I am so pleased to hear regarding you result. If You can, please drop me an email or a message in the fb messenger regarding your OSCE experience. maybe you can send me a video so I can post it in my channel, and encourage other nurses out there to believe in themselves and that they can overcome OSCE just like you. Again, congratulations.
CONGRATULATIONS TO YOU. Please do share your osce succecs story here or you can tag me on instagram, facebook, or even tiktok. Would really much appreciate it.
This is testament to how unreasonable the exam time is.... This reflects a competent nurse and she took 26 minutes for a 15 minute station. It isn't because she's explaining everything - because test writers have to explain the same things in the exam.
Thank you for your comment. Being an internationally educated nurse, I have gone through the same OSCE exam. I passed this implementation station as well. You have a valid point, the time isn't enough, but it is for me.. And it is and will be for the nurses who are practicing this station well. Everytime I deliver a session, even if it's an impromptu, I can always finish this station on time and with extra time left. It is because, I practice this station quite often. That is why, the key to pass the OSCE EXAM is PRACTICE. 😉 Oh yeah, only people who passed this exam will understand!😊
I have questions in my implementation stage medicine I think ramipril or bisoprolol prisription was 20 mg in my time 18 hours in medicine container 🫙 it was a 40mg capsule that how can I give the half table which was capsule form, BP 129/90.
It’s on July 7th and I am not sure yet. It’s been 7 yrs I had pass my pcl nursing and I was licensed nurse at Nepal. Now I am in the Uk for 5yrs I pass my oet cbt so this is my final exam. I hope I will do it..
From the box title itself in accordance to your question, this is the area where you write OMITTED DOSES. Meaning, any medication that is due and you have ommited (where you have coded), you must write in this box. Hope this clears it.
I have question in 'as required' medication, is it necessary must have start day, finish date and duration, please? Also, in the column 'time given' in omitted doses of medicine part, what should we write? Write the administration time is due or just like you put not given? Thanks for that!
Any prescription that involves medication should have be completed. Start date, finish date and duration. Finish date and duration: sometime they are blank if it is a continuous medication. Time given in omitted doses: if you have OMITTED the medication then technically, it was NOT GIVEN. So just write NOT GIVEN, because if you write the due time, then it means, you have GIVEN it.
Good question.. DO NOT PUT IT BACK. Place it on another pot and verbalise that you have to dispose the extra medication in accordance to the hospital policy. Hope this helps.
Thanks Nurse Nizel, please have you done removal of catheter for a post op female? If yes can i have the link please? If not please can you do it? I thank you for all your videos ❤
IT'S CHECKED. Please, before commenting, watch the video carefully. Also, if you have not, try to watch them: 13:30 15:30 Then you'll see that expiry dates were checked. Hope this helps.❤
If it is end of life, as a nurse what kind of care do we have to do? Was your patient in pain? Any other problems you can think of?as it will all depend on the assessment
@@nurseniezl thanks for responding to my question. My challenge is on re-evaludation time and monitoring frequency in planning for patient on end of life with difficulty in breathing (respiration 24)and pain with ( pain score of 7/10). Please put me through.
I’m impressed of what you are doing but I noticed that you transferred the medicines directly into the medicine glass which is nốt suppose to be, what I learned we have to transfer first into the medicine cover in case you able to take out excess tablets you can still return the medicine back to the container. I hope you dont mind.
For what I understand from the marking criteria, place each medication to individual pot. As long as we follow the marking criteria, you will pass. We have been doing this since the start of OSCE, and nurses always pass the station placing it directly into the pot. If you feel that you have to put it into the cap of the bottle before placing into the pot, you go ahead. It's individual practices. This it what we used to do and it works. If they happen to dispensed extra tablet/s by doing this practice, they verbalise that they will have to dispose the extra tablets into the appropriate bin... Nurse pass the OSCE with this practice. Like I said, as long as you follow the marking criteria, you will pass.
@@nurseniezl why I’m saying this is because I knew somebody failed ỉn Implementation and one of the feedbacks was she did like this. Anyway, you are right follow the marking criteria.
@Beth's Vlogs NMC marking criteria changes very often. There's got to be an explanation why this happened to your friend.. This technique is what I have been teaching my pre-reg nurses and they've been passing their OSCE exams. Like I said, just follow the marking criteria and you'll pass.
