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NHS Pathways Assessment: A Guide to Understanding the System, Exams of Nursing

A comprehensive overview of the nhs pathways assessment system, outlining its purpose, structure, and key components. It explains the different modules, pathways, and questions used to assess patients' symptoms and determine appropriate clinical responses. The document also includes definitions of key terms and provides insights into the rationale behind the system's design.

Typology: Exams

2024/2025

Available from 01/19/2025

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What |are |NHS |pathways? |- |correct |answer |A |suite |of |hundreds |of |interlinked
|questions |is |arranged |into |a |complex |flow-based |system |based |on |the
|symptoms |of |the |patient. |
This |links |all |of |the |information |from |the |call |to |refer |the |patient |to |the |correct
|service.
How |to |make |a |good |clinical |decision? |- |correct |answer |Gather |the |right
|information |which |will |then |be |collected |and |analysed.
What |are |the |4 |R's? |- |correct |answer |Relevant |structured |questions. |
Right |Information. |
Right |Time. |
Right |amount. |
This |will |help |us |to |decide |the |correct |treatment |pathway |for |all |patients.
What |does |the |system |require |from |the |assessor? |- |correct |answer
|Understand |various |clinical |issues |and |carry |out |the |relevant |health
|assessment. |
Understand |how |the |system |works. |
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What |are |NHS |pathways? |- |correct |answer |✔A |suite |of |hundreds |of |interlinked |questions |is |arranged |into |a |complex |flow-based |system |based |on |the |symptoms |of |the |patient. |

This |links |all |of |the |information |from |the |call |to |refer |the |patient |to |the |correct |service.

How |to |make |a |good |clinical |decision? |- |correct |answer |✔Gather |the |right |information |which |will |then |be |collected |and |analysed.

What |are |the | 4 |R's? |- |correct |answer |✔Relevant |structured |questions. |

Right |Information. |

Right |Time. |

Right |amount. |

This |will |help |us |to |decide |the |correct |treatment |pathway |for |all |patients.

What |does |the |system |require |from |the |assessor? |- |correct |answer

|✔Understand |various |clinical |issues |and |carry |out |the |relevant |health |assessment. |

Understand |how |the |system |works. |

Good |communication |- |asking |the |right |questions |and |ensuring |the |caller |understands |you.

How |does |the |system |help |to |assess |a |patient? |- |correct |answer |✔Necessary |questions |are |organised |to |assess |the |patient's |symptoms |based |on |level |of |severity. |

If |the |caller |gives |enough |information |you |may |not |need |to |ask |as |many |questions.

what |are |the |three |main |pathways? |- |correct |answer |✔Module | 0 |- |Immediately |life |threatening

Module | 1 |- |System |specific. |

Module | 2 |- |designed |for |trained |clinicians.

What |is |Module |0? |- |correct |answer |✔This |is |where |life |threatening |issues |are |immediately |filtered |out. |

This |can |be |skipped |if |the |caller |says |what |the |issue |is |and |you |may |skip |to |Module | 1 |or |stay |module |0. |

Information |gathered |during |the |call |will |help |to |go |directly |to |correct |pathway.

What |is |Trauma? |- |correct |answer |✔An |inflicted |wound |or |injury |which |occurred |within |the |last | 7 |days. |( |you |will |then |initiate |trauma |pathways). |

Many |calls |closed |within |M1 |

Pass |to |Clinician

M2 |

Small |number |of |calls |will |require |clinician |imput.

What |re |the |different |age |ranges |? |- |correct |answer |✔Neonate |- |Less |then | 1 |hour |old.

Infant |- | 1 |hour |to | 12 |months |

Toddler |- | 1 |-5 |years |

Child | 5 |-16 |years |

Adult |- | 16 |years |+

How |many |times |can |you |click |not |sure |before |you |have |to |call |a |clinician? |-

|correct |answer |✔more |then |two |time |refer |to |a |clinician.

What |is |a |call |report? |- |correct |answer |✔This |all |of |the |questions |you |have |answered |and |symptoms |you |have |ruled |out.

What |is |the |question |rationale? |- |correct |answer |✔A |brief |explanation |of |why |the |question |is |being |asked. |this |will |help |you |form |alternative |questions |if |the |caller |does |not |understand |the |question.

