Reference no: EM132308829 , Length: word count:800

Instructions

Make sure they use DIEP refection model and highlight this 3 topics

1. Why did I use 21 gauge needle for IM and why I did not use 23 gauge over 21, and I should have 23 gauge and why it is important.

2. Need to ask patient about their allergy that I didn't ask, why didn't ask and why it is important

3. Need to tell patient about the adverse effect of medication, why I didn't ask and why it is important?

These are the topics have to reflect on assessment

Assessment : OSCA & Reflection

OVERVIEW

This OSCA assessment has been designed to prepare students for clinical placement roles and help students to develop confidence and competence when undertaking medication administration via injectable routes utilising the principles of aseptic non-touch technique, principles of medication safety, patient procedural matching, infection control, use of personal protective equipment and correct disposal of sharps and infectious waste.

DETAILS

Students will be assessed demonstrating the care for a patient and administration of IM (intramuscular) injection. As part of this care students are required to demonstrate the correct technique, appropriate identification and rationale of landmarks of site, the ability to follow appropriate medical orders, and administer medication using the Australian injectable guidelines.

Students are also required to engage in therapeutic communication when attending patient care and undertake correct documentation and appropriate safety checks.

The medications for this assessment task are:

• Metaclopramide: 10mg/2mls

• Dexamethasone: 4mg/1ml

INSTRUCTIONS

Students must undertake the OSCA in FULL Professional Practice Uniform, as per the Professional Practice Rules and Expectations, and must adhere to the principles of strict infection control and self-identification.

PART 1:

The student will be assessed during scheduled clinical lab Sessions 4, 5 or 6 or in Week 2 of the block. The lab facilitator will utilise the Tollefson Clinical Skill Checklist: Parenteral Medication Administration for student assessment.

NB: If unsafe practice or critical errors have been documented on the students OSCA assessment checklist by the assessor and NOT highlighted as an area for improvement in the personal written reflection, then the student will be given a zero grade for this assessment task.

Students have the opportunity to practice this skill in the clinical labs during Week 1 and encouraged to use the SDL labs to refine and consolidate this skill. Students will gain preparation practice for this OSCA in each clinical lab from Week 1 / Session 1 guided by their facilitators

As part of the skill students will be required to:

• Introduce yourself to the patient

• Identify the patient - with buddy nurse

• Identify the medication order and obtain correct equipment double checked with ‘buddy nurse'

• Using ANTT prepare the medication as per Australian Injectable Guidelines - this will be available in the lab sessions.

• Educate the patient regarding the medication, indications, side effects and gain consent.

• Undertake the 6 rights of medication administration with buddy nurse

• Landmark and assess the most appropriate site based on the medication being administered

• Maintain ANTT and follow best practice principles when administering the medication to the patient

• Document the administration of medication on the appropriate chart.

• Maintain best practice principles for Infection Control and Medication administration

PART 2:

Students are required to consider the verbal and written feedback given to them by their OSCA skill assessor and using the required DIEP model, reflect on their demonstrated practice.

In their 800 word written reflection, students must articulate their learning following components of the DIEP model of reflection using evidence based literature to support the further development and reflection on practice. These components are outlined below:

1. Describe

What happened? What did you learn?

2. Interpret

What does the experience mean? Why?

3. Evaluate

How valuable was the learning experience?

4. Plan

How will you apply your learning?