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BLOOD GLUCOSE MONITORING – NMC OSCE Clinical station

BLOOD GLUCOSE MONITORING – NMC OSCE Clinical station

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.

ARREST OF A FAKE DOCTOR AT KATH

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ARREST OF A FAKE DOCTOR AT KATH

In a surprising turn of events, a 29-year-old man named William Cyril Cohen found himself in handcuffs after attempting to pass himself off as a medical practitioner at the prestigious Komfo Anokye Teaching Hospital (KATH). This audacious act occurred on a Monday morning, where doctors were expected to be diligently tending to their patients within the hospital’s wards and consulting rooms.

William Cyril Cohen’s conspicuous presence between the Chest Clinic and the Accident and Emergency Block immediately raised suspicion among the hospital staff. The ever-watchful Director of Nursing, keenly observing his activities, decided to confront the man in question. She inquired whether he was a qualified doctor or nurse, expecting a straightforward response to put her concerns to rest.

To the astonishment of those present, William initially responded with an affirmative “Yes,” attempting to maintain the disguise of a medical professional. However, as the Director of Nursing delved further into his background and qualifications, his composure began to crumble. Anxiety crept over him, and an unmistakable unease became evident in his demeanour.

Sensing that something was amiss, the hospital’s security personnel sprang into action. In a swift and coordinated effort, they pursued William as he desperately attempted to evade capture. It wasn’t long before they apprehended him, firmly bringing an end to his attempted escape.

With William Cyril Cohen in custody, hospital authorities wasted no time in subjecting him to a comprehensive interrogation. During this process, he eventually confessed to his deceitful actions, admitting that he was not, in fact, a bona fide doctor or nurse in KATH but failed to disclose where he practice his medicine. This revelation sent shockwaves through the hospital community, leaving staff and administrators bewildered by the audacity of his actions.

Recognizing the severity of this fraudulent impersonation and its potential consequences, hospital authorities promptly handed William over to the Central Police Station in Kumasi. Here, the legal system would take over, launching a formal investigation into the matter. The implications of this arrest extended beyond a mere case of deception; it raised concerns about security protocols and the vulnerability of healthcare institutions to individuals with malicious intent.

The incident at KATH serves as a stark reminder of the importance of rigorous background checks and vigilance within healthcare institutions. It highlights the potential risks posed by individuals who seek to exploit the trust and vulnerability of patients in need of medical care. In the wake of this incident, hospitals across the region may consider re-evaluating their security procedures and implementing stricter verification measures to safeguard their patients and staff.

Moreover, the case underscores the significance of collaboration between healthcare institutions and law enforcement agencies. The swift response of the hospital’s security team, coupled with the cooperative efforts of the police, played a pivotal role in ensuring that William Cyril Cohen faced the appropriate legal consequences for his actions. Such collaborative endeavours are essential in maintaining the integrity of healthcare systems and deterring potential impostors. As the investigation into this unsettling incident unfolds, it is hoped that the truth behind William’s motives and any potential accomplices will come to light. Additionally, this case should serve as a cautionary tale for others who might contemplate similar acts of deception within the healthcare sector. The commitment to upholding the highest standards of professionalism and patient care must remain unwavering, and any attempts to undermine these principles will be met with the full force of the laW

Source: JoyNews

SURGEON LEFT ASTONISHED BY DISCOVERY OF LIVING WORM IN WOMAN’S BRAIN

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SURGEON LEFT ASTONISHED BY DISCOVERY OF LIVING WORM IN WOMAN’S BRAIN

According to reports, scientists have stated that a live 8cm (3in) worm was discovered in the brain of an Australian woman. The “string-like structure” had been removed from the patient’s damaged frontal lobe during surgery in Canberra the previous year.

Operating surgeon Dr. Hari Priya Bandi mentioned, “It was definitely not what we were expecting. Everyone was shocked.” The woman, aged 64, had experienced symptoms like stomach pain, coughing, and night sweats for several months, which later progressed into forgetfulness and depression.

She was admitted to the hospital in late January 2021, and a subsequent scan revealed an “unusual lesion within the right frontal lobe of the brain.” However, it was only during a biopsy performed in June 2022 that Dr. Bandi’s surgical procedure revealed the cause of her condition.

Doctors suggested that the red parasite could have been living in her brain for up to two months. The woman, who resided near a lake in south-eastern New South Wales state, is currently in good recovery.

