Walsall healthcare Trust values

Respect - I appreciate others and treat then courteously and regard for their
wishes, beliefs and rights
Compassion – I am welcoming, polite and friendly to all.
Professionalism – I don’t blame others. I seek feedback and learn from mistakes
to make changes to help me achieve excellence in everything I do.
Teamwork — I work in partnership with people across all communities and
organizations.

ROYAL WOLVERHAMPTON TRUST VALUES

Largest NHS Trusts in the West Midlands providing primary, acute and community
services.
Our Vision –
To be an NHS organisation that continually strives to improve the outcomes and
experiences for the communities we serve.
Our Values –
Safe and effective
Kind and caring
Exceeding expectations.

*Latest Wolverhampton NHS Trust Interview Questions(19/02/2021)*

*1. What will you do to prevent infection in a clinical setting?*

.*Good Hand Hygiene (wash hands regularly and in between patients).
*I will always use personal protective equipment (for example aprons, mask,
GLOVES…) •
I will dispose the waste in the correct bins and in the correct way.
*I will use the aseptic techniques when needed such as: a. handling surgery
equipment b. during vaginal labor c. accessing dialysis catheters d. performing
dialysis e. inserting a chest tube f. inserting a urinary catheter g. inserting central
intravenous (IV) or arterial lines h. inserting other draining devices i. performing
various surgical techniques.
*Disinfect the healthcare equipment

*2. What is your role as a nurse in the places you have worked?*
*3.What do you do if you found a patient on the floor and he is
responsive*
Assess the patient – check the vital signs, see if the patient is responsive
Call for help
Check for injuries
Follow the Moving and Handling protocols and procedures
Stabilise the patient
Do a risk assessment
ALWAYS report the incident on the incident report form and update the patient’s
notes.
*4. What are your qualities as a nurse that makes you suitable for
this role*
Ability to work flexibly, Team player. Have a passion for delivering high quality
care. Safe and effective, Kind and caring, Exceeding expectations. Respectful
compassionate and professional.
I’m accountable, courageous, responsible, value others and have high integrity.
*5. What are the basic element of teamwork*
Trust. Empathy. Attitude(Positive). Mutual respect. Support. Ideas. Delegation.
Efficiency. Communication.
*6. Tell me about your duties where u’ve worked and why you chose
this trust*

Refer to note
Why choose Wolverhampton trust- Expantiate on the trust values and back up
your point.
*7. You put up a oil based antibiotics and the patient complains of
swelling tongue, itching, what would be your action as a nurse*
Stop the drug immediately
Check vital signs
Administer steroidal drug example Hydrocortisone to relieve itching
Administer epinephrine to reduce tongue swelling
Inform the charge nurse& physician/drug prescriber
Check patient file for history of previous allergic reaction and if any plan of action
has been documented to cater for such allergy
Document this reaction in patient file
Continue to monitor the patient
Document all care and procedures carried out in patients file

*8. You have a diabetic patient on the ward who is feeling anxious
and agitated, and uncomfortable and on 2mmol of insulin, what
would be ur action as a nurse*
1. assess the patient to get the actual cause of the problem by checking the blood
glucose level for this pt to ascertain if it’s normal or abnormal.
2. Manage as per your finding, if it is low administer or give a fast acting CHO and
if high u can give an oral glyceamic, inform ur line manager ( not sure abt this
though), administer prescribed iv fluid.
3. Change the patients position into a comfortable position, effective ventilation
and access for Pain .
4. Relieve anxiety - this might be as a result of the patients condition. Explain the
condition to the patient
5. Speak to the patient on the possible outcomes and the successful rate of
people with Diabetes and how it was properly managed .
6. Also diversional therapy can help.
7. Recheck blood sugar levels 15 minutes after treatment.
8. Calm your patient, ensure comfort and safety
9.Notify physician
10. Document all care and procedures carried out.
*9. The phases of Nursing process*
is a systematic problem solving method for determining the health care needs of
an healthy or ill individual and for providing personalized care.
Assessment. Diagnosis. Planning. Implementation. Evaluation

•11. How does Nursing process *affect Nursing *practice?

High quality nursing care is based on the systematic scientific methods and
theoretical knowledge.4 The nursing process, which is the most important tool for
putting nursing knowledge into practice, is a systematic problem solving method
for determining the health care needs of an healthy or ill individual and for
providing personalized care.5-7 It is recommended to use the nursing process as a
scientific method in guiding the quality of nursing care and nursing practices.8 The
nursing process has many benefits for the individual who is receiving care, the
nurse, and the nursing student. The nursing process provides that individual-
centered care is given in accordance to a plan and that time is used in a more
effective way while promoting communication between team members and
increasing the quality of nursing care by providing written resources and evidence
for nursing education and research.6,7,9,10 In addition, it promotes critical
thinking, creativity, problem solving, and decision making skills in clinical
practice.8,11,12 Providing care via the use of nursing process increases the quality
of care and in turn, increases the level of satisfaction in individuals who receive
care.

