Ethics and Communication – Set 6

What this deck covers

Ethics and Communication – Set 6 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Hazard in an infant’s analgesia order
2. Staffing, design and training
3. Framing the call to the specialist
4. Three figures on a committee’s list
5. Six regular drugs on arrival
6. Pre-transfusion bedside check
7. The interrupted nurse
8. Handling a phoned lab value
9. After entry on the register
10. Naming this event for his mother
11. Rewriting the basal hormone order
12. What wore the nurse down
13. Purpose of one common format
14. Responding to a frustrated parent
15. A risk officer learns the headings
16. Why nurses bypass records
17. Gaps that lined up
18. Defining ROP for the survey
19. Where a broken steriliser is filed
20. Name for the blocking design
21. Nurse’s step with an unclear chart
22. The unfinished check
23. Running a paediatric arrest
24. Tackling inconsistent teaching
25. Later care transitions
26. Gain from electronic ordering
27. Full ward, slow safeguard
28. Is this value his?
29. Three answers to a failing steriliser
30. Umbrella term for medicine harm
31. Fourteen steps on three forms
32. What the cheese model is for
33. Shift change at eight
34. Quality domain of shared planning
35. Stopping the mix-up recurring
36. Strongest defence against wrong blood
37. The outdated chart
38. Where a clinical impression fits
39. Before an outside surgeon operates
40. Recording duties after recovery
41. Means and end of a board’s programme
42. Four findings after a collapse
43. After acting on that value
44. Where safety sits in the hospital
45. Common driver behind such incidents
46. Value of a single digital chart
47. The skipped check
48. Outside checks on a newly opened unit
49. Workforce entry on a register
50. What the regulator weighs

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Process, structure, outcome, A lapse, A medication error in how it was given, Retrain the nurses and remind them to use the system, Operational, A slip, Check the ward and bed number that the caller gives, The quality assurance and improvement programme, Efficiency, A mistake, Complete an incident report about the result, Lost income from the cancelled operations.

Clinical pearls from this deck

• A naked decimal point is a tenfold error waiting to happen: 0.5 mg, never .5 mg.
• Latent = built into the system, waiting.
• Before you dial: situation, background, assessment, recommendation.
• Structure is what you have, process what you do, outcome what happens.
• Every admission starts with the bag of medicines: reconcile before you prescribe.
• Two identifiers from the wristband; a bed number identifies a bed.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ethics and communication case decks · pediatric reference values.