As detailed in the Emerging Infectious Diseases journal, her case appears to be the first recorded instance of larvae invasion and development in the human brain, according to researchers.

WOUND ASSESSMENT – NMC OSCE, CLINICAL

The neurosurgeon who encountered the worm described the experience, stating, “I pulled it out… and it was happily moving.” Dr. Bandi recalled feeling something unusual when touching the brain area that had appeared abnormal in the scans. She used tweezers to extract the worm, which was lively and actively moving outside the brain.

Dr. Sanjaya Senanayake, an infectious diseases expert consulted about the finding, shared, “Everyone [in] that operating theatre got the shock of their life when [the surgeon] took some forceps to pick up an abnormality and the abnormality turned out to be a wriggling, live 8cm light red worm.”

This unprecedented case underscores the potential risk of diseases and infections being transmitted from animals to humans. The roundworm, Ophidascaris robertsi, is common in non-venomous carpet pythons found throughout Australia. The woman is believed to have contracted the roundworm after gathering native grass called Warrigal greens near the lake. The area is also inhabited by carpet pythons.

Australian parasitology expert Mehrab Hossain suggested that the woman unintentionally became a host by using foraged plants contaminated with python faeces and parasite eggs for cooking. Dr. Hossain emphasized that the invasion of the brain by Ophidascaris larvae had not been documented previously.

HOW TO HAVE LONGER ERECTION

Dr. Senanayake, an associate professor of medicine at the Australian National University (ANU), stressed the importance of this case as a warning. He noted that over the last three decades, 30 new types of infections have emerged, with three-quarters being zoonotic—diseases transmitted from animals to humans.

The increase in human population encroaching on animal habitats raises concerns about disease transmission, as exemplified by cases like the Nipah virus and coronaviruses like SARS and MERS. Dr. Senanayake emphasized the need for robust infectious diseases surveillance by epidemiologists and governments.

Source: BBC

HEALTH CRISIS LOOMS, OVER HALF OF BRITISH FOODS CAUSE STROKE

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HEALTH CRISIS LOOMS, OVER HALF OF BRITISH FOODS CAUSE STROKE

Experts have cautioned that over half of the British diet is associated with an increased risk of heart attacks and strokes. They have highlighted that a study examining ultra-processed foods, which are rich in salt and sugar and commonly found in popular snacks, revealed a 24% elevation in cardiovascular risks.

This information emerges as the Mirror newspaper brings to light the scarcity of wholesome and fresh produce in economically disadvantaged areas. Henry Dimbleby, the founder of Leon, expressed his concern, stating, “This should serve as a wake-up call. If there are intrinsic dangers in the processing of food, then it’s a catastrophic situation. The prevalence of ultra-processed food in Britain is notably problematic. This sets the stage for forthcoming issues. Ignoring this could result in a substantial burden on the National Health Service.”

Ultra-processed foods constitute 60% of the average diet in the UK, with only the United States surpassing this consumption rate. This category encompasses a significant portion of supermarket products like bread, sandwiches, soups, and crisps, known for their elevated salt and sugar content. These foods often incorporate synthetic additives to enhance flavour and extend shelf life, including sweeteners, colorants, and fillers. While such additives are uncommon in homemade meals, they are cost-effective for mass-produced foods.

These ultra-processed foods generally lack the nutrients present in fresh items like fruits, vegetables, and homemade bread, as well as being low in fibre. Dr. Sonya Babu-Narayan, the medical director of the British Heart Foundation, pointed out that there is a growing apprehension about the correlation between ultra-processed foods and cardiovascular ailments. The exact role of artificial additives versus the high levels of salt, sugar, and fat in these foods in driving this connection remains uncertain.

Henry Dimbleby, who was appointed by the Conservative party to conduct an independent assessment of the food system, resigned in March after his numerous recommendations were not acted upon by government officials. Dimbleby emphasized, “We need a transformation in our cooking practices that involves consuming more freshly prepared food with an emphasis on vegetables and fibre. However, this is a challenging endeavour and requires a substantial cultural shift.”

The findings originated from an analysis of 10 studies involving 325,000 participants, which were presented at the European Society of Cardiology congress in Amsterdam. Another study focused on 10,000 middle-aged Australian women and exhibited a 39% heightened likelihood of developing high blood pressure among those who consumed more ultra-processed foods.

