102 Questions
What is the primary purpose of patient admission in a hospital?
To facilitate observation, investigation, and treatment of the disease
What is the term used to describe a patient who arrives at the hospital in their own transport or in an ambulance?
Unplanned presentation
What is the primary role of a triage nurse in the emergency department?
To assess patient's condition and prioritize treatment
What is the primary factor that determines the waiting time in the emergency department?
The severity of the patient's condition
What is the term used to describe an unplanned admission that usually occurs when a patient requires A&E attention?
Emergent admission
What is the name of the department where observation admissions usually occur?
Observation ward
What is the primary purpose of placing a patient under observation?
To determine if the patient requires inpatient care
Which type of admission refers to a scheduled admission for a planned medical procedure or surgery?
Elective admission
What is the primary purpose of the SBAR communication tool?
To improve patient safety
In the SBAR communication tool, what does the 'S' stand for?
Situation
What is the purpose of the 'Background' section in the SBAR communication tool?
To provide the patient's reason for admission
Who is responsible for providing the information for the 'Assessment' section in the SBAR communication tool?
The doctor
What is the purpose of the 'Recommendation' section in the SBAR communication tool?
To specify a request and time frame
In what type of healthcare situations can the SBAR communication tool be used?
Both inpatient and outpatient settings
What is the benefit of using the SBAR communication tool in healthcare settings?
It reduces the need for repetition
Who can use the SBAR communication tool in healthcare settings?
Across different disciplines and levels of staff
What is a benefit of online patient verification?
Improving the efficiency and accuracy of healthcare processes
What is typically required for offline patient verification in a hospital?
Presentation of photo identification
Why is it important to ensure online patient verification systems are secure?
To protect patients' personal and medical information
What is a method of verification used by healthcare staff?
Checking a patient's medical chart
What is a situation in which offline patient verification may be used?
At the operating theatre
What is the primary purpose of the SBAR tool in healthcare?
To provide a framework for handovers and transitions between healthcare settings
What is the main focus of the REDE communication model?
To develop a more reflective competence in communication skills
What is the primary goal of Phase 1 in the REDE model?
To establish a safe environment and foster trust
What is an example of a non-verbal cue used in Phase 2 of the REDE model?
Nodding and making direct eye contact
What is the purpose of using VIEW in Phase 2 of the REDE model?
To determine if a patient is receptive to their illness and treatment
What is an example of a scenario where the SBAR tool would be used?
When a patient moves from a community hospital to a general hospital
What is the purpose of Phase 3 in the REDE model?
To share diagnosis and treatment information with the patient
What is an example of a verbal cue used in Phase 2 of the REDE model?
Saying 'mm-mm' or 'go on'
What is the benefit of using the REDE communication model in healthcare?
It enhances patient-centered care through effective communication
What is the primary goal of the SBAR tool in the given scenario?
To communicate Mdm Neo's case to TC General Hospital
What is one way to show basic respect to patients?
Addressing them by name and explaining care activities
What is a benefit of being resourceful in healthcare?
Improved well-being and better quality of care
What is a key aspect of reliability in healthcare?
Carrying out activities without harming patients
What is the purpose of using two patient identifiers?
To eliminate errors and enhance patient care
What is an example of online patient verification?
Secure login using a unique username and password
What is the purpose of preparing casefiles/folders for patient admission?
To ensure patient information is organized and accessible
What is a benefit of personalized responsiveness in healthcare?
Patients are treated as individuals
What is the purpose of financial counselling in patient admission?
To ensure patients are informed about financial aspects of care
What is the purpose of the Real-time Location System (RTLS) in hospitals?
To track patient movement and identify patients
What is an important aspect of patient care according to the resourcefulness attribute?
Solving problems for patients
What is a key aspect of having a patient-first mindset?
Prioritising the needs of the patient
Why is it important for healthcare professionals to possess good technical skills and knowledge?
To improve their confidence and performance levels
What can a healthcare professional do to show empathy towards a patient waiting outside the doctor's room after receiving a serious diagnosis?
Sit with the patient, listen to their concerns and provide emotional support
What is a characteristic of a healthcare professional with a positive attitude?
Having a cheerful demeanour
What is essential for building rapport with patients?
Taking a few extra seconds to make a connective moment
What is a key aspect of respecting patients?
Being mindful of patient confidentiality requirements and cultural differences
Why is it important for healthcare professionals to check with patients about their mode of payment?
To ensure the patient's financial arrangements are in order
What is a characteristic of people-oriented healthcare professionals?
