Band 6 emergency department nursing interview

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Hi there

Is there any managers on here that could give me tips for what they would be looking for in a band 6 emergency nurse? Ie. interview questions, the worse answers heard or best, scenarios used, presentation tips (what do they're ally want to see)

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Specializes in Emergency.

What's a band 6 nurse?

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I have no clue what the "band 6" is all about... Canadian, British, or Aussie I'm guessing...

Regardless, some questions that came up when I was interviewed...

A patient comes in vomiting frank blood... what are the priorities?

A patient comes in dizzy, diaphoretic, and with an HR of 210... what are your first actions, what's probably happening, what are the treatments?

What's a primary consideration when evaluating a patient in the hallway?

Is it OK to give a man Rh positive blood? Why/why not?

What is the most effective way to monitor the effectiveness of the patient's ventilatory status? For what kinds of patients would this be appropriate?

A 37-year-old male collapses while walking and is found pulseless... what are some of the likely causes?

With what do you treat benzo overdoses?

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Band 6 is deputy sister in uk, in emergency department

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Band 6 is deputy sister in uk in emergency department[/quote']

And a deputy sister is what, a charge nurse? Interesting to learn what things are called around the world. :)

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

[TABLE]

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[TD]Band 2[/TD]

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[TD]Clinical support worker (community)[/TD]

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[TD]Clinical support worker nursing (hospial)[/TD]

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[TD]Band 3[/TD]

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[TD]Clinical support worker nursing higher level (community)[/TD]

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[TD]Clinical support worker nursing higher level (hospital)[/TD]

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[TD]Clinical support worker nursing higher level (mental health)[/TD]

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[TD]Band 4[/TD]

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[TD]Nurse associate practitioner acute[/TD]

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[TD]Nurse associate practitioner (community)[/TD]

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[TD]Nurse associate practitioner (mental health)[/TD]

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[TD]Nursery nurse (community)[/TD]

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[TD]Band 5[/TD]

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[TD]Nurse[/TD]

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[TD]Nurse community[/TD]

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[TD]Nurse GP practice[/TD]

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[TD]Nurse mental health[/TD]

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[TD]Nurse schools[/TD]

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[TD]Nurse learning disabilities[/TD]

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[TD]Theatre nurse[/TD]

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[TD]Band 6[/TD]

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[TD]Health visitor[/TD]

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[TD]Nurse team leader (learning disabilites)[/TD]

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[TD]Nurse specialist[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse specialist (community)[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse specialist (GP practice)[/TD]

[/TR]

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[TD]Nurse specialist (learning disability)[/TD]

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[TD]Nurse specialist (NHS Direct)[/TD]

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[TD]Nurse specialist (schools)[/TD]

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[TR=bgcolor: #ffffff]

[TD]Nurse specialist (special schools)[/TD]

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[TR=bgcolor: #ffffff]

[TD]Nurse specialist mental health (community)[/TD]

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[TD]Nurse team leader[/TD]

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[TD]Theatre nurse specialist[/TD]

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[TD]Band 7[/TD]

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[TD]Health visitor specialist[/TD]

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[TD]Health visitor team manager[/TD]

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[TD]Nurse advanced[/TD]

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[TD] Nurse advanced (schools)[/TD]

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[TR=bgcolor: #ffffff]

[TD]Nurse team manager[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse team manager (learning disabilities)[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse team manager (mental health) community[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse team manager (NHS Direct)[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse team manager (schools)[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nurse team manager (community)[/TD]

[/TR]

[TR=bgcolor: #ffffff]

[TD]Nursing health visitor specialist (community practice teacher)[/TD]

[/TR]

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[TD]Band 8A-C[/TD]

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[TD]Modern matron Band 8a-c[/TD]

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[TR=bgcolor: #ffffff]

[TD]Nurse consultant Band 8a-c[/TD]

[/TR]

