Shorts Flashcards
(17 cards)
Context specific
Number of ways could proceed
Examples (polar oposites)
Bespoke management plan
Manage risk and uncertainty
Balance
Make decisions whilst opportunity benefit
Missed opportunities
Equity
How ED operates
Triage;
Understands patients have different needs
aims:offer same chance of survival
Ensuring sickest are seen first
Compassionate leadership
Listen
Empathetic Understanding
Support colleagues.
Outcomes; appreciated, validated and respected
Nudge theory
Altering environment influences people’s behaviour
Make it easy to do the right thing
True of developing digital technologies
Streamlined and well integrated solutions
High quality care
Safe
Effective
Patient centred
Equality removes
Discrimination
(Treats everyone the same)
Poor behaviour
Context specific
Pt safety, departmental safety
Set boundaries
Deedcalate
Listen; empathetically understand
Frustration - understandable
Protect staff
Incivility adversely effects care throughout department
A&E brand
Strong and understandable
24/7 access to drs and healthcare
Biggest strength and a challenge
People trust
ENP, ACP/ANP, PA good or bad for ED
Increased demand, resource limited
Benefit
MDT; Mix knowledge, skill set
Train experienced staff
- motivation, retention
Permanent - non rotational
Challenges
Consultant trained to supervise ACPs, curriculum, certification
Last QIP
Anaphylaxis audit
Change; EpiPen and education
Improved discharge with EpiPen
Collaboration
Within own team
- CA team to driver care
Other specialities
- develop pathways/guidelines community management
Patients
- shared decisions, EBM, patient centred care
Teachable moments
Short interactions shown to be best
Related to why patient is there
Eg
Smoking is part of the reason you have attended, your GP can help you quit smoking
Diet and kidney stones; hydrated, limit salt
Xx
Green ED initiative
Important as major poluter and green house emiter
- gloves off for climate change
- only required for infection control and body fluids
- encouraged wash hands
- cost savings and environmental savings
Why this health board
Initially PRU
Another reason Pride Generalist
- maintain experience in paeds, MIU
Main reason I want to return is
Friendly, proactive and experienced
Tell me about a time you got into an argument got angry
For me I don’t argue with people
I do however have an example of a time I had a disagreement with someone
Communication techniques
Active listening
Clear, focussed, respectful
Closed loop
Shared mental model
Graded assertiveness
Challenging inappropriate behaviour
Boundaries
De escalation
