FFICM Clinical Standards and Guidelines 5

Question 1

Under the Duty of Candour regulation (Health and Social Care Act 2008), ICU teams must notify patients or their families of a notifiable safety incident within what timeframe?

Accepted Answer

As soon as reasonably practicable

Answer

The Duty of Candour requires healthcare providers to notify affected persons as soon as reasonably practicable after a notifiable safety incident is identified.

Question 2

FICM and ICS joint guidance on tracheostomy care recommends that a tracheostomy safety box (emergency equipment) contains which critical item immediately at the bedside?

Accepted Answer

Tracheal dilators and a spare tracheostomy tube (same size and one size smaller)

Answer

Tracheostomy safety guidance mandates a bedside box with spare tubes (same and smaller size), tracheal dilators, and an airway alert card to manage displacement emergencies.

Question 3

The Sepsis Six care bundle, promoted by the UK Sepsis Trust, includes administration of which specific fluid volume as an initial resuscitation target in adults?

Accepted Answer

500 mL–1000 mL crystalloid, reassessing after each bolus

Answer

The Sepsis Six recommends 500 mL–1 litre crystalloid boluses with reassessment after each, not a fixed 2-litre dose.

Question 4

According to NICE guideline NG89 (Rehabilitation after critical illness in adults), which tool is recommended for assessing physical morbidity at ICU discharge?

Accepted Answer

Chelsea Critical Care Physical Assessment (CPAx)

Answer

NICE NG89 endorses validated ICU-specific functional assessment tools; CPAx is widely used in UK ICUs for structured physical assessment at discharge.

Question 5

The FICM and RCoA joint curriculum for ICM training requires trainees to demonstrate competence in which quality improvement methodology as a core skill?

Accepted Answer

Plan-Do-Study-Act (PDSA) cycles

Answer

FICM/RCoA curricula require trainees to understand and apply PDSA cycles as the foundational methodology for quality improvement projects.

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

(FFICM) Final Faculty of Intensive Care Medicine Practice Test

FFICM Clinical Standards and Guidelines 5