ASSESSMENT 2 OSCE guide Course HLT54115 Diploma of Nursing Subject Code and Title NCP106 Nursing Care Plans Unit(s) of Competency Code and Title HLTENN004 Implement, monitor and evaluate nursing care...

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ASSESSMENT 2 OSCE guide Course HLT54115 Diploma of Nursing Subject Code and Title NCP106 Nursing Care Plans Unit(s) of Competency Code and Title HLTENN004 Implement, monitor and evaluate nursing care plans Performance criteria, Knowledge evidence and Performance assessed PC: 1.1, 1.2,2.8,3.2,4.1, 4.2 PE: 1, 4 KE: 5, 7 Title of Assessment Task Assessment 2: Objective Structured Clinical Examination (OSCE) Type of Assessment Task Objective Structured Clinical Examination (OSCE) Length 45 minutes in total Submission Will be undertaken during Module 5.2 (Week 10) Summary In this document, you will find the Objective Structured Clinical Examination (OSCE) tables which will be used to assess you during Assessment 2. You must study these guides to ensure you can perform each OSCE on the day of assessment. OSCE Assessment Sheets Below, you will see the assessment sheets and scenarios which will be provided to you during assessment. It is important to study these sheets and situations; to understand the tasks you will be expected to perform at each station. OSCE Scenario 1 Basic Life support (including DRSABCD) Students must read and hand back to the Assessor. Students will have 20 minutes to complete this assessment from commencement as indicated by the Academic. Case Scenario 1: Mr George McFarlane is a 53 year old Caucasian Male, who was brought to the Emergency Department (ED) by ambulance at 21:30 hrs on Saturday evening, after sustaining an unwitnessed fall at home. It is now 19:15 hrs on Sunday evening, you walk into Mr. McFarlane’s room and you notice that he is lying in Fowler’s position in his bed, with his chin tilted forwards resting on his neck. Half his dinner appears to have been eaten and his tray remains on the meal table in front of him. He is pale, cool and clammy to touch, you observe cyanosis around his lips, and he is peripherally cold. After lifting up his head to attempt to open his airway, he remains unresponsive to speech and ( NCP 106 Nursing care plans Assessment 2 guide ) ( NCP106_Assessment_2_Guide v1 10.12.2019 RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246M ) touch. Discuss and demonstrate the emergency responses to this situation and what codes to initiate for basic life support according to organisation policy and procedures. Basic Life Support: Adult. Occasion 1 Occasion 2 Occasion 3 Date: Date: Date: Students must demonstrate the below skills. S Please tick NS Please tick S Please tick NS Please tick S Please tick NS Please tick Verbally identifies indication for initiating an emergency response.       Identify and responds to an emergency. Discusses DRSABCD       Looks for danger; indicates what could be a possible danger to client and self       Attempts to gain a response from the client       Uses correct emergency code to send for help (Code Blue/ MET Call/ Rapid Response)       Checks client airway for obstructions; indicates possible obstructions in the airway       Checks for breathing; performs look, listen and feel for any breathing       Perform basic life support (CPR) on an adult. Indicates correct rate of compressions, correct depth, and compression/ breath ratio.       Indicates the need for early defibrillation. Discusses Enrolled Nurse (EN) scope of practice in defibrillation       Once emergency team arrives, commences scribing when safe to do so       Completes documentation following emergency call and outcome       Comments: OSCE Scenario 2: Basic Life Support (including DRSABCD) Students must read and hand back to the Assessor. Students will have 10 minutes to complete this assessment from commencement as indicated by the Academic. Case Scenario 2: You are walking past the waiting room on your way to your ward for work and you notice a small young girl (8 years old) collapsed on the floor. Her mother is yelling and shaking her trying to get a response from her. She is unresponsive and is not breathing. Verbalise and demonstrate your response procedures. Basic Life Support: Child. Occasion 1 Occasion 2 Occasion 3 Date: Date: Date: Students must demonstrate the below skills. S Please tick NS Please tick S Please tick NS Please tick S Please tick NS Please tick Verbally identifies indication for initiating an emergency response.       Identify and responds to an emergency. Discusses DRSABCD       Looks for danger; indicates what could be a possible danger to client and self       Attempts to gain a response from the child       Uses correct emergency code to send for help (Code Blue/ MET Call/ Rapid Response)       Checks child’s airway for obstructions; indicates possible obstructions in the airway       Checks for breathing; performs look, listen and feel for any breathing       Perform basic life support (CPR) on a child. Indicates correct rate of compressions, compression depth and compression/ breath ratio.       