The Department of Health and Social Care responded, noting, “We have implemented regulations to restrict the placement and promotion of specific products in supermarkets to discourage unhealthy choices.”

Source: Mirror

”TEARS AND TRAGEDY” UK NURSE SENTENCED TO LIFE IMPRISONMENT

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”TEARS AND TRAGEDY” UK NURSE SENTENCED TO LIFE IMPRISONMENT

According to reports, Lucy Letby, a paediatric nurse working for the U.K.’s state-run healthcare system, has been sentenced to life imprisonment after being found guilty of the murder of seven babies and the attempted murder of six others. The trial, which lasted for a span of 10 months, occurred in Manchester last week. The jury delivered the verdict, finding Letby guilty, while she was acquitted of two other murder charges. The jury was unable to reach a verdict in four additional cases involving babies. These tragic incidents took place within the neonatal unit for premature babies at a hospital in central England.

During the sentencing, Judge James Goss noted that Letby’s actions demonstrated a deep malevolence and nearly sadistic behaviour. He imposed a sentence of life imprisonment with no chance of bail, a penalty reserved for the most heinous crimes in the British legal system. Goss highlighted that Letby’s qualifications, intelligence, and outwardly conscientious nursing demeanour allowed her to repeatedly harm infants in the neonatal unit.

Families of the victims, visibly emotional and distressed, addressed the court during the sentencing. They shared how the attacks shattered their lives. One mother, who lost her child in October 2015, conveyed that a part of them had died along with their baby. Other parents described ongoing struggles with depression and thoughts of suicide. Parents of surviving babies reported severe disabilities requiring constant care. In a particularly heart-wrenching testimony that spanned the morning, the father of two triplets linked to Letby’s actions expressed feeling deeply wounded upon learning about their deaths after initially being told they were doing well. “We were told their birth was a miracle. I held the boys briefly. We were overjoyed by their progress and noted how similar they looked.” He expressed bewilderment at the hospital’s inability to explain their sudden deterioration. “It was incredibly distressing. I was at a loss for words… I felt helpless and blamed myself.”

This case has cast a dark shadow over the National Health Service (NHS), which has historically been a source of pride in the U.K. The NHS is currently grappling with its most significant crisis since its establishment after World War II, attributed to budget constraints, an aging population, and challenges posed by the pandemic. The system is currently dealing with a record 7.5 million individuals waiting for routine treatments, overwhelmed emergency departments, and several strikes by medical personnel advocating for higher wages. In response to the Letby case, the U.K. government committed to an independent investigation, a move welcomed by the NHS, though they expressed shock and repulsion at Letby’s actions.

Officials from the Countess of Chester Hospital, where the crimes occurred, reassured the public that substantial changes had been implemented in their services since Letby’s conviction. The case drew parallels to other notorious incidents involving healthcare workers, like the infamous serial killer Harold Shipman and nurse Beverley Allitt, who both committed grave acts within the NHS.

Notably, Letby continued to work in her role for a year after the initial baby deaths in 2015, despite multiple doctors raising concerns to hospital management. In fact, doctors who reported Letby’s suspicious behaviour were pressured into apologizing to her rather than having their concerns addressed. Over time, her shifts were changed from nights to days, and the pattern of deaths shifted from night-time to daytime.

Prosecutors presented handwritten notes by Letby during the trial, containing statements like “I intentionally killed them because I am not capable of caring for them” and “I am malevolent, and I did this.” The disturbing series of events began in June 2015, with apparently healthy babies experiencing abrupt and unexplained declines in health. Suspicion grew among unit doctors when they discovered that Letby was present during all the incidents, prompting concerns to be raised with hospital management.

Regulators also faced criticism for missing signs of misconduct. Despite a government healthcare regulator’s audit in February 2016, revealing the need for improved safety in the paediatric wing, the increased new-born baby deaths did not receive attention at that time. Similarly, a separate review in 2016 did not identify a definitive cause for the unexplained deaths but did recommend procedural changes.

Source: the wall street journal

AN AFRICAN CARER IMPREGNATES HIS PATIENT IN UK

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AN AFRICAN CARER IMPREGNATES HIS PATIENT IN UK

A caregiver who sexually violated a profoundly disabled woman in his charge, resulting in her becoming pregnant, has been handed a prison sentence extended to 15 years. The victim of Edson Munyikwa, the carer, had to undergo a surgical abortion upon discovering her missed menstrual period.

