Task You will be examined on your recognition of the deteriorating patient, including components such as; completing an A-G assessment, and safe effective communication. You will be examined on safe practice as well as your understanding of the components of the skill. To be prepared for the OSCE you should be confident in the use of the following tools and assessments; AIDET, ISBAR, A-G assessment and Between the Flags (BTF) including the Clinical Emergency Response Systems (CERS). Also the 5 moments of hand hygiene and clinical skills required to undertake an A-G assessment. Information on these can be found throughout Moodle, have been covered in class or are assumed knowledge. Key documents are also linked to this page. The A-G template attached here is what you will be expected to follow during the assessment. There are many approaches to assessment that can differ slightly, for consistency we will follow the template that is attached. TASK 1 – prior to your OSCE assessment – to then submit at the end of your OSCE assessment: 1.1) you will be required to choose one clinical skill that would be used during the A-G assessment on the case study and discuss, in 300 – 400 words, considerations of patient safety when doing this skill. You must include hand of hygiene in this discussion. You must have this document at the assessment ready to submit. NOTE: do this prior to your assessment not in the assessment. TASK 2 – The OSCE assessment on Zoom No prompting will occur during the OSCE so there is no bias or influence over the grade you receive. The OSCE will include a facilitator giving you written information on the case study patient, the assessments, as well the patients’ observation chart. Once all information has been provided on the patient you will be given 45 minutes to: 2.1) Document an A-G assessment – have an A-G template ready on paper and hand scribe information into your template as this is communicated by your facilitator. Then you will be allowed time to create a word document of your assessment and expand to have an accurate and comprehensive assessment. 2.2) Identify if the CERS is required and communicate this clearly in your ISBAR. 2.3) Document an ISBAR handover – have an ISBAR template ready on paper and hand scribe information into your template as this is communicated by your facilitator. Then you will be allowed time to create a word document of your handover and expand to have a successful and accurate handover. Create the ISBAR as if you are reporting back to your senior RN. 2.4) In 200-300 words write on how you would apply the AIDET communication tool to this patient. You will need to reflect on if you were to manage this patient in the clinical setting and were undertaking the A-G assessment. This will be in script format. eg what exactly will you say to this patient. During the submission 10 minutes you need to: 2.5) Submit your patient safety considerations, A-G documentation, ISBAR handover and AIDET outline to Moodle via the Assessment 3 – OSCE page. Include your name, student number and unit code on the document. You can submit 2 documents being the patient safety considerations and then the A-G assessment, AIDET and ISBAR on one document. Important notes: No referencing is required and no marks are attributed to academic writing. However, you must provide clear information and demonstrate your knowledge All documents will go through turn it in when submitted This assessment will be supervised by an online facilitator, video cameras must be on and the room will be scanned by facilitator to ensure no notes, templates or other persons are accessible or in the room. You will be asked to share your screen to see no documents or resources are open. Phones must be on silent and placed out of reach and you must not leave your workstation for the period of the assessment without permission from the UC. You may have a notepad and pen only. You should print the SAGO chart and the Neuro chart provided in the assessment tile and bring these to the assessment for you to complete and refer to for your reference. On your notepad you can have the acronym A-G and acronym ISBAR prepared but no other text. The 45 minute time period will start once the facilitator has assessed your workstation and all patient information has been given. Patient information will be displayed for a period of time at the start of the session and again briefly at 20 minutes in. It will not always be on display so be comprehensive with your note taking when it is initially displayed. You will not be able to ask further questions on patient information. All students will be given the same information to work through during the assessment. If you experience any technical difficulties, advise the facilitator using the chat button and email the Unit Coordinator immediately who will be monitoring emails and will provide an immediate response. The unit coordinator will be monitoring all assessment sessions and will be available to advise on issues arising. You must make sure you have access to stable internet to allow for an uninterrupted session. Discussing the assessment with any student after the attempt is academic misconduct and all students are advised to contact the UC if this occurs. Full academic penalty will apply. It is essential you review the information below on the patient you will be assessing during the OSCE. Further information and history on the patient and their presenting problem will be given to you during the OSCE. Patient Handover and Instructions Ashley Porter is a 55 year old patient who lives in a small town of 4000 where there is one Multi Purpose Service (MPS) as the hospital, Dr Grey is the on-call GP. Ashely is married with 2 teen aged children. Ashley is usually well but does take Metoprolol for hypertension and has Type 2 diabetes taking Metformin, and is a little overweight. Over the past week Ashley has noticed increasing upper body aches and pains and lethargy. This morning Ashley presented to the ED looking pale with breathlessness, increased lethargy and some pain in his/her shoulders. Ashley had been wood carting the day before and wonders if this has led to his/her soreness and fatigue. Your RN (facilitator) has accepted Ashley to the ED bay and attended to basic admission paperwork. Your RN informs you that Ashley has been feeling unwell for a few days but is alert, orientated and stable. Your RN would like you to assess the patient and then return and deliver an ISBAR handover.
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