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Thank you good luck with your study

HI The test centre have said the following " The mark scheme will not be changing as there will be some situations where the candidate has to administer a sub cut injection using a syringe. It is only when administering insulin that they will use a pen, this has been implemented to reflect best clinical practice." Therefore you need to follow best practice guidelines if you have insulin pen and this is not as per the marking cirtiera. I have a tutoring student who had their exam last week and had the insulin pens she passed

@HannahAmes24thank you so much 🙇‍♀️

Depends if you verbalised it and how well you did globally in that station.

Hi it is really difficult job market at the moment you are not the only one struggling and UK student nurses who have recently qualified are also finding it hard. I do, do interview preparation sessions my email is hannahlames@outlook.com

Keep practising and being familiar with the medication charts remove unnecessary communication keep it systematic and structured

@HannahAmes24 Good morning!! Can I prepare the medication, educate the patient about the indications and side effects for due medication, put them in cups as I read the chart. For example, I go to once only medication ,read out the due medication, explain indications and side effects, find out if they are happy to take the medicine, get out the required tablets into a cup and put them aside before moving to other sections of the chart? Then after reading all sections and preparing the due medications,I give the patient to swallow.

@@ivanlumu7842 if this helps you with time management yes. I would just have a quick look through the chart and see what medications are due and if there are any that are contraindicated

Congratulations I am so pleased for you a wonderful achievement and I wish you all the best in your NMC registration 🎉

@@bashful030 you must don PPE in this station as it is an aseptic procedure and the risk of introducing infection via the IV route is high, if you do not wear PPE it would be a critical fail

@HannahAmes24 noted on this. thank you for the reply. what about those stations that doesn't require PPE, but you wear PPE, is it a fail too? thank you so much hannah

@@bashful030 you would not fail but it will waste time in your station

@HannahAmes24 thank you very much! i love watching all your videos very informative.

@@RyanG-f9f thank you the same principles apply I do talk about the evaluation in the Community APIE tutorial video as well good luck with your study

Massive congratulations well done a brilliant result and I wish you all the best with your UK nursing registration and career.

@@iXmorph post meal is up to 2 hrs post the meal NICE guidelines for diabetes are 4-7 pre meal and 5-9 post meal

@HannahAmes24Thanks you Coach 🙏🏾

Hi marking cirtiera is not updated yet for pens but you should definitely wait 10 seconds as per NHS England and Diabetes UK guidance

Hi there is nothing in the NHS England or Diabetes UK that indicates that you should wipe the pen, if it is the patients own pen which it normally is then there is minimal risk of cross contamination. You should not recap a used needle this would be a fail

Thank you so much

Hi there is nothing in the NHS England or Diabetes UK that indicates that you should wipe the pen, if it is the patients own pen which it normally is then there is minimal risk of cross contamination

@@crazycherry6921 thank you wishing you good luck with you OSCE try and be confident and the show the examiner all your nursing knowledge you don't need to be perfect but you need to be safe

@HannahAmes24thanks for your blessing and support. I passed my OSCE🎉. Really enjoyed this exam because I’ve practiced my usual skills and training. Thanks again your videos which helped me so much

@crazycherry6921 huge congratulations and well done 🎉 a brilliant result and wishing you all the best with your UK nursing registration

@@barbaratengey5153 I think it does

Hi you only need to verbalize the care plan there will not be anywhere to document the only documentation will be the MUST score

Hi for NBM this is very dependent on the local trust policy the current evidence-based advises against prolonged periods of being NMB and most places follow 2 hrs as patient outcomes are worst with long periods of NBM and the risk of aspiration does not appear to change with a short NBM time some places allow clear fluids up to surgery. I would advise against verbalising a set time. In relation to SDH yes you would withhold if the the SDH had happened in the last 48hrs

@ You’re Amazing… Thank you Hannah 🙏🏾

@@ivanlumu7842 the NEWS2 parameters for normal pulse are 51-90 so 50 and under scores so that's why I teach 50 it is also important to use clinical judgement and ask if that is normal for the patient. From experience it is not common for the doses to be prescribed incorrectly

@HannahAmes24 , Thank you so much for your timely response. May the almighty continue blessing you

I think for 2 reasons one you do not want to vigorously move the curtains as this could cause cross-contamination onto your trolley and second to maintain privacy if the patient is exposed for the dressing

Hi I would email the test centre and ask them to review your paper and say you did write the score, so can they clarify the feedback. You can appeal it if you think you did it correctly which it sounds like you did. Well done on passing your other stations a great result.

@@bwonthuga78 personally if you are certain you did it correctly and that is your only error in that station I would appeal it the exam is so expensive to retake and 2 weeks is not a long time to wait for a saving of £400, they are only human and can make mistakes

You are so welcome!

@@bashful030 yes absolutely and do not need to write word for word try and put in your own words

Is it the same for evidenced based? And if i missed one point is it a fail? Thank you so much hannah.

@@iXmorph thank you please share my videos and I wish you all the success in your exam

@@bashful030I don't at the moment but it is on my list of ones to do when I have the time

Hi yes the skills are the same you normally get a different scenario for any written clinical skills but it will be the same skill

@ thanks You very much

@@iXmorph personalised signature that are unique to you. In time write the time you were asked to give and instructions you write "omitted" to indicate you have not given the medication

@ Thanks alot coach 🙏🏾

@HannahAmes24Hi Hannah Pls in implementation am I allowed to administer controlled drugs like Codeine to a patient since I’m still a Pre-registered nurse?

@iXmorph there will not be any controlled drugs due at your time to administer so don't worry about this, codeine phosphate is not a controlled drug it is also not normally a drug prescribed for your time to give either

@@Huda20248 yes you I would advise you looking at the NEWS2 escalation policy which you can get from here and you have a copy in your exam www.rcp.ac.uk/improving-care/resources/national-early-warning-score-news-2/. 0 = 12hr no escalation 1-4 =4-6hr you do need to escalate but you can also escalate to the senior nurse if you were concerned 3 =in a single parameter= 1hr monitoring and escalation 5 or more =1hr and urgent escalation and assessment 7 or more = continuous monitoring and emergency escalation

@@bashful030 no not really the charts are designed not to have numbers on it is best practice

Noted. Thank you for your response hannah! 😊

@@Huda20248 hi no the observations are part of your ABC and not separate you must follow ABC and complete your observations as part of this for example airway first thing then B do the resp rate and verbalise all of B resp noises signs of reps distress ect, do oxygen saturations and then move on to C and do the pulse. This is important because an issue in B is more of a priority than an issue c. The respiratory rate should be taken first before any other observation it is the most important vital sign and why it is too of the NEWS chart, an issue with respiratory rate is going to kill a patient before an issues in C and D. This is a key OSCE area that is often wrongly taught just go to the Resus council UK A-E assesment for the evidence base. It will also massively save you time in the OSCE.

Thank you for that clarification. ​@HannahAmes24

@@Huda20248 hi the weight loss has to be between 3-6months if it is less or more than this time it does not score and it is zero

Thank you so much ​@HannahAmes24

@@naziashahid595 hi I do not provide sponsorship I am an independent OSCE tutor for those doing self sponsorship route

@@ivanlumu7842 I think this is a typo error. OD is once a day QDS is 4 times a day. QD is not an abbreviation and I think it should say QDS

@HannahAmes24 , thank you so much for your timely response. God bless you!!

Confidence is key and the implementation station is straight froward to a pass