Clinical research coordinator at Hallam Road Clinical Research Unit
About 80 minutes. Included in Plus.
Fourteen trial participants to check before the monitor arrives. Find the visit and eligibility deviations, report a major one honestly while the investigator and a nurse push for a softer version, then beat the 24 hour clock on a serious adverse event without making a medical call.
Skills: Check participants against a protocol; Report a deviation honestly and on time; Protect source records under pressure; Meet a safety reporting deadline; Stay inside delegated authority
Outpatient booking coordinator at Riverside General Hospital
About 55 minutes. Included in Plus.
A consultant is off sick for two weeks and sixteen patients need rebooking. Put them in the right order with the right clinicians before their target dates, look after a patient who cannot make the only slot, and tell the manager about any breach.
Skills: Prioritise patients by access targets and policy; Match patients to the right clinician and time; Talk to patients about changes without causing alarm; Report a breach early with the facts
Nurse in charge, night shift at St Aldhelm's Hospital
About 54 minutes. Included in Plus.
A registered nurse has called in sick and a confused patient now needs someone with him all night. Work out what the ward needs, get cover through the escalation route, and allocate the night safely.
Skills: Calculate safe staffing from patients' care levels; Escalate a staffing gap in writing with SBAR; Allocate patients within load and competency limits; Plan for the time before cover arrives
Pharmacy technician at Meadowbank Pharmacy
About 55 minutes. Included in Plus.
The medicines fridge was too warm overnight and the alarm had been muted. Quarantine and value the stock, get the facts to the manufacturers, and keep the patients who are waiting safe and informed, without deciding what only the pharmacist can.
Skills: Follow a cold chain procedure under time pressure; Work out an excursion from logger data; Ask manufacturers for advice with the right facts; Tell patients about a delay within your role; Record an incident to fix the cause, not blame