Nurse Nizel thank you so much for your videos! let me ask you regarding the omitted doses do you actually discard them in the bin if not given? or do u just verbalize it? Many thanks.
Thank you for this video, please you said that the amoxicillin prescription is wrong. Can you tell the reason y it's wrong. Is it because the patient is allergic to penicillin?
That is correct, i ommitted the amoxicillin due to clinical reason (allergies) and the prescription itself is wrong. As you can see, amoxicillin is prescribed QDS, the timings on the chart was incorrent (wrong prescription)
Thank you Nurse Nizel, please can you tell me if mental health Oscereparation is the same or do I need different preparation materials? Thank you so much and blessings
Mental and Adult OSCE , though very different, still have similarities. Implementation for both is almost the same. the only difference are the drugs to be administer. Tip: Learn the common medications used in Mental Health OSCE.
Hi Nurse Niezl, if Paracetamol is PRN and patient is allergic, can you code or do you just verbalize to escalate to doctors? Also, in another case, if patient’s weight is >50kg but paracetamol 500mg is due, do you still give or do we code and inform doctor of this? Thank you.
If the patient is allergic to a medication ,eg Paracetamol, we MUST NOT give them and ask the doctor to prescribe another analgesia. That being said, if that Paracetamol is in the REGULAR,STAT Medication, and it is DUE, then just put the CODE (for not administering). If the Paracetamol is in the PRN, then NO NEED to code. But still verbalise that you need to have the doctor to re-prescribe another medication instead of Paracetamol. Hope this helps.
Only give Paracetamol 1g if the patient's weight is more than 50kg. If it is below 50kg, then still DO NOT give if the prescribe dose is 1g. Ask the doctor to re-prescribe it correctly which is 500mg. Again, we only CODE the medication if we are not giving it on the DUE time.(time you are going to give the medication: located at the front page of the prescription)
@@nurseniezl thank you so much 🙏🏽 The medication is PRN but our team told us we can code it and verbalise as well to ask the doctor to change to another analgesia. I know we don’t code PRN but wanted to know if we can fail for doing it. Thank you🙏🏽
If we have to administer Penicillin at 1830 hrs but patient is allergic to Penicillin. Due Penicillin is at 2200hrs. Due we need to code it? And if yes, do we need to code it at 2200hrs?
Remember this: we only put the CODE if the medication is DUE (your medication administration time) if it is not DUE, then please DO NOT ADMINISTER. Moreover, if the patient is ALLERGIC to PENICILLIN, then NEVER GIVE ANY PENICILIN DERIVATIVE MEDICATION at all, due or not due. NEVER GIVE
Yes, read/check all the medications , once you determined that you are going to give, then dispense the medication. Right after you have dispensed the due medication, go to the patient and give the medicines. After that, document in the chart.
hello Nurse Niezl I would like to ask if about the first drug amox, other than the patient is allergic to it, what are the other reasons why we are not administering it? thanks
Aside from the patient is allergic to Penicillin, it is wrongly/incorrectly prescribed. As you can see from the sample medication prescription, the FREQUENCY is QDS, but if you'd look at the TIME column, it's only 06:00, 12:00, 00:00. Hope this answers your question.
Hi Nurse Niezl, do you have to ask your patient’s blood sugar levels when administering metformin and gliclazide? Will it be a fail if you don’t ask? Thanks
Thank you for the lecture. I have a question to ask, what if a candidate has a controlled medication( oxycodone immediate release) in the As required medication and it is due for their time, what should the candidate do .
Hi nurse Niezel Thanks for your videos l have a doubt patient is complaining of vomiting but no PRN medicine prescribed patient had her metoclopramide as regular medication. Can l give metaclorpamide as PRN I am going to resit next week pls answer me
Hey there. I can't really comment about this as the information you have given is unclear to me. However, as a nurse, consider what time is the medication due. What's the duration of the medication and as a nurse please consider it as a real patient in the real scenario. Based on your question, as I am understanding it, the patient is vomiting , regular Metoclopramide was given and NO PRN Metoclopramide is prescribed, how are you going to give a PRN Metoclopramide if it's not prescribed ? Now, let me ask you a question, as a nurse, would you give or not? what will you do?
