OSCA references Flashcards
Why do we carry out hand hygiene when entering the patients surroundings?
As per the World Health Organisation 5 moments of hand hygiene
Why do we introduce ourselves to the patient?
As per the #HelloMyNameIs campaign by Kate Granger - to promote a therapeutic relationship.
How do we identify patients?
Check their name and date of birth against their wrist band
Why do we check what the patient would like to be called?
As per research by Parsons, Hughes and Friedman - states it is useful for effective communication
Why do we ensure privacy for patients?
As per the NMC code - must respect people’s right to privacy in all aspects of their care
Why do we complete falls risk assessment?
As per the National Institute for Health and Care Excellence (NICE) guidelines which states that a multifactoral falls risk assessment should be undertaken for older people.
What does the falls risk assessment involve?
Falls risk assessment - identifies people at risk of falls and begins interventions and preventions
L/S BP - to identify deficits in BP which can result in falls
Bed rails assessment - to identify need for bed rails during inpatient stay
4AT/TIME - detects, manages and prevents delirium/cognitive impairment
Why do we gain consent from patients?
As per the Royal College of Nursing (RCN) - states that consent should be gained for all procedures regardless of how big or small they seem
Why do we carry out NEWS assessment?
As per NICE guidelines - states that physical observations should be taken for all adult patients in acute hospital settings
What must we check before checking blood pressure?
The cuff is the correct size for the patient
How is Spo2 reading taken?
Using a pulse oximeter
This measure the level of oxygen in the blood through the use of small light beams that pass through the blood and measuring changes in light absorption.
What are we measuring when checking radial pulse?
Speed
Strength
Depth
Rhythm
How is temperature generally measured?
In the ear, using a tympanic thermometer
- use a single use probe cover to minimise infection
- ensure pinna of ear is pulled back to open up ear canal
What are we measuring when assessing respirations?
Depth
Strength
Chest symmetry
Rate
We do not inform the patient
Why would we document blood sugar on NEWS?
For diabetics whose blood sugar must be monitored at varying times throughout the day.
When would the Glasgow Coma Scale be used?
In patients with a suspected or known brain injury.
It measures the level of consciousness of the patient.
What should we do before leaving patient surroundings?
Ensure patient is comfortable any needs/issues have been addressed
What 2 points are important to check before carrying out a Wound assessment?
If analgesia is required
The location of the wound
If analgesia is required how would it be administered?
Using the 5 rights of medicine administration:
Right patient Right route Right dose Right time Right drug
Why is a wound assessment carried out?
To assess the wound bed, plan appropriate interventions and review assessments.
What are we looking for during the wound assessment?
Tissue type (granulating, epithelialising, sloughy, necrotic, hyper granulating)
Exudate level (high, moderate, low, purulent, serous)
Skin around the wound(macerated, oedematous, excoriated, healthy etc)
Signs of infection (heat, slough, pain, exudate,odour)
What measurements are taken when measuring the wound?
Width
Length
Depth (acknowledge)
What dressings would be used on an infected wound?
Hydrogel Iodine Alginate gel Charcoal for odour Honey for debridement + if sloughy
Hydrocolloid dressing for dry wound
Foam dressing for high exudate
Why is fluid balance important?
To monitor the input and output of fluids to ensure the patient doesn’t become dehydrated or overloaded whilst on IV fluids
