|
92 |
Role-play. Complaint. Mis-filed combined
Ds test report. |
|
93 |
Viva. Diathermy |
|
94 |
Role-play. Optimising surgical outcomes. |
|
95 |
EMQ. Case notes lost in stolen car |
Candidate's Instructions.
You
are the SpR in the ante-natal clinic. The consultant has been called to the
labour ward to help with a case of placenta accreta and you have been put in
charge of the clinic.
Mrs
Jones had a “combined test” at 11 weeks which gave a risk of Down’s syndrome of
1: 40. The report was filed in the notes in error by a clerk without being
shown to any of the medical or midwifery staff.
She attended
today for the routine 20-week scan. The ultrasonographer found the report in
the notes, realised that no action had been taken, informed the patient and
made arrangements for her to see you urgently.
93. Structured conversation. Diathermy.
Candidate's Instructions.
This
is a viva station about diathermy and its uses and complications.
The
examiner will ask you 8 questions.
When
you have completed an answer you are not allowed to return.
94. Role-play. Improving surgical outcomes.
Candidate’s
instruction.
Use your
own name. You are an enthusiastic new consultant and are running the labour
ward. It is an unusual day as there are no women in labour. You were chatting
to the on-call staff over coffee and the SpR, who is planning to sit the Part 2,
mentioned reading about improving surgical outcomes and didn’t know where to
start. You decide to give a tutorial on the subject. Proceed!
95. EMQ. Case notes lost in stolen car.
A SpR1
has been asked to carry out an audit and 50 sets of case-notes are to be used. He
is given 49 sets of notes and a day in which to go through them and extract the
necessary data. This he does in the hospital.
The
final set of notes cannot be found initially, but are found two weeks later. The
doctor is given the notes on a Friday afternoon as he is leaving for home. He
decides to take the notes home to extract the data. On the way home he stops at
his favourite supermarket. When he emerges, his car has been stolen with the
notes inside. He reports the theft to the police.
Abbreviations.
BMA: British Medical Association
CG: Caldicott Guardian
MDU: Medical Defence Union
NHSLA: NHS
Litigation Authority
NPSA: National
Patient Safety Agency
Question 1.
The
SPR informs you, the Clinical Director, on the Monday when he returns to work.
What
action will you take?
Option
list.
|
A |
Report events to the Caldicott Guardian |
|
B |
Report events to the Chief Executive |
|
C |
Report events to the General Medical Council |
|
D |
Report events to the NHSLA as a “never event” |
|
E |
Report events to the NHSLA as a “serious incident” |
|
F |
Report events to the NPHSLA as a “never event” |
|
G |
Report events to the NPSLA as a “serious incident” |
|
H |
Report events to the Risk Management Team |
|
I |
Report events to the Root Cause Analysis Team |
|
J |
Report events to the Trust Information Management Committee |
|
K |
Suspend the doctor until a full investigation has been done |
Question 2.
What
action will you take to deal with the SpR?
Option
list.
|
A.
|
Suspend the doctor until a full investigation has been done |
|
B.
|
Report the doctor to the Medical Director |
|
C.
|
Report the doctor to the Postgraduate Dean |
|
D.
|
Report the doctor to the General Medical Council |
|
E.
|
Report the doctor to the NHSLA |
|
F.
|
Report the doctor to the Caldicott Guardian |
|
G.
|
Report the doctor to the Trust Board member responsible for
safeguarding |
|
H.
|
Report the doctor to the BMA |
|
I.
|
Report the doctor to the MDU |
|
J.
|
None of the above |
Question 3.
What
action will you take in relation to the patient whose notes are missing?
Option
list.
|
A.
|
Ask the Caldicott Guardian to deal with it |
|
B.
|
Ask the Chief Executive to deal with it |
|
C.
|
Ask the hospital’s legal team to deal with it |
|
D.
|
Ask the patient’s GP to deal with it |
|
E.
|
Discuss with the legal team, inform the patient, discuss the
implications and keep her fully-up-to-date |
|
F.
|
Tell all those who know about the incident to discuss it with no
one else, particularly the patient |
|
G.
|
None of the above |
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