Hello Nurse Niezl, if duration is 7 days and finish date is +7 days for antibiotics or regular meds? is this accurate? I will appreciate your feedback thank you🙏🏽
Hello nurse! I can’t understand why did you write all the not given medications in that space if it’s says to write the 10 not given (other reason). I’m confused about what to do D:
Please upload Evaluation next
Your videos are really easy to understand and helpful.
Thank you
Will be posted this week. ❤
Thanks for your videos and explanations. I passed my osce first attempt
Thank you for helping me pass my OSCE last week.
🎉 congratulations
I am so pleased to hear regarding you result. If You can, please drop me an email or a message in the fb messenger regarding your OSCE experience. maybe you can send me a video so I can post it in my channel, and encourage other nurses out there to believe in themselves and that they can overcome OSCE just like you. Again, congratulations.
If you don't mind where did you take your exams
Would you mind sharing your experience please?
Thank you
Nurse Niezel,sa omitted drugs po ba lahat ng naomit idodument?
By the grace of God , I have passed OSCE . Your vedios were very helpful.Thank you so much dear❤❤❤
I am very pleased with your result. This is awesome!I'm glad my videos have helped.
Congratulations and welcome to the register!👏👏👏
@@nurseniezlhello mam
If you resit this station, then you miss few thing! Can you still verbalize?
Love it when your saying Parasitamol ❤ Anyways your videos are very helpful. ❤
Thank you Nurse Niesel
I got my OSCE results today. I passed my OSCE!! 🤩🤩🤩 your videos helped me alot. Thank you for everything!
Yey! Welcome to the register! 🥰🥰🥰
I was waiting for this particular video. Thanks for doing this and uploading ❤
More to come. ❤
Thanks for making this video. Its very helpful and simple.
Glad to help🤗
Thank you so much Nenzi for all your videos..it contributed to my OSCE success story
CONGRATULATIONS TO YOU. Please do share your osce succecs story here or you can tag me on instagram, facebook, or even tiktok. Would really much appreciate it.
I love your videos as you simplified everything
hey Niezel this video is awesome. I think i have a more clear picture of implementation stage in my mind. it was Very helpful for me.
This is testament to how unreasonable the exam time is.... This reflects a competent nurse and she took 26 minutes for a 15 minute station. It isn't because she's explaining everything - because test writers have to explain the same things in the exam.
Thank you for your comment.
Being an internationally educated nurse, I have gone through the same OSCE exam. I passed this implementation station as well.
You have a valid point, the time isn't enough, but it is for me..
And it is and will be for the nurses who are practicing this station well.
Everytime I deliver a session, even if it's an impromptu, I can always finish this station on time and with extra time left.
It is because, I practice this station quite often.
That is why, the key to pass the OSCE EXAM is PRACTICE.
😉
Oh yeah, only people who passed this exam will understand!😊
I have questions in my implementation stage medicine I think ramipril or bisoprolol prisription was 20 mg in my time 18 hours in medicine container 🫙 it was a 40mg capsule that how can I give the half table which was capsule form, BP 129/90.
Thank you Nurse Niezl 😍
Thanks😊
Thank you for the videos they are easy and understandable .l also like the music in the background
I'm glad you liked it. 🥰
When the video ended it really felt like your going away got so much engaged in it. What a fabulous explanation easy to remember many thanks
I am glad you find it that way.
Thank you for your kind words. 🥰
Thank you so much
It was best video till now I have seen on osce
It's my pleasure
Woooow thank you❤❤❤❤
You're welcome.
Thank you Nurse your videos were helpful I passed my OSCE.God bless you
Well done!
Please watch this link part 03:36
ruclips.net/video/s36h3gN_sdE/видео.html
Thanks ❤
Thank you nurse Niezl. Please can you do for us community implementation
and assessment with
MUST.
Thank you
Thanks soo much.....your videos have been soo helpful and I passed my OSCE at my first sitting
Thank you for helping me in OSCE exam
No worries... keep us all posted regarding your osce journey yeah?😃
Beautiful procedure, all your procedures are beautiful and simplified. Thanks
It's a lovely video! Please do all exams thank you!❤❤❤
Well explained..can you please make A to E assessment as well. THANK YOU ❤
Amazing, you explained everything clearly especially documentation
Simplified and easy to grasp on understanding. Very useful
Thank you nurse Niezl for excellent lessons. Kindly requesting for more of Mental health videos or any links please. Thanks for your response
The best wait for more video for OSCE
hahaha. I will upload more videos this week.