Being present, personable and patient
What is an important aspect of a healthcare professional's soft skills?
Communication skills and problem-solving skills
What can healthcare professionals do to ensure patients understand their follow-up appointments?
Reiterate and explain the follow-up appointments in a language the patient is familiar with
Unplanned admissions can be scheduled in advance.
False
There are three levels of priority in the emergency department.
False
A patient who arrives at the hospital in an ambulance is always considered an unplanned admission.
True
The triage nurse is responsible for providing the information for the patient's medical history.
False
The waiting time in the emergency department depends solely on the severity of the patient's condition.
False
Emergency admissions are typically planned and scheduled in advance.
False
Elective admission refers to an unplanned admission of a patient for a medical procedure or surgery.
False
The SBAR communication tool was originally designed for healthcare settings.
False
Direct admission refers to the admission of patients who are transferred from other facilities or hospitals.
False
The 'Assessment' section in the SBAR communication tool is obtained from the patient's medical history.
False
The primary purpose of the SBAR communication tool is to reduce the need for repetition and likelihood for errors.
True
Priority 1 refers to minor accidents that are ambulant.
False
The SBAR communication tool can only be used in inpatient settings.
False
The 'Background' section in the SBAR communication tool includes the patient's vital signs.
False
The 'Recommendation' section in the SBAR communication tool is used to document the patient's medical history.
False
Only senior staff can use the SBAR communication tool in healthcare settings.
False
A healthcare professional with a cheerful demeanour can only put patients at ease but not make them feel comfortable.
False
Only technical skills and knowledge are necessary for healthcare professionals to be proficient.
False
Ensuring patients understand their follow-up appointments is not part of providing closure.
False
Having a patient-first mindset means prioritizing the needs of the organisation over the needs of the patient.
False
Patients need to be treated as captives, not customers.
False
Only providing clinically competent care is enough to ensure a positive interaction with patients.
False
Soft skills are not necessary for healthcare professionals to possess.
False
Reminding patients to go for their appointments is not a way to provide closure.
False
Being people-oriented means being present, but not personable or patient.
False
Respecting patients' personal space and privacy is not important for healthcare professionals.
False
Online patient verification systems are typically used in offline patient verification processes.
False
Patients may be required to present their medical chart to verify their identity during offline patient verification.
False
Offline patient verification is typically performed by using electronic systems.
False
Healthcare staff are not involved in the verification process during offline patient verification.
False
Online patient verification can help to protect patients' personal and medical information.
True
The REDE communication model is primarily used for teaching and evaluating relationship-centered communication in healthcare settings.
True
In the SBAR tool, the 'B' stands for Background, which is the section that provides the patient's medical history.
True
The primary goal of Phase 2 in the REDE model is to establish a safe environment for the patient.
False
The SBAR tool is only used in emergency situations, such as in the emergency department.
False
The REDE model is primarily used for building relationships between healthcare professionals.
False
In the REDE model, the term 'VIEW' stands for Vital activities, Ideas, Expectations, and Worries, and is used to gather the patient's perspective.
True
The SBAR tool is used to communicate with patients, not with other healthcare professionals.
False
The primary goal of Phase 1 in the REDE model is to develop a treatment plan for the patient.
False
The REDE model is a conceptual framework for teaching and evaluating relationship-centered communication in healthcare settings.
True
The SBAR tool is only used in healthcare settings where patients are being admitted to a hospital.
False
Resourcefulness in healthcare helps save time and resources for both the healthcare institution and the patient's family.
False
Online patient verification involves physically verifying the patient's identity at the hospital's reception area.
False
Healthcare professionals with a patient-first mindset prioritize the patient's needs over their own convenience.
True
The REDE communication model is primarily used for patient verification purposes.
False
Biometric verification is a type of offline patient verification method.
False
A resourceful healthcare professional is able to work around hospital rules to resolve problems.
True
The use of two patient identifiers is necessary for medical check-ups and treatments but not for medication administration.
False
Personalised responsiveness is a key attribute of a healthcare professional in ensuring patient safety.
False
The Real-time Location System (RTLS) is used to track patient movement within the hospital for security purposes.
False
Healthcare professionals need to ensure the appropriateness of the service or treatment provided to patients based on their needs.
True
Study Notes
Patient Admission
- Patient admission refers to allowing and facilitating a patient to stay in the hospital unit or ward for observation, investigation, and treatment of their disease.
- There are different types of admissions, including unplanned, planned, emergency, and elective admissions.
