Home OSCE Practical Examination IN-HOSPITAL RESUSCITATION – OSCE STATION

IN-HOSPITAL RESUSCITATION – OSCE STATION

188
0
cardiopulmonary

Time: 6 minutes

Rate – 100-120 per minute

Depth – 5-6 cm

Compression –to- Ventilation ratio – 30:2

PROCEDURE

Upon entering the patient’s room, ensure the safety of the scene by conducting a thorough assessment.

Gently pat the patient’s shoulders and inquire, “Hello Sir, are you able to hear me?” Repeat this question twice.

Express “No Response” to indicate the lack of reaction from the patient.

Call out loudly for help two times to attract immediate attention, ensuring a forceful tone.

Inspect the patient’s mouth for any obstructions; if an obstruction is present, carefully turn the patient to one side and use a pen to remove it.

Employ the head tilt and chin lift technique to open the patient’s airway, unless a spinal injury is suspected, in which case, use the jaw thrust method.

Evaluate for signs of life by placing your cheek above the nose and observing the chest for any signs of respiration.

Confirm the absence of signs of life.

Promptly let someone call the Resuscitation team at “2222,” alerting them to the situation or if a lone quickly leave the patient and do the call yourself.

Initiate chest compressions following the guidelines: Maintain a rate of 100-120 compressions per minute, ensure a compression depth of 5-6 cm, and adhere to the compression-to-ventilation ratio of 30:2.

Perform chest compressions at the nipple line, specifically the lower part of the sternum, while audibly counting from one to thirty.

After every 30 compressions, administer two breaths using a mask and bag, cooperating with the examiner’s guidance if necessary. If you are asked not to use the Ambu bag and mask, still demonstrate the head tilt chin lift technique to open the airway before applying the mask.

Continue alternating between chest compressions and ventilations until the examiner informs you that the resuscitation team is present. This may encompass a minimum of 3 cycles and potentially up to six cycles.

Cease chest compressions exclusively as directed by the examiner.

If prompted, utilize the SBAR method to hand over the patient to the resuscitation team: Explain the Situation you encountered, provide the Background details about the patient’s condition, outline the Actions you’ve taken sequentially, and offer Recommendations.

Announce your intention to document the procedures performed, complete with the date, time, and signature.

Conduct thorough hand hygiene using the seven-step of WHO.

Source: @patientlifematters.com

LEAVE A REPLY

Please enter your comment!
Please enter your name here