1. Vital Signs Flashcards
INTRODUCTION BEFORE ANY OSCE:
Hand hygiene, PPE, intro, identity, explain, pain, consent, expose, chaperone, stethoscope HYGIENE
What to offer during vital signs examination:
Take the mean of 2 more BP readings
& BP in other arm
NEWS score of 1-4
monitoring frequency:
Clinical monitoring:
4-6 hourly
Inform registered nurse:
- assess pt
- decides if escalation of care required
NEWS score of 0
12 hourly
NEWS score of 3 in single parameter
monitoring frequency:
Clinical monitoring:
1 hourly
Registered nurse informs medical team caring for pt
Review and assess if escalation of care required
NEWS score of 5 or more
monitoring frequency:
Clinical monitoring:
1 hourly
URGENT assessment by clinician
NEWS score of 7 or more
monitoring frequency:
Clinical monitoring:
Continuous
EMERGENCY ASSESSMENT BY Specialist registrar level
Critical care competencies
Advanced airway management
CONCLUSION FOR ALL OSCES:
thank pt, qs, help them dress
offer (NEWS), SBAR, while DOFF, hand hygiene