Types of Admission
- Unplanned admission: • Patient arrives at the hospital in their own transport or by ambulance (urgent presentation). • Triage nurse assesses the patient's condition, provides first aid, and determines the level of treatment needed. • Waiting time depends on the severity of the patient's condition, presence of more serious/urgent cases, availability of medical personnel, and emergency department busyness. • Priorities: Emergent (Resuscitation & Critically-ill patients), Major emergencies (Non-ambulant), Minor accidents (Ambulant), Non-emergency.
- Planned admission: • Patient is admitted based on the type of treatment they are receiving and its urgency. • Elective admission: Scheduled admission for a planned medical procedure or surgery. • Direct admission: Patient is admitted directly to a hospital bed, either by a physician or self-referral, based on the patient's medical condition. • Transfer admission: Patient is transferred from another facility/hospital.
SBAR Communication Tool
- Originally designed by the US military, used in healthcare to improve patient safety.
- Purpose: Allow staff to communicate assertively and effectively, reducing errors and repetition.
- Structure: • S - Situation: Identify yourself, address the patient by name, and state the reason for communication. • B - Background: Provide the patient's reason for admission, medical history, and relevant background information. • A - Assessment: Document information from the doctor, including vital signs, contraction patterns, clinical impressions, and concerns. • R - Recommendation: Specify what is needed, make suggestions, and clarify expectations.
Qualities and Characteristics of a Positive Interaction and Experience
- Patient-First Mindset: • Focus on the patient's needs and prioritize their satisfaction. • Treat patients as customers, not captives.
- Positive Attitude: • Display enthusiasm and a "can-do" attitude. • Be optimistic about making a difference and achieving success.
- Professional Competence: • Possess good knowledge and skills related to the job. • Stay updated on equipment, systems, policies, and procedures.
- People Orientation: • Build rapport with patients by showing genuine interest and empathy. • Be present, personable, and patient-centric.
- Basic Respect: • Respect patients' personal space, confidentiality, and cultural differences. • Ensure online patient verification systems are secure and comply with relevant laws and regulations.
REDE Communication Model
- Developed by Cleveland Clinic, focuses on three primary phases of relationship establishment, development, and engagement.
- Phase 1: Establish the relationship. • Create a safe environment, convey value and respect, provide assistance, and display empathy.
- Phase 2: Develop the relationship. • Listen reflectively, use open-ended questions, gather the patient's perspective using VIEW, and elicit the patient's narrative.
- Phase 3: Engage the relationship. • Share diagnosis and information, ensure patient understanding, and show basic respect.
Additional Key Concepts
- Resourcefulness: The ability to find information and solve problems, even when you don't know the answers.
- Reliability: Ensuring safety, appropriateness, effectiveness, and efficiency in patient care.
- Personalised Responsiveness: Understanding and catering to individual patients' preferences and expectations.
- Methods of Verification: Using two patient identifiers to ensure correct identification, including online patient verification and biometric verification methods.### Patient Interaction
- Patient-first mindset: prioritize patients' needs, listen to them, and show empathy
- Positive attitude: display enthusiasm, a "can-do" attitude, and a cheerful demeanor to put patients at ease
Communication Models in Healthcare
- SBAR (Situation, Background, Assessment, Recommendation) communication tool:
- Situation: identify yourself, the site/unit, and the reason for communication
- Background: provide the patient's reason for admission and significant medical history
- Assessment: document vital signs, contraction patterns, clinical impressions, and concerns
- Recommendation: explain what is needed, make suggestions, and clarify expectations
- REDE (Relationship Establishment, Development, Engagement) communication model:
- Phase 1: Establish the relationship by creating a safe environment, conveying value and respect, and providing assistance
- Phase 2: Develop the relationship by listening reflectively, asking open-ended questions, and gathering the patient's perspective
- Phase 3: Engage the relationship by sharing diagnosis and information, and considering the patient's needs and preferences
Patient Admission
- Types of admission:
- Unplanned (urgent) admission: e.g., emergency department admission
- Pre-planned admission: e.g., elective surgery
- Direct admission: admission to a hospital bed without going through the emergency department
- Transfer admission: admission from another facility or hospital
- Patient verification:
- Offline verification: manual verification of patient identity using photo identification, birth certificate, or passport
- Online verification: verification of patient identity through an online system, using secure login, verification codes, or biometric authentication
Test your knowledge on the hospital admission process, including types of admission and patient services. This quiz covers the basics of admitting a patient to a hospital unit or ward for observation, investigation, and treatment.
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