More videos coming up...Make sure to subscribe to get notified.
Thank you Niezl
Really very helpful video,keep doing
God Bless you ❤
You are doing the great job to us❤
You are really wonderful 👍
Thank you so much 😀
Neil thank you so much 😊😊😊 you are doing a great job.
I'm glad you liked it. 🥰
Thank You, your videos are amazing!
Thank you so much Nurse Niezel for your explanation is so clear, you have solved my problem in implementation station.
God bless your efforts. very useful video.cristal clear all your explanations
This is the best osce online Coach
I am doing my best. Thank you for your appreciation=)
Really excellent. I subscribed already. Good teacher ❤❤
Thank you ❤❤❤❤
I hope this helps. Goodluck on your OSCE.
It’s on July 7th and I am not sure yet. It’s been 7 yrs I had pass my pcl nursing and I was licensed nurse at Nepal. Now I am in the Uk for 5yrs I pass my oet cbt so this is my final exam.
I hope I will do it..
@@nurseniezl can u please train me nurse niezii
Thank u Dear for detailed explanation.continue ur great effort ,its really helpful❤
thank you nurse niezl,so helpful..more videos please..Godbless you & your channel🙏🏻🤍🤗
Thank you so much u explained very well.
All ur videos are beneficial.... Could u plz do assessment and planning for homelessness!!!!!
thanks! I will work on that.. More videos coming up...Make sure to subscribe to get notified.
it was superb
Thank you =)
please add all stations. Your videos are amazing. Thank you
Thanks for the video
Thank you for watching my videos. Please do support my channel by subscribing or becoming a member.
Would really much appreciate it.🥰🥰🥰
Thank you so much Nurse Niezl your explanation is so clear, though I still have a question
Hi
Are u writing anytime soon
Thank you so much
Thank u very useful ❤
You are excellent
Wonderful vedio
God bless uh
Thanks!🥰
Well done nurse niezl
very helpful. thank you. by any chance do you have soft copy of the sample docs used? All the best and Thank you
this is very informative. please can you do more videos on assessment.
Thanks a lot
Can you do fine bore NG tube insertion station, please.. and thank you so much these videos are very helpful... :)
Hi
Niezl nice video
Can you please do one video for assessment in community.
Nice video
Thank you very much!
Nurse niezl, the area where you are to fill in omitted doses specifically said thise coded 10 or delayed but you added others coded 6
From the box title itself in accordance to your question, this is the area where you write OMITTED DOSES.
Meaning, any medication that is due and you have ommited (where you have coded), you must write in this box.
Hope this clears it.
Thank you. However, do one have to record medications that were not given because they were not due to be given?
Hi, thank you for your vedio. If you dnt mind please do community Implementation for homelessness 🙏🙏🙏
Good video
Hi, thanks for your video. We should tell to inform adverse effects using call bell.how is your idea about that
thank u so much. pls do the ANTT
yes please...agree as well🙏🏻🤍
I have question in 'as required' medication, is it necessary must have start day, finish date and duration, please? Also, in the column 'time given' in omitted doses of medicine part, what should we write? Write the administration time is due or just like you put not given? Thanks for that!
Any prescription that involves medication should have be completed. Start date, finish date and duration. Finish date and duration: sometime they are blank if it is a continuous medication.
Time given in omitted doses: if you have OMITTED the medication then technically, it was NOT GIVEN. So just write NOT GIVEN, because if you write the due time, then it means, you have GIVEN it.
What happens when you mistakingly put excess tablet into the pot in the process of dispensing. Do you discard or put back into the medical can
Good question.. DO NOT PUT IT BACK. Place it on another pot and verbalise that you have to dispose the extra medication in accordance to the hospital policy.
Hope this helps.
Thanks Nurse Nizel, please have you done removal of catheter for a post op female? If yes can i have the link please? If not please can you do it? I thank you for all your videos ❤
Not yet. Already on my list. =)
Hi nurse neizl. Thank you for this video. My osce will be two days from now. Is it possible to make a video about nasopharyngeal suction? Thank you.
Apologies for the late reply. I hope your exam went well. and advance congratulations!
Nurse, you forgot to check the expiry dates of the medicines
IT'S CHECKED.
Please, before commenting, watch the video carefully.
