NHS pathway principles exam with complete solutions

arranged into a complex flow-based system based on the symptoms of the patient. This links all of the information from the call to refer the patient to the correct service. How to make a good clinical decision? - Answer- Gather the right information which will then be collected and analysed. What are the 4 R's? - Answer- Relevant structured questions. Right Information. Right Time. Right amount. This will help us to decide the correct treatment pathway for all patients. What does the system require from the assessor? - Answer- Understand various clinical issues and carry out the relevant health assessment. Understand how the system works. Good communication - asking the right questions and ensuring the caller understands you. How does the system help to assess a patient? - Answer- Necessary questions are organised to assess the patient's symptoms based on level of severity. If the caller gives enough information you may not need to ask as many questions. what are the three main pathways? - Answer- Module 0 - Immediately life threatening Module 1 - System specific. Module 2 - designed for trained clinicians. What is Module 0? - Answer- This is where life threatening issues are immediately filtered out. This can be skipped if the caller says what the issue is and you may skip to Module 1 or stay module 0. Information gathered during the call will help to go directly to correct pathway. What is Trauma? - Answer- An inflicted wound or injury which occurred within the last 7 days. ( you will then initiate trauma pathways). After 7 days you will assess the symptoms associated with the trauma. ( Pain and discharge from the wound). Module 1 - Answer- There is no life-threatening injury and you will go through symptom-specific pathways. There are a large number of pathways to assess a wide range of symptoms. Based on information from the caller you select an area of the body map which is relevant to the patient's age and gender. Most calls can be closed here. Module 2 - Answer- This is where the call will passed over the clinician. This will happen to a small number of calls. How are the pathways interlinked. - Answer- M0 - Will rule out life threatening issues. GP and Interhospital transfers are handled here. BODY MAP M1- Assessment moves to symptom specific pathways. Many calls closed within M1 Pass to Clinician M2 Small number of calls will require clinician imput. What re the different age ranges ? - Answer- Neonate - Less then 1 hour old. Infant - 1 hour to 12 months Toddler - 1 -5 years Child 5 -16 years Adult - 16 years + How many times can you click not sure before you have to call a clinician? - Answer- more then two time refer to a clinician. What is a call report? - Answer- This all of the questions you have answered and symptoms you have ruled out. What is the question rationale? - Answer- A brief explanation of why the question is being asked. this will help you form alternative questions if the caller does not understand the question. Speak to Clinician from our service for Home Management Advice - Answer- They will validate your answers and then give specific home care advice the patient For persistent or recurrent symptoms: get in touch with a local service for a non urgent appointment - Answer- The symptoms will usually resolve within a few days. If you still feel unwell then call a GP. Before you go, I will just need to check whether I need to give any further instructions or advice. - Answer- Linking statement to keep the caller on the phone just incase you need to give them any further information. what factors determine a less urgent response? - Answer- Social factors, pre-existing disabilities and local policy. illness - Answer- This means symptoms of illness and symptoms arising from an injury older than 7 days. This also means suicide attempts or self-harm through self-poisoning, overdose, ingestion of an object or toxic inhalation WITHOUT APPARENT INJURY. This also means an individual who has fallen over but has NO APPARENT INJURY. A state in which the function of the part of body is no longer in a healthy condition and which is experienced by the patient. This can due to factors such as infection, ageing, lifestyle or genetics. Injury - Answer- This means any injury, including suicide attempts or self-harm, e.g. cutting or burning, within the last 7 days. This includes any declared joint dislocation. For injuries older than 7 days it is more important to assess the symptoms arising from the injury (use 'illness or other health problem'). Damage to the body by recent exposure to mechanical thermal, electrical or chemical energy. What does the key point tell you ? - Answer- The reason why you are following this pathway. Triage not possible - Answer- When you are completely unable to get any information Transfer to clinician - Answer- When it is difficult but not impossible to get a triage. NHS Pathways assessment: - Answer- The process of assessing a person's symptoms using the NHS Pathways system and arranging an appropriate clinical response in a suitable timeframe to meet their needs. Dependi