Seems like full medical history should be the F in the A to F. That's how I'm going to remember it anyway! Really helpful, succint but thorough explanation. Thanks so much, Hannah.
That is a good way to remember whatever works best for you ☺ The NMC has it as part of exposure but as long as you do it at the end of your A-E assessment you will be fine. Good luck with your OSCE exam!
Just wondering where you get the normal blood glucose level should be between 4 and 8? Different sources say different things, especially before and after meals and whether the person has diabetes type 1 or 2 or is not diabetic. Does the NMC publish what they expect as normal levels?
Hi good point, the NMC do not publish, from habit of where I worked for 20 years in ITU I follow the 4-8mmol protocol. In terms of an A-E assessment, a rapid assessment is to identify whether the blood glucose is less than 4 as per Resus Council guidelines www.resus.org.uk/library/abcde-approach I have never had an issue in terms of the OSCE. 4-8 is a safe parameter for primary assessment to follow You can use the NICE guidelines which are more specific for patients with known type 1 and type 2 4-7 pre-meal and 4-9 post meal but it can be difficult to remember in exam conditions but if you can that is great www.nice.org.uk/guidance/ng17/chapter/Recommendations#blood-glucose-management
Hello and thank you for your amazing videos. Could you please explain that if there is another form like 6 CIT form, can I fill it and start A to E assessment or it should fill only after assessment? Thank you
Hi I would personally complete your A-E assessment first because you should assess and make sure there is no physical issue or concern that would be a priority to manage and then I would documented your NEWS2 and get it completed and then add up your 6CIT score and explain it to the patient this will then lead nicely into your holistic assessment. for example " Your 6CIT score was 17 which show you have some significant memory impairment I would like to refer you to the specialist consultant, have you noticed your memory loss impacting on any activities at home" this will lead you into your holistic assessment
Hi, some trainers are saying we shouldn't tell the patient yet that we are checking their RR because they can get conscious and affect the results. Should I tell the patient that I'm going to check their RR?
Hi I don't think there is any evidence-based to support this, I personally feel for the OSCE it is really important to clearly verbalise you are observing and measuring the reps rate as the examiner will want to ensure you are clearly looking at the chest and performing this correctly , I have trained over 200 nurses with this approach and it has never been a fail, also the control of breathing is an automatic process by the nervous system, in reality, it is very difficult to override the respiratory control system. Also from experience nurses who do not clearly verbalise the resp observation go on to miss the key verbalisation required for breathing, rhythm, depth, noises and signs of distress
Hello hannah is it still okey even if i do my assessment not following the ABC i mean if i start my obs instead of respiratory rate first as it is in B . To do my bp on one hand and capillary then oxygen saturation on the other before i will do the RR and PR? Or it must be ABCDE in order
@@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.
Seems like full medical history should be the F in the A to F. That's how I'm going to remember it anyway!
Really helpful, succint but thorough explanation. Thanks so much, Hannah.
That is a good way to remember whatever works best for you ☺ The NMC has it as part of exposure but as long as you do it at the end of your A-E assessment you will be fine. Good luck with your OSCE exam!
Thank you , Your video was very useful🙏
Thank you I am glad it was helpful good luck with your study
Thank you for sharing this with us. Please tell me when i do first hand hygiene, should i wait 30 seconds ,untill hands get dried.
Hi I am so sorry I have only just seen this you can verbalise you would wait 30 seconds and carry on.
@HannahAmes24 thank you. Could you make a vedio about assessment chronic heart failure please
@sulochanamadushani2105 yes I will do this I am away for the rest of the week but will try and do one soon.
Just wondering where you get the normal blood glucose level should be between 4 and 8? Different sources say different things, especially before and after meals and whether the person has diabetes type 1 or 2 or is not diabetic. Does the NMC publish what they expect as normal levels?
Hi good point, the NMC do not publish, from habit of where I worked for 20 years in ITU I follow the 4-8mmol protocol. In terms of an A-E assessment, a rapid assessment is to identify whether the blood glucose is less than 4 as per Resus Council guidelines www.resus.org.uk/library/abcde-approach I have never had an issue in terms of the OSCE. 4-8 is a safe parameter for primary assessment to follow You can use the NICE guidelines which are more specific for patients with known type 1 and type 2 4-7 pre-meal and 4-9 post meal but it can be difficult to remember in exam conditions but if you can that is great www.nice.org.uk/guidance/ng17/chapter/Recommendations#blood-glucose-management
Hello and thank you for your amazing videos. Could you please explain that if there is another form like 6 CIT form, can I fill it and start A to E assessment or it should fill only after assessment?
Thank you
Hi I would personally complete your A-E assessment first because you should assess and make sure there is no physical issue or concern that would be a priority to manage and then I would documented your NEWS2 and get it completed and then add up your 6CIT score and explain it to the patient this will then lead nicely into your holistic assessment. for example " Your 6CIT score was 17 which show you have some significant memory impairment I would like to refer you to the specialist consultant, have you noticed your memory loss impacting on any activities at home" this will lead you into your holistic assessment
Hi, some trainers are saying we shouldn't tell the patient yet that we are checking their RR because they can get conscious and affect the results. Should I tell the patient that I'm going to check their RR?
Hi I don't think there is any evidence-based to support this, I personally feel for the OSCE it is really important to clearly verbalise you are observing and measuring the reps rate as the examiner will want to ensure you are clearly looking at the chest and performing this correctly , I have trained over 200 nurses with this approach and it has never been a fail, also the control of breathing is an automatic process by the nervous system, in reality, it is very difficult to override the respiratory control system. Also from experience nurses who do not clearly verbalise the resp observation go on to miss the key verbalisation required for breathing, rhythm, depth, noises and signs of distress
Thank you for responding.
Hello hannah is it still okey even if i do my assessment not following the ABC i mean if i start my obs instead of respiratory rate first as it is in B . To do my bp on one hand and capillary then oxygen saturation on the other before i will do the RR and PR? Or it must be ABCDE in order
@@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
Many thanks. That is a fantastic assessment video.
when we are doing the assessment, to whom do we need to report? examiner or patient?
Verbalise all your observations findings to the patient and the NEWS2 score, monitoring frequency and escalation I always teach to be patient facing