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Daniele Queen Kings Lynn

Parlami della tua esperienza


Cosa fai al momento
Quali sono le skills di un buon infermiere
Se non sei daccordo con la terapia che il dottore ha prescritto al paziente che cosa fai
Come tratti le informazioni dei pazienti
Se hai un paziente con la pressione bassa che fai (es: 40 su 82)
Cosa ti piace del tuo lavoro
Cosa fai nel tempo libero
Cosa pensi del posto per il quale stai facendo il colloquio e quali difficolt potresti incontrare
Che reparto che preferisci
Noemi e Yadira Cornwall
Quali esperienze passate ti sono piaciute di piu e cosa hai imparato
Se hai un paziente con stress che cosa fai
Se hai un paziente che piange che cosa fai
Se un paziente cade a terra privo di sensi che cosa fai
Se hai un collega che nn ha i tuoi stessi valori che cosa fai
Cosa pensano di te i tuoi colleghi o caposala
Cosa fai per prevenire le infezioni
Cosa fai come infermieri per mantenere alti gli standard della NMC
Se non sei daccordo con la terapia che il dottore sta somministrando al paziente che cosa fai?
Domande di Taunton
What are your hobbies? What do you like to do in your free time?
Which areas interest you the most?
Which areas did you like the most during the degree/studies?
Which qualities do you have that can be good for the team work?
Where do you see yourself in 5 years?
Do you fell confidence to write an article in English?
Fabio Bornemounth
Parlami di te stesso e delle tue esperienze lavorative? Tell me something about
yourself
Quali skills dovrebbe avere un infermiere / Which skills should have good nurse
Che significa team working / What does team work mean to you?
dove ti vedi tra 5 anni / Where do you see yourself in five years?
Quale area ti interessa / Which areas interested u the most?
Cosa faresti se un tuo paziente reclama e/o diventa aggressivo / What do you do if a
patinet .... or becoume nervuse?
Un 'altra domanda era sulla pressione bassa e sulla sicurezza

Domande Federica Dorset

Parlami della tua esperienza lavorativa


Scegli chi ha la priorit tra un medico che ti vuole parlare, un paziente che chiama, o qualcuno al
telefono.
Cosa fai se un paziente perde un foglio nel corridoio
Cosa capisci e fai nell assistenza clinica, o se hai informazioni private
Quali sono le giuste azioni per uno che lavora in una squadra
Quali sono le tue abilit
La domanda del candidato: quale il rapporto infermiere/pz
Domande Nuccio Yeovil
cosa faccio se un paziente ipoteso
cosa faccio se vedo un infermiere comportarsi scorrettamente
cosa controllo prima di somministrare una terapia
cosa faccio se sbaglio dosaggio
perch vuoi lavorare al (nome dello ospedale)
Domande fatte da Yeovil in base alle risposte di Nuccio
1) Dove vorresti lavorare ( che reparto)
2) Cosa dovresti fare e quali sarebbero secondo te le mansioni in un reparto di chirurgia
3) Come ti comporteresti e cosa faresti se un tuo paziente va incontro ad un infezione
4) come previeni le infezioni
Domande Iosetta Yeovil
So please tell us about you
Answer : I am . I'm 25 . I live in..... I graduated.....
I am really energetic and great comunicator. I have a dynamic, creative and serious
personality.
Working in the medical field helped me build confidence and taught me the
importance of patient care. I believe i'm a positive person. I'm a team player. I like
discussing ideas or exching points of view with other people and know other people
opinion.
(personalizzarlo il pi possibile e far capire la propria determinazione)
Come ti comporti se una tua collega si comporta male?
Come ti comporti se sbagli il dosaggio di un farmaco?
Come ti comporti se un paziente presenta diarrea?
Quali sono le caratteristiche che deve avere un buon infermiere?
Parlami della tua esperienza di tirocinio / lavorativa
Domanda che il candodato ha posto alle esaminatrici:
Could you list 3 factors/ qualities that make your care assistance better

Domande Lorenzo Yeovil and Kettering


Come intervieni se un paziente ha la PA alta?
Dipende dalla gravit dellipertensione, dal tempo in cui si realizza il rialzo pressorio e dalle
condizioni del paziente: un aumento brusco dei valori pressori del paziente sono un segno
allarmante, ancora pi allarmanti sono alterazioni dello stato di coscienza o presenza di dolore,
soprattutto al petto.
In caso di emergenza ipertensiva quindi dobbligo chiamare il medico, valutare lo stato di

