Home OSCE Practical Examination BLOOD GLUCOSE MONITORING – NMC OSCE Clinical station

BLOOD GLUCOSE MONITORING – NMC OSCE Clinical station

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ITEMS NEEDED

  • Glucometer with strips
  • Single use Lancet
  • Gauze
  • Sharp container
  • Chlorhexidine skin wipe

Nurse: Upon entering the room, I assess the safety of the environment before approaching.

Nurse: To respect the patient’s privacy and dignity, I will close the doors and draw the curtains.

Nurse: I’ll perform hand hygiene using the WHO-recommended seven-steps.

Nurse: Good morning. I’m Rihana, a registered nurse. I’m here to check your blood glucose level. Is it a suitable time for us to proceed?

Whitney: yes

Nurse: Please can I confirm your name and date of birth?

Whitney: My name is Queen Whitney. DOB: 12/12/1979

Nurse: Can I confirm with your wrist band? Verbally compare with the wrist band, and also mention the NHS or Hospital number and tell the assessor you are with the right patient.

Nurse: Are you in a comfortable position, Whitney?

Whitney: yes

Nurse: Are you in pain?

Whitney: No

Nurse: Alright, Whitney. I will gather the necessary equipment for the procedure. If you require anything in the meantime, please use the call bell.

Nurse: Assessor, can you confirm whether the tray has been washed with soap and water within the past 24 hours?

Assessor: Yes, it has.

Nurse: The skin wipes are sterile, within their expiration date, and undamaged. The lancet is unused and suitable for use. The sharps bin is less than one-third full. The Glucometer is working perfectly. (Don disposable PPE)

Nurse: Whitney, I’ve returned with the necessary equipment. Are you ready for me to proceed with the procedure?

Whitney: Yes

Nurse: Whitney, can you recall when your last blood glucose check was performed, and do you remember where the previous prick was?

Whitney: No

Nurse: Ok to avoid discomfort, I won’t use your thumb or forefinger, and I’ll avoid pricking the fingertip. I’ll perform the prick on the side of your middle finger. Is that acceptable to you?

Whitney: Yes

Nurse: Your hands appear to be clean. I will attach a strip to the glucometer and use a lancet. ( if finger clean, proceed. If not, assess for inflammation, skin lesions, swollen, and check capillary refill. Clean for 30 sec and leave it to dry for 30 sec)

Nurse: Whitney, may I proceed with the blood glucose test now?

Whitney: Yes

Nurse: Whitney, please use this gauze to wipe away any blood after the prick.

Nurse: Now, I will perform the prick and ensure the strip’s window is fully covered with blood. (ensure that the site of piercing is rotated)

Nurse: Whitney, your blood glucose result is 6.8 mmol/L, which is within the normal range. (Announce the result clearly and show to the camera.) The normal blood sugar range is 4-7 mmol/L. If it falls below 4 or exceeds 7 mmol/L, I will inform the medical team.

(Nurse disposes of the lancet in the sharps bin immediately after the procedure.)

Nurse: Whitney, are you feeling comfortable? I will now document the findings, and if you need anything, please use the call bell.

Whitney: Ok, thank you

Nurse: Assessor, I have completed the blood glucose level check on Queen Whitney. I will now document all my observations and dispose of waste in accordance with NMC guidelines and policies. Thank you.

Note:

On the sheet provided, if any write your name, date, time and sign.

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