Also, if you have not, try to watch them:
13:30
15:30
Then you'll see that expiry dates were checked.
Hope this helps.❤
Please nurse Niezl help me with care plan on end of life patient with difficulty in breathing and pain.
🙏
If it is end of life, as a nurse what kind of care do we have to do?
Was your patient in pain?
Any other problems you can think of?as it will all depend on the assessment
@@nurseniezl thanks for responding to my question.
My challenge is on re-evaludation time and monitoring frequency in planning for patient on end of life with difficulty in breathing (respiration 24)and pain with ( pain score of 7/10).
Please put me through.
Furosemide says +7 days but duration ongoing.
CAN OMISSION OF THE PHARMACY CHECK BE A REASON FOR NOT ADMINISTERING A MEDICATION
I’m impressed of what you are doing but I noticed that you transferred the medicines directly into the medicine glass which is nốt suppose to be, what I learned we have to transfer first into the medicine cover in case you able to take out excess tablets you can still return the medicine back to the container. I hope you dont mind.
For what I understand from the marking criteria, place each medication to individual pot. As long as we follow the marking criteria, you will pass.
We have been doing this since the start of OSCE, and nurses always pass the station placing it directly into the pot.
If you feel that you have to put it into the cap of the bottle before placing into the pot, you go ahead. It's individual practices.
This it what we used to do and it works. If they happen to dispensed extra tablet/s by doing this practice, they verbalise that they will have to dispose the extra tablets into the appropriate bin... Nurse pass the OSCE with this practice.
Like I said, as long as you follow the marking criteria, you will pass.
@@nurseniezl why I’m saying this is because I knew somebody failed ỉn Implementation and one of the feedbacks was she did like this. Anyway, you are right follow the marking criteria.
@Beth's Vlogs NMC marking criteria changes very often. There's got to be an explanation why this happened to your friend..
This technique is what I have been teaching my pre-reg nurses and they've been passing their OSCE exams.
Like I said, just follow the marking criteria and you'll pass.
Nurse Nizel thank you so much for your videos!
let me ask you regarding the omitted doses do you actually discard them in the bin if not given? or do u just verbalize it?
Many thanks.
Thank you for this video,
please you said that the amoxicillin prescription is wrong. Can you tell the reason y it's wrong.
Is it because the patient is allergic to penicillin?
If a patient is allergic to a medication is doesn’t make the prescription wrong but rather you omit it for clinical reasons
@@gloriaarhin6485 thank you for the reply
That is correct, i ommitted the amoxicillin due to clinical reason (allergies) and the prescription itself is wrong. As you can see, amoxicillin is prescribed QDS, the timings on the chart was incorrent (wrong prescription)
Nice
Will u be failed if u decide to use PPEs more?
Thank you Nurse Nizel, please can you tell me if mental health Oscereparation is the same or do I need different preparation materials? Thank you so much and blessings
Mental and Adult OSCE , though very different, still have similarities. Implementation for both is almost the same. the only difference are the drugs to be administer. Tip: Learn the common medications used in Mental Health OSCE.
It's the same
I thought the ones we are going to put on the “omitted drugs” are only for code 10. You put also code 6 in there. Please clarify. Thanks.
Can you do community implimentation please
Hi! Are we allowed to give a medication even without pharmacy check? Thanks
Yes, I believe it’s allowed. Because pharmacy check is being done the next day. You may get other people’s feedback too to confirm.
Hi Nurse Niezl, if Paracetamol is PRN and patient is allergic, can you code or do you just verbalize to escalate to doctors? Also, in another case, if patient’s weight is >50kg but paracetamol 500mg is due, do you still give or do we code and inform doctor of this? Thank you.
If the patient is allergic to a medication ,eg Paracetamol, we MUST NOT give them and ask the doctor to prescribe another analgesia.
That being said, if that Paracetamol is in the REGULAR,STAT Medication, and it is DUE, then just put the CODE (for not administering).
If the Paracetamol is in the PRN, then NO NEED to code. But still verbalise that you need to have the doctor to re-prescribe another medication instead of Paracetamol.
Hope this helps.
Only give Paracetamol 1g if the patient's weight is more than 50kg.
