You have woken up late for work, and only have time to complete 5 of the following 15 tasks that you would normally complete. Which of the 5 tasks would you choose to do before leaving home?
Hit your alarm’s snooze button
Brush your teeth
Make your coffee
Have a shower
Iron your clothes
Make your bed
Drink a glass of water
Make a to-do-list
Feed your pet
Call your mother
Call your best friend
‘BlackStone Tutors 5 Step Approach to Prioritisation Tasks’
If additional item/options were permitted, I would also consider taking….
Alternatively, if the task were based in ………….I would prioritise taking……….
I would brush my teeth, have a shower, get dressed, drink a glass of water, and feed my pet
You are a PA and your current patient is Mrs Jones, who has attended for a scheduled 10 minute routine appointment. Mrs Jones has discussed three of her concerns, and the appointment has already taken 25 minutes, leaving your surgery delayed. Mrs Jones has stated that she has one further concern that she would like to discuss.
Explain what actions you would take in this scenario.
This case raises a challenging but likely common scenario faced in General Practice working as a PA. In managing this scenario, I need to weigh up the medical needs of Mrs Jones against the punctuality of my clinic and likely delay to subsequent patients.
I do not believe that a stock approach can be applied to all patients in this scenario and I feel that my likely actions would depend on the urgency and seriousness of Mrs Jones’ final concern. I would attempt to triage this promptly, and in the event that the concern was serious such as chest pain or shortness of breath, I would explore and manage this further. Contrastingly, if Mrs Jones had a non-acute concern, I would politely request her to arrange a further appointment at later date so that this matter can be addressed comprehensively.
In preventing future similar challenges, I would request that that reception staff arrange double appointments for patients with multiple concerns, as well as attempting to establish patients’ full range of concerns at the beginning of consultations so that important clinical matters are not neglected.
Prepare a poster and a two minute presentation, demonstrating your attributes and explaining why you should be offered a place to study Physician Associate studies.
A prepared but natural approach, addressing the following areas:
‘Hello, my name is………………….and thank you very much for inviting me today. Over the next 2 minutes, I wish to inform you about some of my personal strengths, why I would like to study PA studies and in particular I would very much like to be a part of the University of…………………………’
A patient is to be given 660ml of a medication by intravenous infusion using a controller with a drip factor of 13 drops/ml. The medication is to be given over a 6 hour period. What would you set the drip rate to (to the nearest whole number)?
660ml needs to be given over 6 hours
110 ml needs to be given over 1 hour
110ml = 1,430 drops (per hour)
= 23.83 drops/minute
= 24 drops/minute (to the nearest whole number)
A nurse is administrating a drug to a patient that needs to be prepared intravenously. The drug has to be diluted into saline, with 3mg being diluted into 60ml of saline. 0.5mg of the drug is needed per 7 kilograms of the patient’s mass.
For a patient that weighs 84 kilograms, what volume of saline is needed.
60ml/3mg =20 ml saline per mg of drug
84kg/7kg =12 times the standard drug needed (0.5mg)