Primary Healthcare

Question 1

Define Catheterisation

Answer 1

Passing of a urethral catheter into the bladder, by the urethral or supra-pubic route, for diagnostic or therapeutic reasons

Question 2

What are the indications for Catheterisation

Answer 2

Need to monitor urine output (Fluid Balance)
Unable to pass urine
Pelvic or Abdominal Injuries
Head Injuries
Post Anaesthetic
Unmanageable incontinence

Question 3

What are the contraindications of Catheterisation

Answer 3

Severe Pelvic Trauma
Urethral Bleeding

Question 4

What Equiptment is required for Catheterisation

Answer 4

PPE
Cleaning Solution
Gauze Swabs
Sterile Towels
Foley Catheter
10ml Syringe Sterile Water
Lubricant containing anaesthetic
Closed Drainage System
Tape

Question 5

What are the 3 Complications of Catheterisation

Answer 5

Damaged urethra
Ureteric Catheterisation (Not far enough in)
Local UTI

Question 6

What are the 4 Waste Management Principles

Answer 6

Waste Producer is responsible for ensuring waste can be safely disposed of by others in the disposal system
Waste segregated at point of disposal
clinical waste must be incinerated
non-clinical waste disposed of at landfill

Question 7

What are the 3 common types of waste

Answer 7

Domestic Waste
Non-Clinical Dangerous Waste
Clinical Waste

Question 8

Define Clinical Waste and give examples

Answer 8

Waste Generated from treatment or nursing care of patients.

Soiled dressings
Material from patients with infectious diseases
Blood, bodily fluids and their containers

Question 9

What are 6 reasons why equipment fails?

Answer 9

Inadequate level of operator skill
Poor servicing, maintenance or standards of inspection.
Age / other slow deterioration.
Defects.
Neglect, misuse, damage.
Wear and Tear.

Question 10

What are the 5 basic principles of Equipment care?

Answer 10

Commitment- from the top down, Commanders and operators taking responsibility for the kit.
Correct Usage- Understanding capabilities and limitations.
Tools, Supporting Equipment and documentation - All must be used correctly.

Understand its purpose- All must have a good knowledge of what kit does and why its used to effectively maintain it.

Understand consequences of poor practice.

Question 11

What are 3 responsibilities of an equipment user?

Answer 11

Pre, during, and post use checks using an MOD Form 373
Competent and trained to use it
Report any faults.

Question 12

What would an FMED 993 be used for?

Answer 12

Maintenance request

Question 13

What would an FMED 767 be used for?

Answer 13

Infection Clearance Certificate

Question 14

What would an FMED 600 or 661 be used for?

Answer 14

Consent for medical / dental investigations, treatments or operations.

Question 14

Which FMED and Mod form are used for Defence Spectacles?

Answer 14

FMed 79 and Mod Form 1003

Question 15

What does the FOI Act 2000 allow access to?

Answer 15

Access to recorded information held by public bodies in England

Question 16

What are the principles of data protection

Answer 16

Used Fairly, lawfully and transparently.
Used for Specified, explicit purposes.
Used in a way that is adequate, limited and relevant.
Accurate and (If required) up to date
Kept for no longer than necessary
Handled in a way that ensures appropriate security.

Question 17

Define Medical Confidentiality

Answer 17

Statutory and professional duty to Safeguard personal information by preventing improper disclosure.

Personal information about people which hcps learn professionally and from which individuals can be identified.

Question 18

What are the 8 Caldicott Principles

Answer 18

Justify Purpose for using confidential information

Use confidential information only when necessary

Use minimum necessary patient identifiable information.

Access to patient identifiable information should be strictly need to know.

Everyone with access to confidential information should be made aware of their responsibilities.

Comply with the law

Duty to share information can be as important as duty to protect confidentiality.

Inform service user about how their confidential information is used.

Question 19

What is an Fmed 5 Used for?

Answer 19

Attendance and treatment card.
Used to document history and examination
All Treatment and examinations must adhere to PHC protocols.

Question 20

What is an FMED 965 Used for?

Answer 20

Deployed personnel, containing all the information from DMICP.

Question 21

Which document covers all aspects of service medical employment standards?

Answer 21

AGAI 78

Question 22

What is PULHHEEMS

Answer 22

A functional assessment of the individuals capacity for work.
Expresses the physical and mental attributes appropriate to the individuals employment and fitness to deploy.

Question 23

What are the 3 JMES

Answer 23

Joint Medical Employment Standards.

MFD
MLD
MND

Question 24

What Information is required when requesting a specimen?

Answer 24

Patients name and ward / department Hospital / Service number Date and time of collection Diagnosis Relevant signs and symptoms. Relevant travel Anti-microbial drugs being taken by patient. Type of specimen Consultant / Dr name Name of Dr who ordered investigation.

Question 25

What 5 things are required for specimen transportation?

Answer 25

Leak Proof Container. Placed in a double sealing bag. Transported in container, with crystals to absorb spillages. Biohazard labels and double bagged if required for infectious conditions. Biohazard Spill kit.

Question 26

What is the definition of the Healthcare Assurance Framework?

Answer 26

Framework through which individuals and healthcare delivery units are accountable for continually improving the quality of their services. Safeguarding high standards or care by creating the environment in which excellence in clinical care will flourish.

Question 27

What is the ethos of the Healthcare Assurance Framework?

Answer 27

Ensuring patients receive the highest standards of care in a facilitative environment within an open and fair culture.

Question 28

What are the 5 domains of Healthcare Assurance?

Answer 28

Safe Effective Caring Responsive Well Led

Question 29

Who is responsible for reporting an accident?

Answer 29

The line manager / individual in charge of the area or activity where incident occured.

Question 30

With regard to manual handling, what is TILE?

Answer 30

Task Individual Capabilities Load Environment

Question 31

What are the 4 stages in the chain of survival?

Answer 31

Early recognition and call for help- to prevent cardiac arrest. Early CPR to buy time. Early Defibrillation to restart the heart. Post resuscitation care to restore quality of life.

Question 32

What are the 4 common heart rhythms, and which are shockable?

Answer 32

Normal Sinus Rhythm (Not shockable) Ventricular Fibrillation (Shockable) Ventricular Tachycardia (Shockable) Asystole (Not Shockable)

Question 33

What is Pulseless Electrical Activity?

Answer 33

Absence of cardiac output despite electrical activity that would normally be expected to produce output.

Question 34

What 4Hs are reversible causes of cardiac arrest?

Answer 34

Hypoxia (Low oxygen) Hypovolaemia (Low Blood volume) Hyper/Hypo Kalaemia (Potassium levels) Hypothermia (Low core temperature)

Question 35

What 4 Ts are reversible causes of Cardiac arrest?

Answer 35

Thrombosis- a blood clot Tension Pneumothorax- Air in the chest compressing the heart so it can't beat effectively Toxins- Poisoning Tamponade- Blood filling the pericardial sack, meaning the heart is compressed and can't beat effectively.

Question 36

What size OPAs are used for Large and Very large Adults?

Answer 36

Large -3 V Large - 4

Question 37

What are 3 contraindications for using an OPA?

Answer 37

Lock jaw Conscious Casualty Severe facial trauma

Question 38

What are 3 contraindications for using an NPA

Answer 38

Severe Nasal trauma Basal Skull Fracture Nasal Polyps

Question 39

In Mental Health, what are the 7Rs

Answer 39

Recognition of the reaction Respite from the worst of the fighting. Rest Recall their tales Reassure that the reaction is normal Rehab- keep in role Return to duty

Question 40

In Mental Health, What does PIES Stand for?

Answer 40

Proximity- as close to front as possible. Immediacy- ASAP Expectancy- they will return to duty Simplicity- utilising the 7Rs