Preparation for the OSCE: Medicines management

OSCE is the acronym for Objective Structured Clinical Examination and is a practical assessment of clinical skills which Nursing students must have achieved by the end of each academic year. The OSCE at the end of year 1 consists of three parts: Medicines management, ABCDE assessment, and Physiological measurements. In this post I will focus on the Medicines management station where students have to demonstrate clinical knowledge and skills in safe drug administration.

1) Wash your hands or tell the examiner you would wash your hands before administering any drugs

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2) Identify the patient (full name and date of birth), Hospital Reg. No. and the address allow an additional check to be madeCapture

3) Check the consultant’s name as he/she is accountable for the patient’s care; Any queries should be referred to them.

4) Check if the patient is sensitive/allergic to any medications

5) Check the patient’s weight and height to prevent overdosing. Some drugs are administered according to the patient’s BMI (Body Mass Index) especially in children.

6) Check if the patient is on a special diet (normal, puréed, Nil by mouth etc.) For example, if the patient is Nil by mouth then the drug cannot be given orally but through a different route, such as IV

7) Check if the patient has  any swallowing difficulty (dysphagia) and if so then crush tablets when appropriate

8) Medication prescribed by own doctor and Medication brought into hospital are two categories which ensure that the process of medicines reconciliation takes place

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9) When administering the drug always remember to check the 5 rights which are: right patient, right date & time of administration, right drug, right dose, right route

10) Check the right directions (how often should the drug be given)

11) Check if the drug has been signed by the prescriber

12) Check if the drug has not expired

13) Be aware of any contraindications, for example Digoxin should not be given if the patient’s pulse is below 60 beats/minute, or laxatives should not be given if the patient has severe diarrhoea

14) Always make use of the BNF (British National Formulary) if unsure about the drug’s contraindications, dosage or side-effects;

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Cooking ideas! for students

Hi, all! I just thought it would be nice if I share some of my favourite YouTube cooking channels and some easy but yummy recipes for students. So here it goes! 🙂

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Roasted chicken with potatoes

NOTICE: I added chicken broth to prevent the whole dish from drying but put a bit too much! 😛

Recipe by the YouTube channel Laura in the Kitchen here:
https://www.youtube.com/watch?v=oV9LdzONBJU

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Foil baked salmon with lettuce salad

Recipe by the YouTube channel April Mckinney Recipes here:
https://www.youtube.com/watch?v=BD1JHF3kpO4

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Curry and rice with tomato salad

Recipe by the YouTube channel Dave’s Kitchen here: https://www.youtube.com/watch?v=MgxOW8WLXh0
His new channel is: TheCooknShare

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Japanese rice balls with filling (onigiri)

NOTICE: My onigiri is wrapped in cling film because I made them for going to placement. Just thought to mention in case you’re wondering why it looks so shiny. 😀 Anyway, you can improvise and put anything you like inside, such as bacon or vegetables.

Recipe by the YouTube channel Ochikoren here:
https://www.youtube.com/watch?v=rFyfPvo97XQ

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Tomato soup

Recipe by the YouTube channel Cooking4Students here: https://www.youtube.com/watch?v=LfSYF1N5i_Q

I hope you enjoy cooking and have fun in the kitchen! 😉

How to ‘picnic’?

UEA has some great spots for picnic outside.11122544_615430608593755_948474362_n

Pick up a nice day with a nice weather!11212236_615431161927033_383689389_n

Prepare your ingredients and mix them according to your recipe.

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Wait for your food to cook.11119862_615430621927087_1710197265_n

Enjoy food with friends outside.

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Talk about any topic you like, such as gossips, news, and events.

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Make memories and enjoy  UEA‘s green fields. Thank you everyone for the food, photos and the great time together.

Conservatives won, now what!?

On 8 May 2015 it was officially announced that the Conservative Party has won majority and secured 331 seats. Bellow is a map of the election results:

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The Telegraph (2015)

So after the elections are over what will the near future of England be shaped like? The truth is, only time will show but here are some of the promises the new Tory government has made in its manifesto.

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Conservatives (2015)

Education
– Primary school place available for every child
– Lift the cap on university places
– Make Britain the best country in the world for developing maths, engineering, science and computing skills
– Introduce a national postgraduate loan system for taught
masters and PhD courses

Employment
– Create two million new jobs
– Support three million new apprenticeships
– National Minimum Wage should rise to £6.70 this autumn and over £8 by 2020
–  Make Britain the best place in Europe, and one of the top five
worldwide, to do business by 2020

Immigration control
– Stay in or leave the EU, with an in-out referendum
by the end of 2017
– Tougher requirements for non-EU spouses to join EU citizens, including with an income threshold and English language test
– If job seekers have not found a job within six months, they will be required to leave
– Satellite tracking for every foreign national offender

National Health Services (NHS)
– Spend at least an additional £8 billion by 2020 over to fund and support the NHS’s own action plan
– Ensure you can see a GP and receive the hospital care you need, 7 days a week by 2020
– Hospitals properly staffed, so that the quality of care is the same every day of the week
– Implement a national, evidence-based diabetes prevention programme

What are your thoughts on the outcome of the General Elections? Do you think the new government will improve  the quality of your life? Comment below 🙂

References:

Conservatives (2015) Conservative Party Manifesto 2015 Available at: https://s3-eu-west-1.amazonaws.com/manifesto2015/ConservativeManifesto2015.pdf (Accessed: 9 May 2015)

The Telegraph (2015) Election 2015 results MAPPED: 2015 full list [Illis.] Available at: http://www.telegraph.co.uk/news/general-election-2015/11584325/full-results-map-uk-2015.html (Accessed: 9 May 2015)