Examples Flashcards

Question

HTN guidelines

Answer 1

DEI Asked for help

Answer 2

At the Grange I changed how patients are allocated to clinicians from analogue to digital system Using rack and front sheet Sheets, lost, Patients being missed Switched to digital allocation on tracking board Proposed change to working group and CG Wrote SOP and implemented change Less missed patients, time lost by EPIC organising rack Better communication within dept Team working

Answer 3

EDI - neurodivergence prevalence in ED staff RCEM leadership and management Importance of - data driven change and assessment change - understanding national strategies - esp developing digital technologies LEAN - identification and reduction of waste - includes inefficient processes - recently used in changing process of clinician assignment to patient from analogue system (rack and card) to digital only system (assigned on tracking board)

Answer 4

Created referral guidelines for community management referrals from ED And created new pathways for referral Discussed with leads of community teams and agreed guidelines Included agreement on who would retain CG for patient being managed in community Shows; ability to engage with key stakeholders in order to enable new pathways and opportunities for the ED

Answer 5

Responding to complaint; FND Disabilities that are not well understood by public and some colleagues Result in deprivation of respect and dignity for these patients FND Example complaint: attitude

Answer 6

Supervising a QIP. Trainee missing deadlines for audit Sensitive discussion to understand Family bereavement Shared decision about when work would be completed. Shared with educational supervisor Shows

Answer 7

Clinical supervisor for IMG Demotivated and anxious regarding interview speciality training 2 previous failed interview Organised interview practice Discovered: difficulty understanding how she structure certain answers to questions Disadvantaged as she had not worked in our system before Outcome: offered training post. Shows compassionate leader, encourage inclusive work places

Answer 8

In situ, MDT, simulation used to test new guideline Created HTN emergency guideline Ran simulation in resus with drs and nurses to test guideline High quality teaching because it lead to - individual learning for participants - team building; through shared training - systems learning; feedback on guideline and improvements made to guideline as result

Answer 9

I: creation new EPR for PRU R: part of my vision show value added by PRU. Added question: did the PRU provide care beyond the scope of a standard paramedic Part of my role was to motivate the team to answer this question Motivated team by providing impact data quarterly at CG End of year results demonstrated - 80% cases provide care beyond scope standard paramedic - every PRU shift saves 14 bed days - £3.5M gross saving, £500K service cost This data is used to evidence the continuing need for the service and will be used in a business case to expand the service

Answer 10

I: creation new EPR for PRU R: role was - manage implementation; On launching EPR identified multiple issues causing errors multiple times per week. In order to improve the system Log issues and discussed with management and tech teams Iteratively improved to reduce errors (none since Dec) Shows importance of having Cons manage systems we use; own problems, pinpoint issue service users are experiencing, represent issues to other parties

Answer 11

E: creation new EPR for PRU Mistakes: BC plan On launching EPR multiple issues causing errors Needed to quickly draw up BC plan Required some changes to EPR Main lesson consider BC plan when making change but also consider effects that change will have on wider system Later change to separate system checked BC plan, made amendments to BC plan to ensure it was compatible with change

Answer 12

E: patient presented who was very sick with HTN emergency and pulmonary edema. R: issue: no local guidance on BP targets S: Asked for help from ICU Initial contact undsure. Cons colleague from ICU able to provide key advice re blood pressure targets. Kindly reviewed patient. Patient rapidly improved good outcome O: shared case at handover Created HTN emergency guideline to ensure consistent best practice for patients Shows: humble Ask for help, identify departmental issues, ensure systems learning and best practise

Answer 13

E: EoL QIP EoL medication prescription and consideration of use identified as an issue from M&M SJR Audit of current care demonstrated only 33% patients had… This was increase to 83% in 6 months by implementing pre-filled EoL mediation charts and Sx control obs charts Lessons learnt: digital importance digital tech I converted EoL medication chart in to EoL medication bundle on new EPMA system. This ensured persistence of the change after I rotated to new hospital. Whereas Sx control obs chart required ongoing ss tockibg by members of staff, which can lead to loss of change. Shows: I can ensure high quality care, developed interest in digital tech and its usefulness in maintaining change

Examples Flashcards

(38 cards)