Osce Assessment of Critically Ill Patient
Learning Outcome 4
Critically analyse own OSCE performance in utilising systematic rapid clinical assessment and an appropriate track and trigger tool, to escalate care in an appropriate and timely manner.
This essay will critically analyse my performance throughout the Objective structured clinical examination (OSCE) assessment I completed, including the escalation strategy utilised by the Nation early warning scores (NEWS) (RCP, 2012) as a track and trigger tool (NICE, 2007).
Based on the findings from the assessment interventions will be recommended and supported by evidence and formatted on the ABCDE approach I used in the OSCE.
The ABCDE assessment is used as a tool to assess for the critically ill patients Airway, breathing, circulation, disability & elimination. (RCUK, 2005). It is a systematic approach that can assess the severity of the critically ill patient, assess and treat life threatening conditions and have rapid intervention when needed (Grindrod, 2012).
During the Assessment I introduced myself to Mrs Jones to remained respectful, non-discrimitive and ensuring the comfort and dignity of my patient, to which I pulled the curtains (NMC, 2008).
I gained verbal consent from the patient to carry out the physical assessment (NMC, 2008), although I should have gained consent at the beginning when I started talking to the patient. This is important because the patient needs to understand the proposed assessment, according to the NMC (2008) the process of establishing consent should demonstrate a clear level of accountability. If consent is refused then the patient’s wishes should be respected although the patient needs to be fully informed of what can happen (NMC, 2008).
Standard precautions are put into place in the clinical setting to protect patients and staff which are vulnerable to infection. Alcohol based hand rubs are at the point of contact of each patient (NPSA, 2008) to help prevent hospital acquired infections and cross
Critically analyse own OSCE performance in utilising systematic rapid clinical assessment and an appropriate track and trigger tool, to escalate care in an appropriate and timely manner.
This essay will critically analyse my performance throughout the Objective structured clinical examination (OSCE) assessment I completed, including the escalation strategy utilised by the Nation early warning scores (NEWS) (RCP, 2012) as a track and trigger tool (NICE, 2007).
Based on the findings from the assessment interventions will be recommended and supported by evidence and formatted on the ABCDE approach I used in the OSCE.
The ABCDE assessment is used as a tool to assess for the critically ill patients Airway, breathing, circulation, disability & elimination. (RCUK, 2005). It is a systematic approach that can assess the severity of the critically ill patient, assess and treat life threatening conditions and have rapid intervention when needed (Grindrod, 2012).
During the Assessment I introduced myself to Mrs Jones to remained respectful, non-discrimitive and ensuring the comfort and dignity of my patient, to which I pulled the curtains (NMC, 2008).
I gained verbal consent from the patient to carry out the physical assessment (NMC, 2008), although I should have gained consent at the beginning when I started talking to the patient. This is important because the patient needs to understand the proposed assessment, according to the NMC (2008) the process of establishing consent should demonstrate a clear level of accountability. If consent is refused then the patient’s wishes should be respected although the patient needs to be fully informed of what can happen (NMC, 2008).
Standard precautions are put into place in the clinical setting to protect patients and staff which are vulnerable to infection. Alcohol based hand rubs are at the point of contact of each patient (NPSA, 2008) to help prevent hospital acquired infections and cross