Semester 2 OSCE

Clinical signs of internal haemorrhage:

Clinical signs of external bleeding:

How can you tell the difference between an arterial bleed & a venous bleed?

What additional assessments do you make on a patient who is bleeding?

What nursing action should you take for external bleeding?

What nursing action should you take for internal bleeding?

Haematemisis

Haemoptysis

haematuria

haemothorax

melena

epistaxis

haematoma

What are we recording when we take a person's blood pressure?

What are we recording when we take a person's blood pressure?

What are we recording when we take a person's rest rate?

What do vital signs tell us about our patients? Temp, BP, HR, Resps, SaO2

Define syncope.

What are the common causes of syncope?

How should syncope be managed?

How should you position a patient who has fainted?

What are the clinical signs and symptoms of hypotension?

What should you do if the patient is hypotensive?

How do you recognise a seizure?

What emergency management is required for a seizure?

What are the 6 rights?

Formula for IV infusions?

Where is the most suitable IV placement positions?

What are some complications of IV therapy?

Define Type 1 diabetes.

Define Type 2 diabetes

How do you take a BGL?

What is the normal range for a BGL on a non-diabetic patient?

What is the normal range for a BGL for a diabetic patient?

How do you prepare the pt for taking their BGL?

Why do we monitor patients BGL's?

What is Hypoglycemia?

What are the symptoms of hypoglycaemia?

What is the treatment? Conscious? Unconscious?

What does the hypo kit contain?

When should you calibrate the BGL machine & why?

How do we assess pain in a patient?

What is the PQRST of pain assessment?

What effect does pain have on the vital signs of a patient?

What kinds of non-pharmacological interventions can you implement for a patient who has pain?

What is an acceptable oximetry reading for a healthy patient?

What is the difference between hypoxia and hypoxemia?

What does an oximetry reading tell us?

What can affect a correct oximetry reading?

What measures do you implement if your patient's oximetry reading is low?

What are the signs and symptoms of hypoxia

What is meant by a normal breathing pattern?

What is the importance of coughing and breathing exercises?

How do you teach coughing and breathing exercises?

What does febrile / pyrexia mean?

What are the clinical signs and symptoms of pyrexia?

How do we treat pyrexia?

What are the clinical signs and symptoms of hypothermia?

Why is it difficult to obtain an oximetry reading on a hypothermic patient?

SIX RIGHTS

What sorts of things would (SHOULD) you find on the drug ORDER?

AURICULAR

BUCCAL

CONJUNCTIVAL

SUBLINGUAL

IM

What is the difference between side effect and allergy?

PO/O

ID

IM