zinevorti.blogg.se - 1focus quick start

1FOCUS QUICK START UPDATE
1FOCUS QUICK START MANUAL

Need to think about who asks what and when.

Positive about the SPA form at the back.

Q on demeanour needs to be nearer the front.

It feels as though the national form informed the indicators rather than the other way around.

Data captured on referral form to Tayside sexual health-no point putting it in the proforma, as it wouldn’t show up for 2 weeks.

The person is so traumatised and can’t always retain information.

A lot of question to be asking a person at that time.

Placement of some questions feels wrong: self-harm risk, thoughts and plans, should be captured with ‘recent and ongoing mental health issues’.

Consent to share data, more about GDPR than informed consent to examination.

The time would be better spent getting informed consent and chatting to the person to ensure they understood the process and what it means For any other intimate examination, verbal consent would be enough without the person having to sign a form.

Consent section: having signed consent feels like a legal disclaimer.

Our doctors use the FFLM proforma, completed after the examination.

The form doesn’t flow, jumps around from one section to the next from start to finish.

1FOCUS QUICK START UPDATE

Police usually meet with doctors after the examination for a verbal update Doctors not happy about documentation to be handed over to the police-their opinion might change with reflection, and a legal report might be different to their views as noted in the proforma.From a public health perspective, all of that data collected would be rich information.The doctor is there to gather evidence for court.The form in general is prescriptive, with lots of questions and checklists, maybe missing something more valuable such as overall presentation, demeanour, natural conversation Feedback from SOLOs is that it’s too big, not person-centred and asks for a lot of information which isn’t also relevant.It’s not trauma-informed to subject victims to a lengthy document with lots of repetition The form is too long and feels like a data-mining tool.Who benefits from the proforma-the victim or the quality improvement/data collectors?.7.1.3.4: no evidence base, low national prevalence, so is the vaccination appropriate?.Query hep B vaccine: usually offered only after a risk assessment.

1FOCUS QUICK START MANUAL

Feels more like a manual than a pathway –there’s nothing to actually follow.