Skills for Working in Practice Flashcards
what is meant by trait leadership?
assumes there are a set of traits an individual possessed which make them suited to be a leader. (can included physical, personality, social skills)
what is meant by style leadership?
the behaviours leaders adopt in doing leadership.
Styles or behaviours used may depend on the needs of followers in certain situations.
what is meant by situational leadership?
adapted approach to leadership depending on the situation it is involved in.
The situation may be determined for example by the people involved or the nature of an event or circumstances.
what is meant by transformational leadership?
based on the relationship between leaders and followers.
transformational leadership appeals to hearts and minds though reference to values, purposes, insights and vision - and perhaps to the fundamental, moral and ethical ‘why’ questions
what is meant by charismatic leadership?
takes ideas from trait leadership theory and transformational leadership.
leaders may demonstrate extraordinary qualities to rouse and inspire their followers to do ‘great things’.
what is meant by Servant leadership?
leaders act firstly to ‘serve’ their people and organisation, putting their own needs and ‘power’ ambitions aside. Key characteristics of servant leadership include: developing people, modelling integrity and authenticity, altruistic calling, wisdom, trust, transforming influence, stewardship. There is also an ethical and moral aspect to this approach and the focus on a higher purpose.
What are they key points to have come out of the Francis Report 2013?
all areas of healthcare, dentistry included, the quality of patient care, especially patient safety, must be placed above all other aims.
-Patient safety problems exist throughout the NHS
-NHS staff are not to blame
- Incorrect priorities do damage
- Warning signals abounded and were not heeded
- Responsibility is diffused and therefore not clearly owned
- Improvement requires a system of support
- Fear is toxic to both safety and
improvement
What report showed that leadership is an essential and integral aspect of effective clinical practice?
The Francis Report 2013
why is the Francis Report 2013 so important to the dental team?
identifies the importance to:
- Recognize with clarity and courage the need for wide systemic change.
- Abandon blame as a tool and trust the goodwill and good intentions of the staff.
- Reassert the primacy of working with patients and carers to achieve healthcare goals.
- Use quantitative targets with caution. Such goals do have an important role en route to progress, but should never displace the primary goal of better care.
- Recognize that transparency is essential and expect and insist on it.
- Ensure that responsibility for functions related to safety and improvement are vested clearly and simply.
- Give the people of the NHS career-long help to learn, master and apply modern methods for quality control, quality improvement and quality planning.
- Make sure pride and joy in work, not fear, infuse the NHS.
what are the CQC 4 key lines of enquiry?
- Safe
- Caring
- Well-led
- Responsive
What are they key aspects of safety the CQC look at?
- care and treatment of patients
- sharps
- safeguarding
- whistleblowing
- medical emergencies
what are they key signs of Sepsis in an adult?
- Slurred speech
- Extreme shivering or muscle pain
- Passing no urine in a day
- Severe breathlessness
- High heart rate and high or low body temperature
- Skin mottled or discoloured
what are they key signs of Sepsis in an child?
- Skin looks mottles, bluish or pale
- Very lethargic or difficult to wake
- Abnormally cold to the touch
- Breathing very fast
- Rash that does not fade when pressed
- Seizure or convulsions
what would the CQC look for in a clinical notes review?
Consent Radiographs Smoking & alcohol Evidence of DBOH Rationale for treatment Options discussed POIG NICE recall NICE guidance on prophylaxis antibiotics
what Act Stipulates that a registrant’s fitness to practice may be regarded as impaired by reason of a caution or conviction in the United Kingdom for a criminal offence?
Dentists Act 1984 Section (2)(d)
What did the Montgomery v Lanarkshire 2015 case teach us?
Ensure that all proposed care and treatment for the consent process is tailored to the individual needs of the patient
What are they key points to consider to get informed and valid consent?