According to a judge at Leeds Crown Court, this case represents “perhaps the most severe of its kind” he has encountered throughout his career.

Munyikwa, aged 55, was responsible for providing respite care to the woman, who had significant disabilities, including an inability to communicate verbally and a mental age comparable to that of a toddler. It was during this care period that he committed the sexual assault.

The court was informed that the woman had various serious conditions, including brain damage, epilepsy, and autism. Prosecutor Deborah Smithies emphasized that the victim lacked the capacity to provide consent for sexual activity.

The offense came to light when the victim missed her period and her epileptic seizures increased in frequency. Subsequent blood tests revealed that she was three months pregnant. As a result, she underwent a procedure to terminate the pregnancy. Deborah Smithies stated that a police investigation was launched to identify all men who had interacted with her.

Even the victim’s father fell under suspicion during this investigation. He willingly provided a DNA sample to be excluded as a potential suspect. Munyikwa also submitted a DNA sample after being identified as someone who had been in contact with the victim. Munyikwa’s colleagues were also considered suspects.

Munyikwa was arrested at his residence after being identified as the biological father. During his interview, he denied engaging in sexual activity with the woman. He stated, “I don’t know,” when asked about his connection to the conception.

In a statement, the victim’s family expressed their dismay:

‘’Her susceptibility and inability to communicate made her a target. We struggle to come to terms with the fact that yet another professional has caused immeasurable distress to a vulnerable young woman.”

Munyikwa had no prior convictions in the UK. In a report by a probation officer who interviewed him, it was noted that he lacked genuine remorse for his actions.

During mitigation, Marcus Waite conveyed Munyikwa’s apology not only to the victim but also to her family. The defense attorney conveyed, “Today, he exhibited regret and sadness, addressing not only the victim but also her family, having listened to their comprehensive statements detailing the impact on them.”

Munyikwa was sentenced to 12 years in prison followed by an additional three years on license. In delivering the sentence, Judge Mushtaq Khokhar remarked:

“This is not an ordinary case. This is probably the most severe case of its kind I have encountered. It’s hard to comprehend why someone in your position would suddenly commit such an offense – there’s no explanation beyond what you told the probation officer. This aspect hasn’t been extensively explored to uncover the underlying motives.”

The judge noted that Munyikwa had eroded the public’s trust in his profession and cast suspicion on others. He further explained, “At the time, she couldn’t have comprehended what was happening, and you were well aware of her inability to communicate this to anyone else. Accusing a father of such an act is a profound torment. He had to stay away from her until he was cleared. Similarly, your colleagues were subjected to suspicion, leading to their suspension until the investigation concluded. Others were aware of the reasons behind this suspicion, causing them considerable embarrassment and anguish in front of their families and friends.”

Source: HealthTimes

BREASTFEEDING LEAVE, TO BE ENACTED IN GHANA?

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BREASTFEEDING LEAVE, TO BE ENACTED IN GHANA?

The Food and Drugs Authority (FDA) and the Ghana Health Service (GHS) have urged for the introduction of a national law to protect the breastfeeding rights of working parents. According to the two organizations, the proposed law should ensure that working parents who breastfeed receive adequate leave, flexible work options, and specific breastfeeding breaks.

In a joint statement issued during the 2023 Breastfeeding Week, the FDA and the GHS conveyed their worry over the fact that despite the acknowledged health advantages of breastfeeding for infants, numerous working parents still encounter challenges in maintaining exclusive breastfeeding for the recommended duration of six months.

The statement highlighted that numerous working parents end up breastfeeding for periods extending to two years or even longer. It underscored the fact that breastfeeding is a fundamental entitlement of every child and holds significant importance for child survival and holistic development.

The joint statement made an appeal to employers to take steps towards establishing workplaces that are conducive to breastfeeding, equipped with secure spaces, sanitary facilities, and suitable storage options for breast milk.

The statement underscored that obstacles such as extended working hours, insufficient maternity leave, inadequate breastfeeding leave, and the social stigma linked with breastfeeding at the workplace hinder parents from offering the optimal nutrition their infants require.

It further requested the collaboration of various stakeholders, encompassing governments, employers, civil society entities, and community organizations, to collectively overcome these hurdles and create an encouraging atmosphere that supports breastfeeding for working parents.

