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ASSESSMENT, PLANNING,
IMPLEMENTATION AND EVALUATION
THE APIE STATIONS ARE ALL 15 MINUTES
LONG EACH
During that time, you will meet a patient first in the assessment that has a set of nursing problems, a social situation, lifestyle habits and concerns.
Each station uses an aspect of the nursing process, to care for
patients throughout their stay on the ward or when
you meet them in the community.
Each patient requires a review, a plan of care and treatment and finally a
written handover for.
It is during this time you can demonstrate your effective communication,analytical and documentation skills and also the nursing knowledge
that you possess.
SKILLS ON FOCUS
You need to practice these skills repeatedly
until you are competent and feel confident.
You should be able to communicate this
clearly to the patient and their family.
The assessors are looking for nurses to provide care that falls within the NMC standards, spot hazards,
as well as plan for optimal outcomes for the patient.
Your first step is reading the material in this course
and taking in the videos and audios, please
attempt the quizzes to test your knowledge.
HEAD INJURY RESPIRATORY
CASE SCENARIOS DURING THE TEST
Use evidence-based practice, to ensure you
assess the patient
effectively and are able to score and escalate the
results, as per GCS protocol.
The patient is never very
unwell or severely deteriorating
neurologically, and so you need only to deal with mild symptoms,
like disorientation or slight
drowsiness.
The head-injured patient in the
OSCE has a set of problems, often seen in
those suffering from a mild head injury.
As a nurse, you are meant to be
competent in using this
scoring system, and so the scenario is used in the
OSCE.
The Glasgow Coma Scale (GCS) is the
most common scoring system
in the world, used to help
gauge the severity of a brain injury.
The head injury patient, who has always sustained a small subdural
haematoma, requires a
certain type of standard
assessment,common to all head-injured
patients in the UK.
HEAD INJURY
R E S P I R AT O RY
You must
complete the NEWS2 (National
Early Warning Scoring 2) chart accurately and
completely to pass.This
patient is not becoming very
unstable and you must concentrate on completing the chart primarily and
some health education.
If the patient has
supplemental oxygen on when you
meet them, this is something you must t
ake notice of and include in their
assessment.Other general
non-pharmaceutical
interventions, such as deep breathing exercises,
relaxation techniques and repositioning
are sufficient for this patient.
These are normally
manageable with mild pain killer, antibiotics or
bronchodilators.
They are not a person in
severe respiratory distress, but rather have mild-modera
symptoms.
The respiratory patient will
present with a chest infection or having had an episode of
exacerbation of asthma.