*10. A surgical patient on the ward has a temperature of 39.2, what

would u do*
 Access patients vital signs especially temperature.
 Adjust and monitor environmental factors like room temperature and bed
linens as indicated.
 Eliminate excess clothing and covers.
 Give antipyretic medications as prescribed.
 Ready oxygen therapy for extreme cases.
 Document all procedures and interventions carried out in patients file

I was asked no 1, 3, 4, 5, 7 fro the above questions. They have a total of 9

questions

*Latest Wolverhampton NHS Trust Interview

Questions(26/06/2020)*
*1.* During your shift, a patient with abdominal surgery is having a
blood pressure of 70/40, what will you do?
- take vital signs and assess for shock
- elevate the foot of the bed
- notify the Dr.
- increase drip rate of IV as prescribed
- give blood if prescribed and necessary
- if SPO2 is low, give oxygen at prescribed rate.
- give prescribed medications
- monitor vital signs quarter hourly for signs of improvement
Document all care and procedures carried out on patient
OR
The patient is probably in shock which may be due to blood loss or anaesthetic
effect

Check vitals
Inform Nurse Manager/ physician
Assess ABC.
Increase IV fluid
Give Oxygen if need be
Assess op-site to be sure patient is not bleeding into the abdomen
Keep tag of the abdominal girth.
Continue to monitor the patient to prevent further deteroration.
Document all care and procedures carried out on patient
*2.* How do you compliment your role in a team?
- efficient and effective communication
- maintain professional boundaries
- share accurate information and observation that will assist in adequate patient
care
- maintain cordial relationship with team members
*3.* What will you do to prevent infection in a clinical setting?
- maintain universal and standard precautions
- observe proper hand washing techniques( 5 moments of handwashing)
- proper waste management and disposal
- ensure environment is clean
- disinfect and sterilize instruments and equipments accordingly
- ensure that sick relatives don’t visit
- ensure that an ill health care provider doesn’t attend to patient
*4.* What is your role as a nurse in the places you have worked?
My roles include being
- a patient advocate
- a friend
- a teacher
I also
- delivered standard nursing care using the nursing process
- working with multidisciplinary team to provide healthcare
*5.* What do you do when a patient is unresponsive?
- check for signs of life
- call for help
- ensure that instruments and equipments required for resuscitation are up and
running
- give prescribed fluids and medications
- check SPO2 and give oxygen if lower than 94%
- take vital signs quarter hourly
Document all care and procedures carried out on patient
5. What are your immediate nursing responsibilities for a patient with COPD has
SpO2 of 85% and also complains of breathlessness?
The COPD patient.

Intervene immediately
Elevate head of bed to 45 degree
Check vital signs and oxygen saturation (SpO2)
Assess Airway, Breathing and Circulation.
Check there is no object obstructing airflow
Check for breathing, give Oxygen
Ensure adequate circulation
Inform ward manager/ physician
Continue to monitor patient
Document in patient record.
*6.* What do you do if you found a patient on the floor
remove patient from the scene if it is unsafe
Assess the patient – check the vital signs, see if the patient is responsive
Call for help
Check for injuries or hemorrhage
If patient is conscious, Follow the Moving and Handling protocols and procedures
Stabilise the patient and place patient in a recovery position on the bed.
If patient is unconscious, initiate CPR until help arrives
Give oxygen, fluids and medications as prescribed
Monitor vital signs quarter hourly until patient is stabilize
Do a risk assessment
ALWAYS report the incident on the incident report form and update the
patient’s notes.
Document all care and procedures carried out on the patient

*7.* You went to visit an elderly patient and you find the daughter
speaking to him in an abusive manner. What will be your action?
- raise safeguarding alert

3. I will get the Health assistant away from the patient and ask her to wait for me
in the staff room.
I will ensure the patient is ok ,Also reassure and calm the patient.
I will talk to the healthcare assistant about her behaviour, that it's not right and
patient's are meant to be treated with respect and dignity as well safeguarding
them against any form of abuse.
I will write report on the incident.
I will inform my line manager (even if that is the first time - so as to monitor the
healthcare assistant and prevent further reoccurrence, also in case of further
training on patient safeguarding measures.
I will follow the hospital policy and procedure on abuse.

4. Use the 6Cs and expantiate on it.

**cold
*infection control
*abdominal surgery with low bp
*role in team work
*intervention in iv reaction