coscienza del paziente, avvicinare il carrello delle emergenze e monitorizzare i suoi parametri vitali
e il suo ECG, quindi assicurarsi un accesso venoso, possibilmente di grosso calibro. Qualora invece
lipertensione non sia complicata da nessun segno di squilibrio emodinamico o neurologico allora
occorre prima di tutto tranquillizzare il paziente prima di avvisare il medico, poi procedere a un
accertamento pi completo tramite un ECG e una rivalutazione continua delle sue condizioni e dei
parametri vitali. Si registra levento e si applicano indagini diagnostiche e le variazioni terapeutiche
prescritte dal medico.
It depends on the hypertension importance, on the time of pressure increase and on patient general
condition: a rapid increase of the Blood Pressure is a dangerous sign, more important are the
consciousness alterations, other neurological alterations and painespecially in the head, chest or
addominal pain.
So.In case of an Hypertensive Emergency its mandatory to call a medic, to assess the
consciousness of the patient, bring the crash cart, monitor the patient vital signs (vitals), his ECG
and ensure a intraveous line, possibly with a 14 or 16 gauge. Instead if the hyperthension is not
complicated by an instable haemodinamic or neurological status, we have to calm (reassure) the
patient first, inform the medic and then proceed with a more complete assessment, with ECG,
monitoring the patient condition and vitals. Finally in each situation we must record the event and
do the diagnostic measures, blood tests, and the therapeutic variations prescribed by the physician.
Then I have to record the event, as clearly as I can and as soon as possible, with what happened, the
time, patient vitals, sign and syntoms, my intervention, the effect of my intervention and the
therapeutic variation prescribed by the physician after that I have to administer the medication,
assess the effect and record it again, monitoring the bp more often
Esami necessari:
ecg, rx torace, ossimetria, analisi urine, azotemia/creatinina, elettroliti, glicemia, emocromo.
Farmaci emergnza:
nitrati per via endovenosa, ace inibitori, clonidina, fentolamina, labetalolo e i betabloccanti
*E bassa?
Anche qui occorre distinguere i casi di emergenza dalle ipotensioni croniche o non immediatamente
pericolose. In caso di un brusco calo pressorio, un emorragia grave, un alterazione della coscienza o
altri segni e sintomi di shock circolatorio fondamentale chiamare il medico, avvicinare il carrello
delle emergenze, monitorizzare il paziente e assicurarsi un accesso venoso periferico prima che il
collasso circolatorio lo renda impossibile. In caso di ipotensione cronica o comunque non pericolosa
abbiamo il tempo per tranquillizzare il paziente, chiedergli come si sente, posizionarlo in
Trendelembrug, avvisare il medico, monitorizzare il pz, reperire un accesso venoso, effettuare un
ecg e registrare levento.
There is to make a difference between the emergencies and the chronic ipotension, not immediatly
dangerous. If there is a rapid pressure decrease, a huge Hemorrage, a consciousness alteration or
other circulatory shock signs and syntoms is basic to call the physician, to bring the crash cart
(emergency trolley) and to ensure an intravenous line before the circulatory collapse makes it
impossible. If the hypotension is not dangerous we have the time to calm the patient, ask him how
he feels, position him in trendelemburg, call the medic, monitor him, take an intravenous line and
record the event. Then we have to apply the therapeutic variations and the diagnostic measures or
test, like an ecg.
Come intervieni se un paziente nervoso?
First of all i try to talk him, and i dont mean two words before to call the physician, i mean to sit

