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.