the need for x-ray
Being able to answer questions
Obtaining valid consent without coercion
Weaker answers
No introductions
Stood over the patient
Became defensive, frustrated or laughed
Did not take ownership – “it is the doctor’s responsibility”
Unable to justify the need for the x-ray
Unable to explain radiation risk
Assumed consent
Could not manage the scenario
So what is the radiation risk from having a single CXR?
Equivalent to a couple of days of background radiation
Need to explain background radiation
1 in a million chance of cancer
A return transatlantic flight is the equivalent of 5 chest x-rays
Does your patient know that flying increases radiation exposure?
The equivalent radiation of eating 200 bananas
But what is the risk of not having the CXR?
Undiagnosed recurrence of the pneumothorax
Leading to increased pain, shortness of breath
And decreased oxygen intake
And possible serious illness, even death
Without the CXR, the patient will not be discharged due to the risk of serious complications
With the CXR a pneumothorax can either be ruled out or treated quickly
You are working the evening shift in the in-patient’s x-ray department, along with another
radiographer.
The other radiographer has taken a patient over to the A&E x-ray department for an OPG as
your OPG unit is broken. You are currently waiting for the porters to bring you your next
patient.
The request card for your next patient is attached.
Whilst you are waiting for patients, you sit at the reception desk, answering queries from the
wards and reviewing new requests as they arrive. All requesting is entirely paper based at
your site. You have to prioritise these requests, arranging porters to bring the most urgent.
Requests that can wait until normal working hours are kept to one side to be undertaken by
the day staff in the morning.
The list of requests that you have to review is attached.
To arrange a porter, you have to call them on extension 24357. You can book up to three
patients to come down in one phone call. The patient on the way down to you is the last of
the three from the previous phone call.
Hello its main x-ray are you free?, yeah can you please bring down …#…#…#
Thank you see you in a bit.
febrile meaning?
Febrile seizures are convulsions that can happen when a young child has a fever above 100.4°F (38°C). (Febrile means “feverish.”) The seizures usually last for a few minutes and stop on their own. The fever may continue for some time.
may be seen for a CXR request
Its the LEAST I could do
Listen
Empathize
Apologize
Solve
Thank
Don’t say at least this is okay - doesn’t help e.g. one leg has been amputated but at least you have your other one but at least you have your another one
Validate feelings - “what you are going through is a tough situation its okay to feel what you are feeling”
Reflect back what is said - so what you are telling me is this, is that correct - Do you think me doing this will help
People with the patient and “who is this? How are you connected to patient?2
Some phrases to use
“Sounds like you are frustrated what’s wrong?”
“I’m sorry about that, I didn’t know this would happen let me try fix it”
“Do you have any questions”
“I can understand why you’re upset”
“I am so sorry that this is happening”
“I don’t know what to say right now but I’m glad you have told me”
“I understand your concern”
“and I’m gonna ask a personal question due to policy is there any chance of pregnancy”
“Have you told anyone about this?”
“what do you prefer to be called?”
Its the LEAST I could do
Listen
Empathize
Apologize
Solve
Thank
Don’t say at least this is okay - doesn’t help e.g. one leg has been amputated but at least you have your another one
Validate feelings - “what you are going through is a tough situation its okay to feel what you are feeling”
Reflect back what is said - so what you are telling me is this, is that correct - Do you think me doing this will help
People with the patient and “who is this? How are you connected to patient?2
Some phrases to use
“Sounds like you are frustrated what’s wrong?”
“I’m sorry about that, I didn’t know this would happen let me try fix it”
“Do you have any questions”
“I can understand why you’re upset”
“I am so sorry that this is happening”
“I don’t know what to say right now but I’m glad you have told me”
“I understand your concern”
“and I’m gonna ask a personal question due to policy is there any chance of pregnancy”
“Have you told anyone about this?”
“what do you prefer to be called?”
