Assessment 2 Revision Exam
Questions with answers
What does DOS stand for? - -Directory of Services
- What does the DOS do? - -Determines the nearest, available, appropriate
service with the capacity to the see the patient.
- Who oversees the clinical content of Pathways? - -National Clinical
Goverenance Group (NCGG) made up of representatives of all the major
medical and nursing Royal Colleges.
- NHS Pathways works on the basis of ruling out rather than diagnosing.
What does this mean? - -It does not diagnose. What it does is rule out
potential diagnoses. Once it reaches a point where cannot be ruled out, the
assessment ends.
- Why is it important to understand the differennce between ruling out and
diagnosis? - -It is important for users as well as local healthcare providers to
understand that the system is ruling out rather than diagnosing, otherwise
there can be a tendency for people to think the system is getting it wrong.
- Give reasons why a face to face assessment might be able to rule out more
than a telephone assessment? - -Visual assessment of the problem. The
ability to carry out tests. Better overall comminication.
- What is the name of the Pathway used to assess someone who has
symptoms not covered by a symptoms based pathway? - -Other symptoms
(for toddlers, children and adults).
- How are not sure answers dealt with? - -On the balance of risk. So
sometimes yes and sometimes no.
- Are not sure answers usually a "yes" or usually a "no" ? - -Usually a no as
too many yes answers risk inundating local health services.
- Causes of ill health? - -GAIL. Genetics. Age. Illness. Lifestyle.
- Definition of illness? - -A state in which a function or part of the body is no
longer in a healthy condition and which is experienced by the patient.
- Definition of injury? - -Damage to the body produced by recent exposure
to mechanical, thermal, electrical or chemical sources (MTEC).
, - How many "not sure answers" should trigger transfer to a clinician? - -3
- In which part of the system is it recorded whether the problem is trauma or
non trauma related? - -Module 0.
- Name the two types of care advice? - -Inline and interim.
- What care advice is always given? - -Worsening.
- Do all calls enter Module 1? Why? - -No. Some calls will be handled
entirely in Module 0 if they are obviously very serious.
- Say whether the following is true or false, giving a reason for your answer:
Only 999 and emergency treatment centre dispositions are generated within
Module 0. - -False. There are a small number of primary care dispositions
that can be generated in Module 0. This happens for symptoms that appear
at first to be quite serious but turn out to be less so.
- What is the first screen that you will see in Module 1? - -The body map.
- There are no ambulance responses generated in Module 1: True or False?
Why? - -False. Less obvious threats to life, which require more in depth
probing, are assessed in Module 1. For example potential septicaemia.
- What age range does the pregnancy question relate to? - -11 to 55
- Must all questions presented be answered? - -All questions must be
answered but do not necessarily have to be asked?
- What should you also check when you have confirmed that a patient is
conscious? - -That they are awake.
- With third party callers you should also confirm that... - -They are in the
same room as the patient.
- Why do questions need to be answered in the order that they are
presented? - -Because question and answer stems are ordered in a
hierarchy so that more serious things are ruled out before less concerning
issues.
- There is an answer stem within Module 0 which asks whether a person has
been told to follow a particular course of action. What does this mean? - -
This is for patients with a known health problem who have been told to follow
a specific course of action for the problem or symptoms that they are calling
about. Known problem. Firm plan. Current symptoms.
Questions with answers
What does DOS stand for? - -Directory of Services
- What does the DOS do? - -Determines the nearest, available, appropriate
service with the capacity to the see the patient.
- Who oversees the clinical content of Pathways? - -National Clinical
Goverenance Group (NCGG) made up of representatives of all the major
medical and nursing Royal Colleges.
- NHS Pathways works on the basis of ruling out rather than diagnosing.
What does this mean? - -It does not diagnose. What it does is rule out
potential diagnoses. Once it reaches a point where cannot be ruled out, the
assessment ends.
- Why is it important to understand the differennce between ruling out and
diagnosis? - -It is important for users as well as local healthcare providers to
understand that the system is ruling out rather than diagnosing, otherwise
there can be a tendency for people to think the system is getting it wrong.
- Give reasons why a face to face assessment might be able to rule out more
than a telephone assessment? - -Visual assessment of the problem. The
ability to carry out tests. Better overall comminication.
- What is the name of the Pathway used to assess someone who has
symptoms not covered by a symptoms based pathway? - -Other symptoms
(for toddlers, children and adults).
- How are not sure answers dealt with? - -On the balance of risk. So
sometimes yes and sometimes no.
- Are not sure answers usually a "yes" or usually a "no" ? - -Usually a no as
too many yes answers risk inundating local health services.
- Causes of ill health? - -GAIL. Genetics. Age. Illness. Lifestyle.
- Definition of illness? - -A state in which a function or part of the body is no
longer in a healthy condition and which is experienced by the patient.
- Definition of injury? - -Damage to the body produced by recent exposure
to mechanical, thermal, electrical or chemical sources (MTEC).
, - How many "not sure answers" should trigger transfer to a clinician? - -3
- In which part of the system is it recorded whether the problem is trauma or
non trauma related? - -Module 0.
- Name the two types of care advice? - -Inline and interim.
- What care advice is always given? - -Worsening.
- Do all calls enter Module 1? Why? - -No. Some calls will be handled
entirely in Module 0 if they are obviously very serious.
- Say whether the following is true or false, giving a reason for your answer:
Only 999 and emergency treatment centre dispositions are generated within
Module 0. - -False. There are a small number of primary care dispositions
that can be generated in Module 0. This happens for symptoms that appear
at first to be quite serious but turn out to be less so.
- What is the first screen that you will see in Module 1? - -The body map.
- There are no ambulance responses generated in Module 1: True or False?
Why? - -False. Less obvious threats to life, which require more in depth
probing, are assessed in Module 1. For example potential septicaemia.
- What age range does the pregnancy question relate to? - -11 to 55
- Must all questions presented be answered? - -All questions must be
answered but do not necessarily have to be asked?
- What should you also check when you have confirmed that a patient is
conscious? - -That they are awake.
- With third party callers you should also confirm that... - -They are in the
same room as the patient.
- Why do questions need to be answered in the order that they are
presented? - -Because question and answer stems are ordered in a
hierarchy so that more serious things are ruled out before less concerning
issues.
- There is an answer stem within Module 0 which asks whether a person has
been told to follow a particular course of action. What does this mean? - -
This is for patients with a known health problem who have been told to follow
a specific course of action for the problem or symptoms that they are calling
about. Known problem. Firm plan. Current symptoms.
