Integrated Practice 118 - OSCEs
General Similarities
Perform hand hygiene.
Donne appropriate PPE if applicable.
Provide patient’s privacy if applicable.
Introduce yourself to patients and family.
Identified the patients using two identifiers (ex: Name & Date of Birth).
Explain the procedure to the patient and ensure consent.
Do the procedure.
Doffe any PPE if appropriate.
Ensure the patient is in a safe position, has the call bell, and doesn’t have any current needs.
Doffe any remaining PPE.
Perform hand hygiene.
Things to know
Performing hand hygiene
Donning and Doffing PPE
Ten Rights of Medication of Administration
Right patient: Ensuring the medication is given to the correct patient.
Right medication: Administering the correct medication as prescribed.
Right dose: Giving the appropriate dosage of the medication.
Right route: Administer the medication through the correct route (e.g., oral, intravenous).
Right time: Administering the medication at the prescribed time.
Right documentation: Recording the medication administration accurately.
Right reason: Administering the medication for the correct medical indication.
Right response: Monitoring the patient's response to the medication.
Right to refuse: Respecting the patient's right to refuse medication.
Right education: Providing the patient with appropriate education about the medication.
General Survey
Physical Appearance
Age
Gender
Signs of distress
Body type (Overweight, normal, underweight)
LOC (Level of Consciousness)
Skin Colour
Facial Features
Behaviour (looks at you or not)
Vital Signs
Body Temperature
Oral: 37c
Pulse
60 - 100 beats per minute
Respirations
12 - 20 breaths per minute
Blood Pressure
120/80 mmHg
Oxygen Saturation with Pulse Oximetry
95 - 100%
Pain
Assessment (OPQRST)
O = Onset (When)
P = Provocation / Palliation → Makes it worse / better?
Q = Quality → How does it affect your life?
R = Radiation / Region → Where is it, and does it travel?
S = Severity → Pain Scale: 0-10 (0 no pain, 10 worst pain ever)
T = Timing → Pain at times or activities
Skills of Physical Assessment
Inspection
Palpation
Auscultation
Percussion