GP Stage 3 Simulated Consultation - Healthcare Professional 4
You are an SHO on the acute medical ward and Jordan Bonnington, the ward pharmacist has asked to speak to you.
You are Jordan Bonnington, a pharmacist on the acute medical ward. You have arranged to speak to one of the ward doctors regarding increasing amounts of medications going missing from the ward. There have been small stock discrepancies over the last month, however in the last week there have been a number of controlled drugs (eg. Morphine) which have gone missing from the controlled drugs cupboard.
You would like to know if the doctor has any idea as to how the medication has gone missing, or who may be involved. If asked, you report that you believe James, another of the SHOs (Junior Doctors) may be involved as you have observed him acting suspiciously over the last couple of weeks, avoiding eye contact and looking increasingly dishevelled. You would like to know if the SHO has had any similar concerns about James. You have not noticed any increase in drug-errors or clinical concerns on James’ part.
Whilst you would like the matter investigated, you would prefer for disclosures to be kept to a minimum as your fear that you will be held responsible for the controlled drugs going missing. The stress of the situation is affecting your sleep at night and you fear that you may become unwell. Nonetheless, you do not presently believe that the stress is affecting your clinical work. At home, you are well supported by your husband and three children.
This consultation requires sensitive probing in order to establish Jordan’s concerns as well as ideas underlying the concerns. Candidates not asking Jordan’s ideas, will unlikely establish that another SHO (James) may be responsible for the missing medication.
Confirming that patient safety is not presently compromised is essential in this consultation, by addressing whether Jordan has any personal clinical concerns and whether Jordan has noticed any increase in errors on James’ part.
Appropriate solutions may include agreeing to discuss Jordan’s concerns with James as well as agreeing an appropriate follow-up meeting with Jordan. Furthermore, suggesting that Jordan arrange a meeting with her GP would be appropriate given the impact the circumstances are having on Jordan's general health and wellbeing.