Implementation Station Heart Failure Scenario
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- เผยแพร่เมื่อ 2 ต.ค. 2024
- This video takes you through the steps for safe medication administration in OSCE.
You have the right to consult BNF if you come across any medicine you are not familiar with.
bnf.nice.org.uk/
I will grateful for your videos. Your videos helped me to passed my OSCE. I used only videos for preparation and by God's grace i passed.
Thank you
Congratulations 🎊 👏, keep winning. Thanks for your feedback.
Dear Unified, your channel is the only channel which answered my questions patiently. Thank you so much 🙏🙏🙏
I passed OSCE yesterday and I really appreciate your help. Keep up the hard work😊
HI @ mariam, Congratulations, more wins🏆 🏆
Please what code should I use when the route for drug administration is not stated.
Secondly can I document code 6 at the last page of omitted drugs if I had incorrect prescription
Hi, code 6 is ok( incorrect prescription) there will be an instruction at the part for coded medicines, just go by the instruction please.
Hi wat is the code for ommision if patient has allergy...is it 6?thanks
Hi, you can ho for code 10
Hi, you can go for code 10
God bless you for your good works. I will be writing my osce next week believing God for success. Please what are the control drugs we are not expected to administer in implementation. I wii be glad to get a response from you please
Hi, if you have a controlled medication, just request your assessor to cross-check with you. Waiting for your success story 🎉.
Great video!!!
OK thanks very much
Hello… Thank you for this Video.
Pls, why did u administer Digoxin and Furosemide even when the assessor mentioned that the patients HR and BP are within therapeutic range?
Hi, the therapeutic value is about if the value is within the acceptable rate. E.g For, Digoxin HR - 60 & above is safe to give.
I deeply grateful.
Thank you for the speedy response 🙏🏾
Why did first say that you're happy to give this medication and later said assessor am not giving this medication...please help
Digoxin
Hi, just making reference to putting the dot, just to clarify that I'm not giving it at that point. But I will be coming back to give it.
Please, if there is not any allergies reactions, will one still need to sign and write date and bleep number on the allergies column or just need to tick alone?
Hi, the allergy part would have been prefilled with the Doctor's name and bleep number.
Hi
How to administer regular medicine with code x ?What is indicated by code x?Can you please clarify?
Hi, you are likely to have x in a time before your administration time. It is likely that the medication was given already .
@@unifiedosce5580 Thank you so much for a swift reply.
So it not neccessary to write date only signature at the given time column
Hi, it's ok to write the date & signature. For the prn indicate the time given.
hi thankyou so much for everything
if there is no finish date and duration in lactulose i.e senna which is prescribed under REGULAR medication, is it valid or invalid prescription
Hi, Lactulose is different from senna, although action might be similar. If you don't have a start date and finish date or ongoing under regular , that renders the prescription incomplete .
Do you still have to administer the medication if the pharmacy check is blank?
Hi, you are likely to have pharmacy check in OSCE.
@@unifiedosce5580 Thank you for the reply.
Hi unified OSCE can you help me clarify y question
patient is in pain and PRN paracetamol 1g is due to be given
As soon you were about to give PMOL patient started complaining of Nausea
Do you have to give the pain med and escalate the Nausea or Stop giving the paracetamol
because patient is Nauseous.
what do you have to do in this scenario (End of Life Care)
Hi, check if due for PRN antisickness. If not verbalise you will escalate to the medical team. Find out if patient can still manage to take the medication, then you can give the due paracetamol.
@unifiedosce5580
Thank you so much
there was no Antisickness prescribed.
So I can just verbalise the escalation of Nausea
And go ahead with my PRN pain medication
I failed because of that
Hello
When you have a medication under regular medication, start date was given, finish date- ongoing, duration was blank, is the prescription valid.
Hi, the duration is required along with other required details to consider a prescription valid & legible.
Thankyou so much❤️got a question
If paracetamol is already given in 4:00 hour in stat dose and again in regular same pcm is prescribed at my due time 8:00 hour
So can i give pcm its exact 4 hours difference
Hi, Yes. Paracetamol can be given 4 hours minimum interval from the last dose.
@@unifiedosce5580 thankyou so much ❤️
can you do implementation under end of life
hi on implementation if there is no duration on regular medicine do we code or give ?? if code what number do we use ,?? is it code 6
Thankyou mam, for omiting hypertensive medicine,what is the lowest blood pressure value mam
Hi, a general rule might not be applicable, it depends on the clinical situation. I will suggest if systolic is less than 100mmhg.
@@unifiedosce5580 thankyou so much ☺️
Thank you for the well elaborated implementation
Great presentation, if we have a code of 5 at medication do we have to signed it at omitted doses of medicine? Or that is only for code 10? Thanks.
Hi. the instruction at the back will state if you are to write medication coded 10 or all coded medications. Thanks
Do uou have video on evaluation in heart failure
th-cam.com/video/0BRLyOTugoM/w-d-xo.htmlsi=1i_Uhl1DQLUY9EV2 Hi pls use the link above for A-E assessment on Heart Failure. We will keep you posted when we upload a video on the evaluation station. Thank u
Hi dear if duration is not Indicated can I fail to administer and code it instead
Hi, you may not have duration in some prescription, but it may indicate ongoing. If it is ongoing, it is ok in as much as other factors are met.
Thank you for this video
hello if the drug has already given or not due my time still need to read out everything ? for digoxin the date its 5 days ago not today still right time ?
Hi, if it is not due at your time of medication administration, you need to read every details, but you will not need to explain the action side effects . Prescription is valid, even though it was started 5days ago. Thanks
@@unifiedosce5580 thx so nice of u to give me prompt reply
may I ask qd means everyday or four times a day/?
6 hourly in 24 hours or 4 times in 24 hours.
Hi, thanks for the great presentation.
Please share with us other meds that are likely to come in the chronic cardiac failure, eg: furosemide, bisoprolol, ramipril, .......and what else please?
Hi, you have mentioned the likely ones,wishing you success 🎉.
@@unifiedosce5580 for example what if I have only furosemide, ramipril and bisoprolol to administer with BP being 120/80 . would you proceed with all 3 if validity and timing is correct ?
Yes it's ok to give as long as all the checks are satisfied
how can have a print out of the MAR sheet?
Hi, you can take a screenshot .
Ma , the last aspect of the chart written Notes with(new,amended,unchanged,supply At home ) what does it mean? Should we ignore it
Hi, not sure of the aspects you are referring to. It is advisable to read every part to avoid missing out on any details .Thanks
She mean under regular medicines,by your right hand side, under Notes,that was written New,Amended,Unchanged, Supply at home, what will I tick?
Thanks for the video!
For Furosemide the frequency is QD while the time is only 08:00. The prescription is incorrect. Can we code it?
Hi, in OSCE the 4 timings will be written, however as long your due time is stated, all other validity and legibility are ok. No need to code. Thanks
So in OSCE if the frequency is QD and just written 08:00 . What should I do?
Many thanks for your quick response 🙏🙏🙏
Hi, It is ok to give, if other legibility & validity are ok.
Thank you unified. Got this in implementation unfortunately dint give furosemide
@annmonicah3625 HI, wishing you success, it depends on your reason why you did not give. In this scenario IV was given 5 days ago, if in your scenario IV was given same day, and the regular tablets is daily. It is still OK not to give.
Hi dear Unified OSCE, thanks for answering my questions whenever I had doubts about some stations🙏🙏🙏
Is the bleep number important? I mean can I give medicine without the bleep in the hospital.
Also can we administer low dose Oxycodone or not in OSCE exam?
I would really appreciate your support for overseas nurses🙏🙏🙏
Hi, Yes the Bleep number is important for hospital setting, if bleep number is missing, that renders the prescription incomplete. . But sometimes in community settings you may not have the bleep number, this is acceptable but this will be consistent with all your MAR charts.
For the oxycodone, it is a controlled medication, if other factors are ok, you will request the assessor to please countersign with you.
Thanks a lot 🙏🙏🙏
If my patient's blood pressure is high and patient was prescribed Antihypertensive due my time every other thing was written but there is no finish date will i serve this medication
There should be a finish date, state that you'll quickly escalate to the Dr to complete the prescription after your procedure and you'll come back to administer it.
Thanks for the video
But furosemide was given at 6.30 o'clock intravenous then under regular it was prescribed to give furosemide at 8.oo o'clock Qds.
To my understanding I would code furosemide because of time range 6.30 and 8.oo o'clock difference of two hours and half.
Waiting for your response
Thanks
Frusemide was given at 16:30hours
Yes it was given a t 16:30 our edit made it appear as 6:30. You can see the time due was 16 hr.
Thanks😅
Please what is the meaning of delayed doses at the back of the chart. Can you explain please
You wouldn't have any reason to delay a medication in OSCE but in clinical practice,if your patient is on a daily medication and due at maybe 08am but the patient is NBM and you know by noon the patient will be allowed to eat you can delay the medication and to give it later.