Free assessmentRanking SJT item

Free SJT assessment

Rank the responses from MOST appropriate to LEAST appropriate.

Scenario

Near the end of a busy shift, a colleague quietly tells you they wrote in the notes earlier that a patient had been reviewed and was comfortable, but they had not actually gone back to see the patient yet. The patient currently appears settled, but a nurse has just mentioned that the patient seems more short of breath than before. Your colleague asks you not to mention the documentation issue yet because they are about to review the patient now and do not want to look bad in front of the team. Rank the following actions from MOST appropriate to LEAST appropriate.

Rank the responses

On mobile, move each response up or down into order. 1 = most appropriate, 5 = least appropriate.

#
Response
AMost appropriate

Ask the colleague to review the patient immediately and make clear that the situation needs to be dealt with openly, including the inaccurate documentation.

BPosition 2

Review the patient yourself first, then decide afterwards whether the documentation issue still needs to be raised if the patient is stable.

CPosition 3

Say nothing for the moment because the colleague has already realised the problem and is going to see the patient shortly.

DPosition 4

Seek urgent help from another senior clinician if needed because the patient may be deteriorating, while making sure the concern is not simply left hidden.

ELeast appropriate

Reassure the colleague that everyone slips up and encourage them to sort the patient review and the notes out quietly once things are less busy.