Protocollen en richtlijnenProtocols and guidelines
What this unit teaches
Five words that decide everything
These five carry the whole legal weight of a protocol, and four of them look mild. Your language probably renders bij voorkeur and in principe with the same hedging word, which is exactly why they are the pair that gets people into trouble: both are checkable afterwards. Read the small words before the clinical content — that is where the obligation lives.
dient te … moet, staat vast in het protocol
bij voorkeur de eerste keus
in principe de regel, tenzij er een uitzondering is
kan worden … mag, als het nodig isDeviating is allowed, staying silent is not
A protocol is not only there to protect the patient; it protects you. Following it and recording that you did puts you on solid ground. Departing from it for a stated reason, written down, puts you on solid ground too. Only an undocumented departure leaves you standing alone — and that is a language task as much as a clinical one, because the reason has to be written in Dutch, today, not remembered in a year.
Mag ik dit doen? → bevoegd: op papier
Kan ik dit doen? → bekwaam: in de praktijk
Ik ben bevoegd, maar ik voel me nog niet bekwaam.bevoegd and bekwaam — two different questions
Dutch law separates being authorised from being able. For reserved procedures you need both, and you are expected to judge the second one about yourself, out loud. «Ik ben er niet bekwaam in, wil je meekijken?» is a professional sentence here, not an admission of weakness — and for a foreign nurse or doctor it is often the single most useful sentence of the first year.
1. Ik kan dit nu niet zelfstandig doen.
2. Ik heb dit twee keer onder supervisie gezien.
3. Als jij meekijkt, voer ik het graag uit.From the text
«Het staat gewoon in het protocol», zei Marit, en zij had het scherm er al bij gehaald.
«It is simply in the protocol», said Marit, and she had already pulled the screen over.
Vocabulary in this unit (70 words)
| Dutch | Meaning |
|---|---|
| het protocol | protocol |
| de richtlijn | guideline |
| de werkinstructie | work instruction |
| de norm | standard, norm |
| dienen te | shall, is to |
| uitsluitend | exclusively, only |
| tenzij | unless |
| mits | provided that |
| indien | if (formal) |
| bij voorkeur | preferably |
| in principe | in principle |
| zo mogelijk | if possible |
| indien nodig | if necessary |
| voor zover | insofar as |
| het uitgangspunt | starting point, premise |
| afwijken van | to deviate from |
| de afwijking | deviation |
| motiveren | to justify, give reasons for |
| de motivering | justification |
| vastleggen | to record, document |
| bevoegd | authorised |
| de bevoegdheid | authority, competence (legal) |
| bekwaam | competent |
| de bekwaamheid | competence (practical) |
| de voorbehouden handeling | reserved procedure |
| delegeren | to delegate |
| verantwoordelijk | responsible |
| de verantwoordelijkheid | responsibility |
| aansprakelijk | liable |
| de aansprakelijkheid | liability |
| gelden | to apply, be in force |
| van toepassing zijn | to be applicable |
| het geval | case |
| de uitzondering | exception |
| met uitzondering van | with the exception of |
| de versie | version |
| geldig | valid |
| actueel | current, up to date |
| verlopen | to expire |
| naleven | to comply with |
| de naleving | compliance |
| de audit | audit |
| de steekproef | spot check, sample |
| interpreteren | to interpret |
| de interpretatie | interpretation |
| strikt | strict |
| streng | strict, severe |
| naar de letter | to the letter |
| naar de geest | in spirit |
| toetsbaar | testable, verifiable |
| toetsen | to test, assess against a standard |
| overslaan | to skip |
| nuchter houden | to keep fasting |
| het scherm | screen |
| erbij halen | to pull up, bring in |
| nuttig | useful |
| de verplichting | obligation |
| verplicht | compulsory |
| het document | document |
| de uitdrukking | expression, phrase |
| behandelend | treating, attending |
| beide | both |
| bekend | known |
| breed | wide |
| de deur | door |
| de discussie | discussion, argument |
| eigenlijk | actually, strictly speaking |
| formeel | formal |
| de datum | date |
| eraan | to it |
The first unit is free — no account needed.
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