down with him in his room or in another quiet enviorment and try to understand what is the
problem, that can be easy or a serious problem, the patient could be worried about his condition or a
surgery. I give the patient all the informations he need about his concerns with a quiet tone of voice,
on a quiet situation, andif there is need of help for any other concern i can even call his relatives
or his caregiver if the patient wants. At least if the nervousness is more serious than how initially
seemed i can call the help of a psychologist and warn the physician, then, when the patient is calm i
record the event.
Se ci sono pi persone che necessitano di aiuto a quale paziente dai priorit?
I give the priority to the patients with the worst conditions, like patients with one of the three vital
system compromized circulatory, respiratory or neurological, i have to do the primary assessment
to understand it, so i will assess the consciousness, the airways, the breathing and the circoulation.
There are to consider the traumas, and the risk of hidden traumas too, especially cervical and cranic
traumas. Only after the stabilization of all the patients i can proceede with the secondary assessment
to know all i can about the patient condition, more specific, using Glasgow Coma Scale for
example, to evalutate a coma. I have to cooperate with the Physician after, using a protocol (like the
APACHE II or SAPS II: Age, hearth rate, systolic pressure, temperature, GCS, Ventilation, PaO2,
FiO2, Urine Output, Blood Urea, Sodium, Potassium, Bicarbonate, Bilirubin, White Blood Cells,
Chronic diseases) to do all the test and measure the severty of disease. Obviously if possible, i give
priority to old people and children (pediatric patients) because of their systemic fragility. In fact i
use the ER triage method in any situations.
First of all i have to ensure that every patient is stable, if is my ward i should be aware of the
condition of all the patient admitted, so i can immediatly organize my priority assessing the patients
with the worst conditions and those dependent on nursing and monitoring them and next the others.
After that its important to do the medications using the same method: Despite every therapy its
important i have to do the essential medications first, to ensure the treatment of the intensive cares.
Its important to check the ventilations too and the wound dressings. (Another important thing its
that even during with a lot off work to do we dont have to sacrifice the policy for the prevention of
the infections, the privacy or, generally, the healthcare safeness. )
Come previeni le infezioni?
To prevent the infections i have to act on the factors of the infection chain, the patient, the operators
and the environment. I have to apply all the evidence based recomandations, and the guide-lines
based on clinical evidences. First of all is important to wash the hands between a patient and the
other, and between tecniques or clean and dirty phases of the same procedure. I have to wear the
PPE (Personal Protection Equipment), that are Gloves, Mask, Protective Eyewear, Protective
Apparel remembering that the gloves dont replace the need of handwashing. Not only i have to
educate the patients and his relatives, and to ensure that all the staff memebers respect the
prevention protocols. To ensure that the environment its clean, the ventilation gears are clean and
daily checked, as for the intravenous lines and the medications. Its important also to close off
(isolate) the patient affected by spreading infections. I have to follow aseptic moves during sterile
procedures, like urinary catheterism, airways suction, surgical wound dressing and cleaning,
managment of the CVC, changing the drips, intravenous tubingeccetera. Its also basic to
administer the eradication therapies as prescripted by the physician in order to obtain the best of the
effect by the antibiotics. Its important to use specific protocols based on the clinical evidences and
guidelines for specific kind of infection like the CA-UTIs (Cathether Associated - Urinary Tract
Infections) or the RTIs (Respiratory Tract Infections).

Come intervieni se un paziente presenta ipoglicemia?


If the hypoglycaemia is severe i call a physician , i check the state of the patient for pallor,
mydriasis, increase of Respiratory Rate and Hearth Rate, weakness and tremor probably if the
blood glucose is lower than 50 mg/dl the patient will show CNS (central nervous system) deficits or
he will be already unconscious, so i will set an intravenous line, cause probably the treatment will
be about glucose Intravenous somministration (IV). Obviously if the hypoglycaemia is not so
severe, and the patient is conscious, i can ask the patient to eat some sugar, with a glass of water
maybe, or a fruit juice while i call the medic, and later i check the blood glucose again. Finally i
will record the event and i will check the blood glucose of the patient more often to prevent other
hypoglycaemic decreases.
If a patient falls out of bed what do u do?
I have to call help first, next I asses the safeness of the area and immediately the patient condition:
first of all I have to ensure that patient is conscious, check for any injuries, especially fracture. Its
essential to asses for sign of spinal, cervical or limb fracture or head injuries. I have to warn the
doctor and reassure the patient, if he deem safe to move the patient I can position it in a more
comfortable position maybe with the help of an hoist, giving him an analgesia first, maybe, if
prescripted by the doctor and move him in a chair or in the bed and check his vitals (Bp, pulse,
spo2, temp).
After the stabilization of the patient condition I can investigate on the causes of the fall, ask the
patient and witness how the patient fall, how he felt just first the incident. I ensure the bell for call
nurses for the future mobilising. And finally I record the event and complete an incident form,
accurate, with all the details, and I check the form with the doctor. Next I care for the medication if
deemed necessary by the physician. I ensure that all the staff its aware for the event and the falls
risk about the patient. I inform the relatives if the patient agree and I ensure that the patient knows
the dangerous of a fall. However I observe the patient more often during the day.
A member of the domestic staff cuts himself with glass
You notice that some drugs are missing
A patient complains that some of their belongings are been stolen.
If you receive a complaint from the patient or the family, what will you do?
I talk with the patient to understand the issue and the origin of his concerns, they might be about the
care service or may born by concerns about his condition. If is a complaint about the nursing I try to
understand and deal the issue communicating in a quiet and private situation. However I have to
explain to the patient how to fill out a complaint form. I ask him if he needs his relatives and even if
the issue is solved talking I have to record the event, his complaint, in the patient documentation,
with the causes of the issue, the time, my intervention, and the current situation. This is to prevent
other complaint like that, to deal with some weak point of the staff healthcare and try to improve
our service.
How con you reduce the risk of complaints?
I can act in many ways, first working on my way to work, thinking about all the patient situations to
find ways to make the patients feel better even when they dont communicate their concerns.
Setting high standards of healthcare and a good and honest relationship with the patient, his family
and between the staff members.
The ward you are working on has failed its infection preventions audit. What would your role