[/TABLE]

http://www.nhscareers.nhs.uk/explore-by-career/nursing/pay-for-nurses/

Traditionally, on completion of training, nurses would be employed on a hospital ward, and work as staff nurses. The ward hierarchy consists of:

  • Healthcare Assistants etc. (see above for other titles) - Unregistered staff responsible for providing direct patient care, under the supervision of qualified nurses (often staff nurses). Under clinical grading (see below), these staff usually attracted A or B grades, and are now employed in Bands 1-3 under Agenda for Change (see below) although some roles are continuing to be developed and warrant a position at band 4 perhaps with a different title and involves more experience and/or qualifications. These positions at band 4 can often be referred to as assistant practitioners or senior HCA and provide a more complex support role to the Registered Practitioner and/or Physician but their roles must not be confused with that of a nurse. These roles are separate to which work is delegated by professional nurses. Bands 2, 3 and 4 are task orientated roles.
  • Staff Nurses - the first grade of qualified nursing staff. These nurses are responsible for a set group of patients to which they are responsible (e.g. administering medications, assessing, venepuncture , wound care and other clinical duties. Clinical grading, these nurses were usually employed at D grade, under Agenda for Change they are most likely to attract a band 5 salary. Level two nurses often hold positions anywhere between C and E grades, but are now banded exactly the same as first level staff nurses.
  • Senior staff nurses - these nurses carry out many of the same tasks, but are more senior to the staff nurses. This difference is usually academic, although it is evident occasionally when a senior staff nurse is in charge of the ward or department area during a shift. Employed at E or F grade under clinical grading, and may be assigned band 5 or 6 under Agenda for Change.
  • Junior/Deputy Sister; Charge Nurse; Ward Manager - responsible for the day-to-day running of the ward, and may also carry specific responsibilities for the overall running of the ward (e.g., rostering) in accordance with the wishes of the ward manager. These nurses were usually employed at F grade under clinical grading, and now are most likely to be assigned band 6, although some have attracted a band 7 salary.
  • Sister/Charge Nurse; Ward Manager - this nurse is responsible for running a ward or unit, and usually has budgetary control. He/she will employ staff, and be responsible for all the local management (e.g., rostering, approving pay claims, purchasing equipment, delegation duties or tasks). These nurses were previously employed at G grade, and now usually attract a band 7 salary (occasionally band 6, e.g. in the case of a small ward/ department, or if responsibility is shared).
  • Senior Sister; Charge Nurse; Senior Ward Manager - if there is a need to employ several nurses at a ward manager level (e.g. in A&E), then one of them often acts as the senior ward manager. These nurses were previously graded G or H, and now attract a banding anywhere between 6 and 8c.

http://en.wikipedia.org/wiki/Nursing_in_the_United_Kingdom
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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I have no clue what the "band 6" is all about... Canadian, British, or Aussie I'm guessing...

Regardless, some questions that came up when I was interviewed...

A patient comes in vomiting frank blood... what are the priorities?

A patient comes in dizzy, diaphoretic, and with an HR of 210... what are your first actions, what's probably happening, what are the treatments?

What's a primary consideration when evaluating a patient in the hallway?

Is it OK to give a man Rh positive blood? Why/why not?

What is the most effective way to monitor the effectiveness of the patient's ventilatory status? For what kinds of patients would this be appropriate?

A 37-year-old male collapses while walking and is found pulseless... what are some of the likely causes?

With what do you treat benzo overdoses?

That has me curious.....why can't a man have Rh positive blood? If they are Rh positive they receive Rh positive blood

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Specializes in Emergency.
That has me curious.....why can't a man have Rh positive blood? If they are Rh positive they receive Rh positive blood

If the pt's blood type is known, and they are Rh+, then yes they can have Rh+ blood irregardless of the sex of the pt.

