NMC OSCE- Implementation Station (Ectopic Pregnancy Scenario) #OSCE #nursing #nmc# Implementation

Summary

In this instructional video, the speaker guides viewers through the process of administering medication to a patient, focusing on safety, professionalism, and effective practice. Key actions include patient identification, allergy checks, and pain assessment, followed by a thorough medication review. The speaker discusses each medication, including possible side effects, and demonstrates best practices for hand hygiene, privacy, and patient care. Emphasis is placed on confirming the right medication and dosage, and the speaker reassures the patient while maintaining clear communication throughout the process.

Takeaways

• 😀 Ensure patient safety and comfort by performing necessary safety checks before any medical intervention.
• 😀 Follow infection control protocols such as hand hygiene before and after patient contact.
• 😀 Always introduce yourself, state your purpose, and confirm consent before proceeding with any procedures.
• 😀 Verify the patient's identity using at least three identifiers and confirm any allergies and medical history.
• 😀 Use the Universal Pain Scale to assess and rate the patient's pain, and take appropriate action based on the rating.
• 😀 Administer medications in line with prescribed instructions, confirming the drug, dosage, and patient details.
• 😀 Always document the medication administration process, including any variations from the prescribed plan.
• 😀 For medications like painkillers, verify if they were recently administered to avoid overmedication.
• 😀 Educate the patient on possible side effects of medications and ensure they are comfortable with the treatment plan.
• 😀 After medication administration, check the patient in 30 minutes for any side effects or effectiveness of the medication.

Q & A

What is the first step in the medication administration process?

The first step is to read the candidate brief, noting the time due for medication administration, and conducting a safety check for the patient.

Why is it important to confirm the patient's identity?

It is crucial to confirm the patient's identity to ensure that the right person receives the correct medication and to prevent any errors.

What should you do if the patient reports pain?

If the patient reports pain, you should use the Universal Pain Scale to assess the pain level, reassure the patient, and perform a quick intervention if necessary.

What is the purpose of reading through the medication chart?

The purpose of reading through the medication chart is to ensure that the medication rights are valid and complete, and to check for any necessary precautions such as allergies, dosage, or side effects.

What should you do if a patient has an allergy to a medication?

If a patient has an allergy, it is important to record it and ensure that no medications containing the allergen are administered. You should also consider any alternative options.

How should you handle a situation where a medication cannot be administered on time?

If a medication cannot be administered on time, such as in the case of paracetamol where there is only a 3-hour gap between doses, you should document the reason, not give the medication, and escalate the issue to the doctor.

What should be confirmed when administering intravenous medication?

Before administering intravenous medication, confirm the IV site for any redness or swelling, ensure there is no pain at the cannula site, and double-check the prescribed medication.

What is the role of the second identity and allergy check?

The second identity and allergy check ensures that the correct patient receives the correct medication and that there are no potential allergic reactions that could harm the patient.

Why is hand hygiene emphasized throughout the process?

Hand hygiene is emphasized to prevent the transmission of infections and to ensure the safety of both the healthcare provider and the patient, in line with infection control policies.

What is the significance of documenting medication administration accurately?

Accurate documentation is vital for legal and medical purposes, ensuring that the correct medication, dosage, and time of administration are recorded, and that any discrepancies or missed doses are properly noted.