A 78-year-old with metastatic cancer refuses a blood transfusion that you believe is life-saving. What do you do?
You suspect a consultant colleague has been drinking on call. What is your duty?
How would you decide whether a COPD patient is appropriate for invasive ventilation?
ICU say the patient is not for intubation and the patient is deteriorating. What would you tell the family?
How would you approach the conversation if you suspected insulin omission for weight control?
A consultant from another specialty refers a patient you don't think needs admission. How do you handle it?
A senior colleague tells you 'we don't Datix things like that here'. How do you respond?
A 92-year-old with end-stage dementia is admitted with aspiration pneumonia. The patient lacks capacity. One daughter insists on 'everything including ITU', the son wants comfort care. How will you proceed?
The ED consultant insists a patient is 'medical' and must be admitted under you. After reviewing, you believe the patient is primarily surgical. The ED consultant becomes confrontational. How do you handle this?
You are the sole medical registrar on take. The surgical FY1 bleeps you for help with a deteriorating post-op patient because the surgical registrar is in theatre. ED has 4 unseen referrals. What do you do?
Your FY1 sustains a needle-stick injury from a known HIV/Hep C positive patient at 04:00. She is exhausted and asks if she can 'just deal with it in the morning'. How do you respond?
Your FY1 prescribed 10x the correct dose of digoxin to an elderly patient who has now developed bradycardia and nausea. The FY1 is in tears. How do you manage this?