The 2023 World Breastfeeding Week revolves around the theme: “Enabling Breastfeeding: Making a Difference for Working Parents”. This week-long campaign for awareness and education accentuates the significance of cultivating a supportive milieu that empowers working parents to continue breastfeeding without it affecting their professional responsibilities.

Source: GHANA HEALTH SERVICE

HOW TO LOOSE WEIGHT IN A MONTH

HOW TO LOOSE WEIGHT IN A MONTH

Losing weight in a healthy and sustainable manner requires a combination of dietary changes, regular physical activity, and lifestyle adjustments. While it’s important to keep in mind that rapid weight loss can be harmful and is often not sustainable in the long run, here are some steps you can take over the course of a month to kick-start your weight loss journey:

1. Set Realistic Goals: Aim for a safe and achievable weight loss goal. Aiming to lose 0.5-1 kg per week is generally considered healthy.

2. Balanced Diet: Focus on consuming nutrient-rich foods while reducing your calorie intake. Incorporate a variety of vegetables, fruits, lean proteins, whole grains, and healthy fats into your diet. Portion control is key.

3. Calorie Control: Calculate your daily calorie needs and create a calorie deficit by consuming fewer calories than your body burns. Keep track of your food intake using a food diary.

4. Hydration: Drink plenty of water throughout the day. Sometimes, our bodies confuse thirst with hunger, leading to unnecessary eating.

5. Limit Processed Foods and Sugars: Reduce your intake of sugary snacks, sugary beverages, and highly processed foods, as they often provide empty calories and can lead to overeating.

6. Regular Meals: Aim to have regular, balanced meals throughout the day to avoid extreme hunger that might result in overeating.

7. Controlled Snacking: If you need to snack between meals, choose healthy options like nuts, fruits, yogurt, or vegetables.

8. Mindful Eating: Pay attention to your body’s hunger and fullness cues. Eat slowly and enjoy each bite, which can help you avoid overeating.

9. Physical Activity: Incorporate regular exercise into your routine. A mix of cardiovascular exercises (e.g., walking, jogging, cycling) and strength training can help burn calories and improve overall fitness.

10. Consistency: Stick to your diet and exercise plan consistently over the month. Consistency is key for seeing results.

11. Sleep: Aim for 7-9 hours of quality sleep per night. Poor sleep can affect hormone levels that regulate hunger and appetite.

12. Stress Management: Practice stress-reduction techniques like meditation, deep breathing, yoga, or spending time in nature. Stress can lead to emotional eating and weight gain.

13. Avoid Crash Diets: Extreme diets or very low-calorie diets can harm your health and lead to muscle loss. Focus on gradual, sustainable changes.

14. Consult a Professional: If possible, consult a registered dietitian, nutritionist, or healthcare professional before making significant changes to your diet or exercise routine.

Remember that weight loss is a gradual process, and it’s important to prioritize your health and well-being. Quick fixes and extreme measures are usually not sustainable and can lead to health complications. It’s always a good idea to seek guidance from professionals and make changes that you can maintain over the long term.

Source: @patientlifematters.com

Niger’s President Bazuom Alarming Health Situation in Detention

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Niger’s President Bazuom Alarming Health Situation in Detention

According to his doctor, Niger’s president is said to be in “good spirits” despite being held under “difficult” conditions by the junta that ousted him. The doctor mentioned, following a visit, that the president’s living conditions are challenging, with electricity still cut off. The president, Mohamed Bazoum, his son, and wife have been confined in the basement of their palace in Niamey since the coup on July 26.

The doctor also revealed that the president’s family is well, and he was able to provide them with food and medicine during the visit. The president’s family expressed relief after the visit. The junta’s decision to allow the family’s doctor to visit seems to be a response to international condemnation of the president’s detention.

The UN human rights chief criticized the inhumane and degrading conditions of the detention. Bazoum’s daughter, who was abroad during the coup, described the dire living conditions her family is facing. The Niger military had overthrown the democratically elected president in July, amidst similar events in neighbouring Burkina Faso and Mali.

Despite being held captive, Bazoum managed to publish an article in The Washington Post, warning of the negative consequences of the coup. Calls for his release have come from various quarters, including US President Joe Biden and the West African regional bloc Ecowas. However, the junta continues to ignore these demands.

Ecowas is planning to send a committee to Niger to engage with the coup leaders.

Source: THE GUARDIAN

IN-HOSPITAL RESUSCITATION – OSCE STATION

IN-HOSPITAL RESUSCITATION – OSCE STATION
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

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