1.Make full notes to document the consent process, do not rely solely on a consent form
2 Discuss reasonable alternatives –where appropriate , these include the options of having no treatment at all
3 Ensure adequate time is set aside – this is easier said than done , a meaningful consent process based around a real dialogue requires more time
4 Focus on the individual patient .Is it clear that you have taken steps to understand concerns and wider circumstances – is there reference to medical conditions , psychological state , family circumstances?
5 Engage in a 2 way dialogue- record both sides of the conversation
6.Do not focus on percentages – Post Montgomery , the scientific magnitude of risk is only a factor and should not determine what risks are discussed
7Consider the risks of intervening events not just catastrophic outcomes – this may include distressing, painful or dangerous intervening events
8 Think carefully before relying on the therapeutic exception /patient autonomy
9Patient understanding – is it clear that the patient fully understood the advice given ?
- Leafleting is not enough – bombarding a patient with information does not discharge the duty of consent
What must healthcare professionals do as their professional duty of candour?
- tell the patient (or, where appropriate, the patient’s advocate, carer or family) when something has gone wrong;
- apologise to the patient (or, where appropriate, the patient’s advocate, carer or family);
- offer an appropriate remedy or support to put matters right (if possible); and
- explain fully to the patient (or, where appropriate, the patient’s advocate, carer or
family) the short and long term effects of what has happened.
what does meant by direct access?
Dental hygienists and dental therapists can carry out their full scope of practice except toothwhitening without needing a prescription from a dentist
what is a Patient group directive?
A PGD is a written instruction which allows listed healthcare professionals to sell, supply or administer named medicines in an identified clinical situation without the need for a written, patient-specific pre scription from an approved prescriber
what can ortho therapists do?
Reversible orthodontic procedures under supervision…
what can oath therapists not do?
modify prescribed arch wires give local analgesia remove sub-gingival deposits re-cement crowns place temporary dressings diagnose disease treatment plan
what additional skills can an orthodontic therapist get?
• applying fluoride varnish to the prescription of a dentist
• repairing the acrylic component part of orthodontic appliances
• measuring and recording plaque indices
• removing sutures after the wound has
been checked by a dentist
what can dental hygienists not do?
- restore teeth
- carry out pulp treatments
- adjust unrestored surfaces
- extract teeth
what additional skills can a dental hygienist get?
• tooth whitening to the prescription of a dentist
• administering inhalation sedation
• removing sutures after the wound has
been checked by a dentist
what additional skills can a dental therapist get?
• carrying out tooth whitening to the prescription of a dentist
• administering inhalation sedation
• removing sutures after the wound has
been checked by a dentist
what can dental therapists not do?
Lab work extractions RCT Crown prep bridge prep adjust dentures describe POM
What model in a DCP uses all members of the team?
skill-mix model
what percentage of treatments did evans 2007 say dental therapists undertake?
43%
what are the obstacles dental therapists have in GDP?
- Only the dentist can open a course of NHS treatment.
- Perception that it is not economically viable to employ dental therapists.
- Lack of understanding about abilities, skills and training
How many UDAs are received for a band 1?
1
How many UDas for band 3?
12
HOw many UDAs for band 2?
3
What is included in NHS band 1 treatment?
clinical examination, radiographs, scaling and polishing, preventive dental work, such as oral health advice
How many UDAs for band 1 emergency?
1.2
What is included in NHS band 2 treatment?
simple treatment, for example fillings, including root canal therapy, extractions, surgical procedures and denture additions Periodontal therapy.
What is included in NHS band 1 emergency treatment?
treatment including examination, radiographs, dressings, recementing crowns, up to two extractions, one filling
What is included in NHS band 3 treatment?
complex treatment, which includes a laboratory element, such as bridgework, crowns, and dentures
what are the basic records required to be self employed?
- A record of fee invoices to the practice/practices
- A record of all business purchases and expenses
- Invoices or evidence of payment for all business purchases and expenses
- Details of any amounts you personally pay into or take from the business
- Copies of business bank statements