If it is below 50kg, then still DO NOT give if the prescribe dose is 1g. Ask the doctor to re-prescribe it correctly which is 500mg. Again, we only CODE the medication if we are not giving it on the DUE time.(time you are going to give the medication: located at the front page of the prescription)
@@nurseniezl thank you so much 🙏🏽 The medication is PRN but our team told us we can code it and verbalise as well to ask the doctor to change to another analgesia. I know we don’t code PRN but wanted to know if we can fail for doing it. Thank you🙏🏽
Please upload APIE station,it would be very helpful for us
It is already there.
Assessment is only available to all the members.
kindly do a community implementation
If we have to administer Penicillin at 1830 hrs but patient is allergic to Penicillin. Due Penicillin is at 2200hrs. Due we need to code it? And if yes, do we need to code it at 2200hrs?
Remember this: we only put the CODE if the medication is DUE (your medication administration time) if it is not DUE, then please DO NOT ADMINISTER.
Moreover, if the patient is ALLERGIC to PENICILLIN, then NEVER GIVE ANY PENICILIN DERIVATIVE MEDICATION at all, due or not due. NEVER GIVE
hi nurse nizel in prescription not given instructions for prn drug. is that incomplete prescription also?
Hi should we complete the full check of the medication chart prior preparing the medication.
Yes, read/check all the medications , once you determined that you are going to give, then dispense the medication.
Right after you have dispensed the due medication, go to the patient and give the medicines.
After that, document in the chart.
So do you have to tell the examiner the 5Rs? Please
Nope. It's just your guide.
Follow the marking criteria.
hello Nurse Niezl I would like to ask if about the first drug amox, other than the patient is allergic to it, what are the other reasons why we are not administering it? thanks
Aside from the patient is allergic to Penicillin, it is wrongly/incorrectly prescribed. As you can see from the sample medication prescription, the FREQUENCY is QDS, but if you'd look at the TIME column, it's only 06:00, 12:00, 00:00. Hope this answers your question.
Is PPE mandatory in implementation? Bcoz it hasn’t mentioned in the marking criteria
If it is in the marking criteria, then don gloves and apron. Unless the examiner asked you not to wear them anymore.
Hi Nurse Niezl, do you have to ask your patient’s blood sugar levels when administering metformin and gliclazide? Will it be a fail if you don’t ask?
Thanks
Thank you for the lecture. I have a question to ask, what if a candidate has a controlled medication( oxycodone immediate release) in the As required medication and it is due for their time, what should the candidate do .
Good job.
Can candidate be penalised for not completing All administrator column?
Well, as per marking criteria, you will fail for incomplete documentation.
On it!=)
Hi nurse Niezel Thanks for your videos l have a doubt patient is complaining of vomiting but no PRN medicine prescribed patient had her metoclopramide as regular medication. Can l give metaclorpamide as PRN
I am going to resit next week pls answer me
Hey there. I can't really comment about this as the information you have given is unclear to me. However, as a nurse, consider what time is the medication due. What's the duration of the medication and as a nurse please consider it as a real patient in the real scenario.
Based on your question, as I am understanding it, the patient is vomiting , regular Metoclopramide was given and NO PRN Metoclopramide is prescribed, how are you going to give a PRN Metoclopramide if it's not prescribed ?
Now, let me ask you a question, as a nurse, would you give or not? what will you do?
I think l need to ask the Dr to prescribe it as PRN. Is that you also suggest?
Thanks for your detailed video.
Please do I need yo code expired drug or I should leave it blank and just verbalize??
I'm taking my OSCE at Oxford Brooke. Is it the same making criteria?
NMC UK gives the same marking criteria for the OSCE exam to be taken here in the UK
SUZAN
Hello Nurse Niezal ,if the finish date is 7 days and the duration is ongoing ,what do we do
Thanks for your support
Hello Nurse Niezl, if duration is 7 days and finish date is +7 days for antibiotics or regular meds? is this accurate? I will appreciate your feedback thank you🙏🏽
Hello, Niezl. I would like to ask if a patient has refused paracetamol stat dose, do I need to code it? Thank you.
Please any Nurse Associate who has written his/her OSCE,I want to know if it’s the same as RN.
Kind regards
Hi please is it compulsory to use the bnf if you are aware of the side effect and indication
No..but you still need to carry it with you
Hello nurse! I can’t understand why did you write all the not given medications in that space if it’s says to write the 10 not given (other reason). I’m confused about what to do D: