Week 1 Misc

Question 1

What are the 4 british values

Answer 1

1. Rule of law
2. Democracy
3. Individual liberty
4. Mutual respect

Question 2

What is PREVENT?

Answer 2

The campaign to prevent people being drawn into terrorism.

Question 3

What law covers the PREVENT campaign?

Answer 3

Section 26, Counter terrorism and security 2015

Question 4

Define Democracy.

Answer 4

Everyone has an influence but the majority overrules.

Question 5

Define Rule of law.

Answer 5

Rules put in place to make a safe environment for us to live and work.

Question 6

Define “individual liberty”.

Answer 6

Each person should have the right and power to act, behave or express themselves. They should be able to do this within a society free from oppression/ reprocussions imposed by others.

Question 7

Define “Mutual Respect”.

Answer 7

Understanding there are different beliefs/ opinions, but they still need to be respected.

Question 8

What are the 6 C’s of care?

Answer 8

Care,
Compassion,
Competence,
Communication,
Courage,
Comitment,

Question 9

Define a Non technical skil.

Answer 9

Cognitive, Social and personal skills that complement technical skills. They contribute to the safe and efficient care.

Question 10

Name 4 non-technical skills.

Answer 10

1. Situational awareness
2. Decision making
3. Team working
4. Task managment

Question 11

What is the duty of Candour?

Answer 11

The obligation to be open and honest, as outlined in the NHS constitution 2013.

Question 12

What are the benefits of good record keepiing?

Answer 12

Improves accountability,
Shows how decisions are made about PT care,
Supports service delivery
Supports effective clinical judgement
identifies risk
Helps to address complaints

Question 13

What 5 things should be included in an EPRF?

Answer 13

1. Structured HX taking and assessment
2. Any physical assessement,
3. Working impression + differential diagnosis
4. Provide clinical rationale plus any safety netting advice,
5. List pertinent findings

Question 14

Define “Capacity”.

Answer 14

The ability to make decision at the time it needs to be made.

Question 15

What 2 things do the MCA 2005 protect?

Answer 15

To protect the right of an individual from having treatment forced upon them in all but rare circumstance.
To protect individuals in situations where they are unfit to make an informed decision.

Question 16

What are the mental capacity considerations?

Answer 16

• What is the decision?
• Is the PT able to make a decision?
• Is there any impairment/ disturbances?
• Does the impairment/ disturbances affect their ability to make an informed decision?

Question 17

What is covered under the functional tes?

Answer 17

• Does the PT understand?
• Can they retain the information given?
• Can they weigh up/ use the information given?
• Can they communicate their decision by any means?

Question 18

Under what conditions does a PT pass their functional test?

Answer 18

• On answering yes to all questions.

Question 19

Once the functional test is completed what is the next step?

Answer 19

No impairment - Gain informed consent.
Impairment - Diagnostic test.

Question 20

Once a PT has refused, what are the next steps?

Answer 20

• Confirm the PT has the facts.
• Document the refusal,
• Explain the potential consequences,
• Discuss with clinical hub (Even in event of HCP referal)
• Explain/ offer alternatives.

Question 21

Define a “DOLS”.

Answer 21

A way of protecting patients who are necessarily having their liberty deprived to keep them safe and applies to patients that lack capacity.

Question 22

Where does a DOLS apply?

Answer 22

in the exact location stated on the DOLS.

Question 23

What are the 2 forms of LPA?

Answer 23

• Property and finance.
• Wellbeing and finance.

Question 24

Define “Gillick competency”.

Answer 24

When a child has the ability to understand information given and can make an informed decision about their care.

Question 25

What must happen to a PT that has been given oral tranquilistion (For example, by a BASICS Dr)?

Answer 25

They must be transported to ED.

Question 26

When dealing with an agitated PT what must you focus on?

Answer 26

Identifying and treating, or arranging to treat the underlying cause of agitation.

Question 27

What may be useful in the event of post ROSC aggitation?

Answer 27

SPCC for Midazolam

Question 28

What are the ways to reduce bias?

Answer 28

- Use neutral terminology - Be mindful of conscious biasing behaviours/ patterns - Assessment/treatment should be based on numbers not preconceived bias.

Question 29

What are the levels of agitation?

Answer 29

- Mild = Agitated but cooperative - Moderate = Disruptive without danger - Severe = Dangerous to self and/or staff.

Question 30

What checklist can be useful to assess agitation?

Answer 30

Broset checklist

Question 31

What reversible pathology can be rectified to reduce agitattion?

Answer 31

- Hypoxia - Hypoglycaemia - pain - Full bladder - Post ictal