be ensuring that it didnt fail again? How would you get staff support?
First of all I have to find the causes of the failure, after that me and the staff have to set new audits
and work with many single steps to improve togheter. About the infections prevention the nurse
have to work basing on the clinical and practical evidences. We have to start from the basic rules,
washing hands before any procedures, done in the right way, between any patient and the next, even
before to wear gloves and between a clean phase or a dirty phase of a single procedure. We have to
wear the PPE (personal protection equipment) in order to protect the patient and ourselves by
infections and injuries. So I will wear gloves, protection eyewear and apparel. I have to follow all
the specific aseptic moves during the sterile procedures and to guarantee a clean environment.
Using specific protocols for specific kind of infection too its essential, and finally we have to
publish all the steps made and the audit results for all the staff or, if there is a great result, even for
the international nursing community.
How would you deal with a patient who has CIDF or MRSA?
I have to inform the patient about his condition and the risks linked to it, next I have to set all the
prevention measures to prevent the spreading of the infection, move the patient in another room and
using all the prevention rules following the prevention policy, as wearing the PPE, following the
aseptic moves during procedures, in case of clostridium difficile infection the soap is more
efficacious than alcohol. I have to perform a cleaning of any shared medical equipment and inform
all the staff about the condition of the patient, being aware that even the domestic staff its aware
about the infection and the spreading risk.
I have to administer the eradication therapy as prescribed by the physician, follow the times and the
dosage.
How do you deal with a conflict in the workplace?
I ask to the people that are arguing or discussing to move in a private and quiet room in order to
dont hurt the healthcare environment with their conflict, next I try to help them to solve the issue
trying to listen both of them and let them speak without being judgemental. I inform the manager of
the ward about the issue hoping that the solution of the problem can improve the healthcare service
to the patient.
How do you ensure your documentation meets the NMC standards for record keeping?
My records have to be more accurate as possible, I have to write them as soon as possible after the
event, every note must be signed, clear and timed. For example before a medication or a treatment I
have to write the results of an assessment, and after the medication I have to write what drug I
administer, when, with which route, what dosage and the name of the patient, after that I have to
assess the effect of the medication and write it how much clearly as I can. It is important, in
conclusion, to keep safe the information about the patient and the healthcare.
You are taking up a post in a new area, what do you think should be included in the
induction?
To meet the staff members first, starting by a preceptor eventually, then the structure, the
emergencies protocols and the equipment of the ward. Its important to have a resource to inform
about the ward policy, the guidelines followed and the documentation used.
How would you ensure the staff develops professionally?
With training and studying first, if there is a balance and a integration between the work and the
growth there is a professional developing. While there is a patient under my care there is a person, a
story, there are needs and, fears and hopes, but there are an opportunity to learn too. And we can
share all that we learn from working in regular meetings, during trainings, studying and doing
research.
How do you recognize poor standards in the clinical area?
Looking and listening the patients and the families first. The patient is the one whi gives us

feedbaks to understand the quality of our work, a lot of complaints, a lot of infections and a lot of
complications are bad sings obviously. There are to listen to the staff members too, every eye its a
new point of view that can shows new problems. A bad morale and bad work environment become a
bad teamwork, and a bad teamwork is detrimental and dangerous for the patient. And the patient see
it, hear it.
If you were a patient what would quality care feel like to you?
I would like to see smiling nurses, orbetter nurses that can give me hope, and for reach this
target they have to be professional, to shows safeness and make me feel safe, as patient. I would
heal in a quiet ambient with right rules and a clean environment, where I can eat and drink in the
right way and I can sleep well. So as patient I would like to a nurse who really works to make me
feel better and make me ready to go home as soon as possible in safeness. And in conclusion I
would like nurses that respect me and defend my dignity and privacy, and can listen to me when I
have something to say.
How would you deal with a patient who was upset and worried about catching an hospital
acquired infection?
I would give him all the information about what we do, as healthcare staff, to prevent infections in
and out the healthcare environment. I would say what Im doing every time I do a procedure
explaining why I uses gloves and what kind of handwashing I done first.
You have administer the incorrect dosage, what will you do?
I would inform the doctor and the patience, I assess the effect of the administration checking for
every sign of the effect of an high dosage of the drug. I check another time for the patient medical
history and allergies, the side effect and the interaction of the drug with other medications. I inform
the patient that he have the right to present an complaint form, meanwhile I have to monitor the
patient status till the physician deemed the situation safe. However I have to record the event as
clear as I can, with time, name of the patient, dosage, effects, therapeutic variation prescribed by the
doctor and the current situation. Obviously there is the need to fill out even a incident form I think.
Altre Domande:
Che cosa fai quando il livello di glucosio nel paziente e basso?
Pressione alta e pressione bassa
Come ti comporti come infermiere per prevenire il rischio di infezioni?
Cosa fai se un paziente e confuso e si toglie i vestiti?
Cosa fai per prevenire le piaghe da decubito? R: non deve esserci pressione nella lesione e evitare
che si sporchi
Cosa fai se vedi che il paziente non e a suo agio?