The question has more to do with if you have a trauma pt and we don't know the pt's blood type, then what type of blood do you give him/her until we get that information? Of course everyone can receive O- blood, so the simplest answer would be to give O- to all. However, O- is in short supply, so then what can you give someone if your out of O- (or need it for other pts)? Well, if you give this person O+, then there will be no problem unless they are Rh-, and actually because of the way the immune system works, the pt will not reject the Rh+ blood if it's the first time they have been exposed to Rh+ antigen.

So, many hospitals have gone to giving O+ blood in trauma situations where the pt is either a male or a post-menopausal female. I've seen studies that show the incidence of reaction is so low, that they feel it's a better tradeoff to manage the occasional reaction than it is to use up their scare supply of O- blood.

Some policies also state that in shortages of Rh- blood, they can switch to Rh+ blood for women of child bearing age as well. I don't think the research has determined a best practice for giving these pt's RhIG (Rhogam) yet, so different hospitals have differing practices on who should get prophylactic RhIG in these situations.

Hope that helps!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
If the pt's blood type is known, and they are Rh+, then yes they can have Rh+ blood irregardless of the sex of the pt.

The question has more to do with if you have a trauma pt and we don't know the pt's blood type, then what type of blood do you give him/her until we get that information? Of course everyone can receive O- blood, so the simplest answer would be to give O- to all. However, O- is in short supply, so then what can you give someone if your out of O- (or need it for other pts)? Well, if you give this person O+, then there will be no problem unless they are Rh-, and actually because of the way the immune system works, the pt will not reject the Rh+ blood if it's the first time they have been exposed to Rh+ antigen.

So, many hospitals have gone to giving O+ blood in trauma situations where the pt is either a male or a post-menopausal female. I've seen studies that show the incidence of reaction is so low, that they feel it's a better tradeoff to manage the occasional reaction than it is to use up their scare supply of O- blood.

Some policies also state that in shortages of Rh- blood, they can switch to Rh+ blood for women of child bearing age as well. I don't think the research has determined a best practice for giving these pt's RhIG (Rhogam) yet, so different hospitals have differing practices on who should get prophylactic RhIG in these situations.

Hope that helps!

Thank you! Great explanation by the way. I have worked trauma for 35 years I guess it was the way you worded the question....Is it OK to give a man Rh positive blood? Why/why not? I though any one can have Rh positive blood if they are Rh positive......That threw me off for a moment.

So the question would be.....In a trauma situation is it OK to give O pos if O neg is not in supply. Why or why not.

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.

Thanks for the explanation! To be very specific, we're not talking blood, but PRBCs. If you are giving actual blood (whole blood), it is absolutely 100% type-specific and matched. We try to keep the O neg PRBCs for our female patients, but if we have an O neg type male patient, we'll use our O neg PRBCs on him. If we run low, we do a whole blood drive to collect some units for that patient. I realize this isn't the norm in the states (I am in Afghanistan) and some people think whole blood is the devil, but I have seen it make life/death differences more than once. Interesting stuff!

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Specializes in Emergency & Trauma/Adult ICU.

In an emergency - trauma or other bleeding - in the U.S. the patient is going to get O- blood. Gender does not matter -- that was a distractor thrown into the question to test whether you understand the physiology or just remember associating Rh factor with OB patients. By the time initial resuscitation/transfusion is completed, there has probably been time for a patient-specific type & cross match to have been completed if the patient continues to require administration of blood products.

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Specializes in Emergency, Trauma, Pediatrics.
In an emergency - trauma or other bleeding - in the U.S. the patient is going to get O- blood. Gender does not matter -- that was a distractor thrown into the question to test whether you understand the physiology or just remember associating Rh factor with OB patients. By the time initial resuscitation/transfusion is completed, there has probably been time for a patient-specific type & cross match to have been completed if the patient continues to require administration of blood products.

This is incorrect. At some trauma centers in the United States (where there is an extreme shortage of O-Neg PRBC's), males & non-childbearing aged females are given O-Pos, while the O-Neg is reserved for child-bearing aged females.

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