14 MRS – Emergency care 1: Initial assessment

Main Scale

The doctor is awkward in dealing with emergencies and often does not collate the available information to make a good initial plan . The doctor readily accepts responsibility for emergency care, and makes sure that he/she has the necessary information to make an initial plan.
1 2 3 4 5 6 7 8 9 10
Has little understanding of this. Attempts to do this but is not yet skilful and sometimes runs into difficulty. Attempts to do this and is usually successful but recognises his/her limitations. Perfect

Subscales

The doctor, when called to an emergency:

Rarely Occas
ionally
Fairly
frequently
Often Usually
(a) Can put patient’s needs above his/her own convenience.
(b) Uses time on the phone (or with the messenger) to obtain accurate relevant information.
(c) Uses that information to decide on the degree of urgency.
(d) Uses that information to ensure that he/she takes the right equipment, drugs, etc.
(e) Takes the opportunity to give interim advice, comfort and where appropriate, reassurance.

Notes for raters

This can really be assessed only by direct observation of the behaviour in (a), (b) and (c), but can be enhanced by subsequent case discussion and patient feedback.

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