Discusses EN scope of practice in defibrillation of a child       Once emergency team arrives, commences scribing when safe to do so       Comments: OSCE Scenario 3: Basic Life Support (including DRSABCD) Students must read and hand back to the Assessor. Students will have 10 minutes to complete this assessment from commencement as indicated by the Academic. Case Scenario 3: You are working on the paediatric ward and, whilst feeding a 9 month old baby, she goes floppy in your arms and is not making any sounds, but her eyes are open. Her chest is not rising and falling. She looks pale in colour and is unresponsive. Verbalise and demonstrate your response procedures. Basic Life Support: Infant. Occasion 1 Occasion 2 Occasion 3 Date: Date: Date: Students must demonstrate the below skills. S Please tick NS Please tick S Please tick NS Please tick S Please tick NS Please tick Verbally identifies indication for initiating an emergency response.       Identify and responds to an emergency. Discusses DRSABCD       Looks for danger; indicates what could be a possible danger to client and self       Attempts to gain a response from the infant, indicates importance of not shaking the infant       Uses correct emergency code to send for help (Code Blue/ MET Call/ Rapid Response)       Checks infant’s airway for obstructions, including the nasal cavity; indicates possible obstructions in the airway       Checks for breathing; performs look, listen and feel for any breathing       Perform basic life support (CPR) on an infant using the right technique. Indicates correct rate of compressions, compression depth and compression/ breath ratio. Discusses importance of covering infant’s mouth and nose when providing breaths       Discusses EN scope of practice in defibrillation of an infant       Once emergency team arrives, commences scribing when safe to do so       Comments: Student’s Name Attempt number 1 2 3 Date: Assessment Mark (Please circle): S NS S NS S NS Assessor’s Name: Signature Equipment provided for each scenario: Case Scenarios Skill Equipment 1. · Basic life Support (BLS) and CPR - Adult · Use of an AED - Adult · Evaluation of your contribution to care · Resuscitation mannequins and associated materials · Emergency buzzer · Personal Protective Equipment (PPE) · Bag valve mask, face mask or face protector · Cleaning equipment and consumables · Trainer AED unit 2. · Basic life support (BLS) and CPR - Child · Including the use of an AED - Child · Evaluation of your contribution to care · Resuscitation mannequins and associated materials · Emergency buzzer · Personal Protective Equipment (PPE) · Bag valve mask, face mask or face protector · Cleaning equipment and consumables · Trainer AED unit 3. · Basic life support (BLS) and CPR - Infant · Evaluation of your contribution to care · Resuscitation mannequins and associated materials · Emergency buzzer · Personal Protective Equipment (PPE) · Bag valve mask, face mask or face protector · Cleaning equipment and consumables · Trainer AED unit Using I.S.B.A.R., document the events and actions taken by you as the EN leading up to and including the Rapid Response for Mr McFarlane. This is to be completed after you have attended your OSCE, and handed to your assessor for review on OSCE Day. All legal requirements are to be considered when writing your clinical documentation. Date Time Nursing: ( NCP 106 Nursing care plans Assessment 2 guide ) ( Document a clinical report following case scenario 1 : ) ( NCP106_Assessment_2_Guide v1 10.12.2019 RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246M ) Document a clinical report following case scenario 2: Using I.S.B.A.R., document the events and actions taken by you as the EN leading up to and including the Rapid Response for child. This is to be completed after you have attended your OSCE, and handed to your assessor for review on OSCE Day. All legal requirements are to be considered when writing your clinical documentation. Date Time Nursing: ( NCP 106 Nursing care plans Assessment 2 guide ) ( NCP106_Assessment_2_Guide v1 10.12.2019 RTO Code 0269. Think: Colleges Pty Ltd. CRICOS Provider No. 00246M ) Document a clinical report following case scenario 3: Using I.S.B.A.R., document the events and actions taken by you as the EN leading up to and including the Rapid Response for infant. This is to be completed after you have attended your OSCE, and handed to your assessor for review on OSCE Day. All legal requirements are to be considered when writing your clinical documentation. Date Time Nursing: