Osces Flashcards

1
Q

When you enter the room or enter the scenario what are the first 4 things you do (in order)?

A

Introduce yourself, ensure privacy and that patient in comfortable, hand hygiene, explain procedure.

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2
Q

What does COLDSPA stand for?

A

Character, onset, location, duration, severity, pain, and associated factors.

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3
Q

What would we ask to do with associated factors?

A

Other signs and symptoms, allergies, medical/family/surgical history, current medications, smoking and/or alcohol use, and ADLs.

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4
Q

Before beginning any assessment what do we need to do.

A

Explain procedure including reasoning for taking notes, gain consent, hand hygiene, and prepare equipment.

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5
Q

Why is it important to take notes when preforming a medical assessment?

A

So that we can record all the relevant information allowing us to make the correct medical decisions.

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6
Q

Post preforming COLDSPA during the assessment what do you need to do?

A

Decide which health assessment to preform and provide the rationale for doing so.

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7
Q

What do we do before taking vital signs?

A

Explain procedure to the patient, gain consent, hand hygiene, and gather equipment.

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8
Q

Whats a good order to do vital signs in?

A

Temperature, radial pulse, respirations, pulse oximetry, blood pressure.

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9
Q

What are the four things you need to check you have done when doing documentation?

A

Include time, date, initials, and early warning score.

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10
Q

Define diastolic.

A

The phase of the heartbeat when the heart muscle relaxes and allows the chambers to fill with blood.

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11
Q

Define systolic.

A

The phase of the heartbeat when the heart muscle contracts and pumps blood from the chambers into the arteries.

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12
Q

What is involved in the 40min osce?

A

Inrtroduction, COLDSPA, Vitals, Documentation, Health Assessment (Musculoskeletal, lymph node, and Abdominal), ISBAR.

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13
Q

Whats the acronym I made up for what you do before starting an assessment with a patient.

A

NHI PAN CCC

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14
Q

What does NHI PAN CCC stand for

A

Notes, Hand Hygiene, Introduction, Privacy, Age, Name, Consent (Assessment + notes), Comfortable, Concern

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15
Q

Whats the acronym I made for the associated factors.

A

AIM SAD CAR

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16
Q

What does AIM SAD CAR stand for

A

Allergies, History (Family, Medical, surgical), Medications (Current, last pain meds). Smoking, Alcohol, Drugs. Covid, ADLS, Relevant questions.

17
Q

What is the expected finding for temp

A

36.5 - 37.7

18
Q

What is the normal finding for heart rate?

A

55bpm to 90bpm

19
Q

What is the normal finding for resp rate?

A

12-20

20
Q

What is the normal findings range for pulse oximetry

A

95 and above

21
Q

What is the normal findings range for systolic blood pressure?

A

110 - 210