Speak |to |Clinician |from |our |service |for |Home |Management |Advice |- |correct

|answer |✔They |will |validate |your |answers |and |then |give |specific |home |care |advice |the |patient

For |persistent |or |recurrent |symptoms: |get |in |touch |with |a |local |service |for |a

|non |urgent |appointment |- |correct |answer |✔The |symptoms |will |usually |resolve |within |a |few |days. |If |you |still |feel |unwell |then |call |a |GP.

Before |you |go, |I |will |just |need |to |check |whether |I |need |to |give |any |further

|instructions |or |advice. |- |correct |answer |✔Linking |statement |to |keep |the |caller |on |the |phone |just |incase |you |need |to |give |them |any |further |information.

what |factors |determine |a |less |urgent |response? |- |correct |answer |✔Social |factors, |pre-existing |disabilities |and |local |policy.

illness |- |correct |answer |✔This |means |symptoms |of |illness |and |symptoms |arising |from |an |injury |older |than | 7 |days.

This |also |means |suicide |attempts |or |self-harm |through |self-poisoning, |overdose, |ingestion |of |an |object |or |toxic |inhalation |WITHOUT |APPARENT |INJURY.

This |also |means |an |individual |who |has |fallen |over |but |has |NO |APPARENT |INJURY.

A |state |in |which |the |function |of |the |part |of |body |is |no |longer |in |a |healthy |condition |and |which |is |experienced |by |the |patient. |This |can |due |to |factors |such |as |infection, |ageing, |lifestyle |or |genetics.

Injury |- |correct |answer |✔This |means |any |injury, |including |suicide |attempts |or |self-harm, |e.g. |cutting |or |burning, |within |the |last | 7 |days.

This |includes |any |declared |joint |dislocation.

Answer |stem: |- |correct |answer |✔Division |of |each |question |to |be |answered.

Supporting |information: |- |correct |answer |✔Explanation |of |what |is |meant |by |each |answer |stem

The |Body |map: |- |correct |answer |✔The |division |between |Module | 0 |and | 1 |and |where |the |user |selects |a |symptom-based |Pathway.

The |Body |map |areas: |- |correct |answer |✔Areas |of |body |to |be |clicked |to |access |Pathways.

Key |points: |- |correct |answer |✔Instructions |for |when/when |not |to |use |a |Pathway

Call |summary: |- |correct |answer |✔Contains |details |of |questions |that |have |a |significant |answer |that |will |be |sent |to |the |paramedics |to |help |them |when |assessing |a |patient.

Call |report: |- |correct |answer |✔Contains |details |of |all |questions |& |advice |given

Disposition: |- |correct |answer |✔The |clinical |outcome |of |the |call |after |the |system |has |collected |sufficient |information.

Disposition |instructions: |- |correct |answer |✔Information |to |help |the |caller |follow |the |disposition |safely.

DoS: |- |correct |answer |✔Directory |of |Services |that |can |facilitate |local |delivery |of |the |recommended |disposition.

Interim |care |advice: |- |correct |answer |✔Advice |to |help |the |caller/patient |manage |the |problem |until |further |assessment |and/or |care |is |received.

Care |advice: |- |correct |answer |✔Advice |to |help |the |caller/patient |manage |the |problem |themselves |when |further |assessment |and |care |is |not |required.

Early |exit: |- |correct |answer |✔Function |within |the |Pathways |system |for |when |it's |impossible |or |inappropriate |to |triage.

Change |Answer: |- |correct |answer |✔Used |to |go |back |to |a |specific |answer |to |change |it.

Restart |Triage: |- |correct |answer |✔Used |to |delete |all |triage |answers |and |start |the |triage |again |from |the |beginning |or |to |change |from |1st |to |3rd |party |or |vice |versa.

Specify: |- |correct |answer |✔Presented |when |additional |information |is |required.

Worsening |advice: |- |correct |answer |✔Instructions |about |what |to |do |if |the |problem |worsens

"Speak |to" |- |correct |answer |✔Telephone |consultation.

Treatment |Centre |- |correct |answer |✔A |service |profiled |via |DoS |to |provide |the |level |of |care |the |patient |needs. |This |could |be |an |Emergency |Department, |Walk- in |Centre, |Minor |Injuries |Unit |etc.

Refer |to: |- |correct |answer |✔Make |a |referral |to |a |service.