Home Clinical TIPS ON PEAK EXPIRATORY FLOW RATE (PEFR) – NMC OSCE

TIPS ON PEAK EXPIRATORY FLOW RATE (PEFR) – NMC OSCE

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Top Tips for PEFR Assessment:

Give Clear Instructions:

  • Make sure your instructions are simple and easy for the patient to understand. Use plain language and demonstrate if needed.
    • Explain the procedure step-by-step, so the patient knows exactly what to do during the test.

Document Accurately:

  • Record all three PEFR readings clearly on the nursing documentation.
    • Identify and document the highest value out of the three readings, as this is the one that will be used for assessment.

Common Mistakes and How to Avoid Them:

Incomplete Instructions:

  • Issue: Some candidates didn’t explain the procedure well enough for the patient to perform it correctly.
    • Solution: Always ensure the patient understands how to blow into the peak flow meter. For example:
      • “Take a deep breath in, place your lips tightly around the mouthpiece, and blow out as hard and fast as you can.”

Incorrect Documentation:

  • Issue: Some candidates failed to record the readings accurately or forgot to highlight the highest value.
    • Solution: Double-check your documentation to ensure it includes:
      • All three readings.
      • The highest of the three acceptable readings, as required by the nursing guidelines.

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