Guest guest Posted August 23, 2011 Report Share Posted August 23, 2011 Thank you Dr.Vasileva and Dia,for sharing OSCEsLet me just add some to lip cut osceLip cut osce1.introduce yourself.2. reassure colleague & thank him for trusting u 3.ask details of the incident4.ask him whether the patient has been informed.5.is the patient anaesthetised/or in pain6.any medication applied on the wound7.who is with the patient .8.offer to inform the patient.9.treatment 10. if the cut superficial then compress & stop bleeding11.if deep then either u suture or refer to A & E for suturing12.note the incident in the patient record as well as incident report form 13. explain patient about compliant procedure14.give patient an easy appointment procedure 15. talk & comfort patient & ask him to take some time off work16. ask colleague to contact his defence organization SincerelyLyudmylaFrom: diya raj <esther_diya@...>" " < >Sent: Tuesday, 23 August 2011, 9:07Subject: Re: Osce surgical scrub Hi ,Thanks for that... Since OSCE's are the topic.. here's one1) While working on a patient for a restorative filling your bur slips and cuts the patients lip. There is some bleeding and discomfort but no complaint of pain. How would you manage this scenario in terms of patient management and risk management.Just to begin....1. Stop treatment2. Inform the patient.....2) Same scenario - if your colleague was working on the restoration.Please give your opinionsRegards,DiaFrom: Dr Vasileva <dr.vasileva@...> Sent: Tuesday, August 23, 2011 8:25 AMSubject: Osce surgical scrub [1 Attachment] Hello everyoneplease check attached file Hand washing technique Wet both hands with the given gel. Follow the technique below(or from any good book) for 15 – 30 seconds ensuring that each step consists of at least three strokes backwards and forwards.look in any book for photos Step 1 Rub palm to palm Step 2 Right palm over back of left hand and left palm over back of right hand Step 3 Palm to palm, with bent and spread out fingers Step 4 Backs of fingers to opposing palms with fingers interlocked Step 5 Circular rubbing of left thumb in closed right hand and vice versa Step 6 Circular rubbing, backwards and forwards with closed right hand fingertips in left palm and vice versa Special attention should be paid to fingertips, thumbs and other areas of hands likely to contact a contaminated site. STEPS IN THE EXAM- 1. Roll sleeves above elbow 2. Applies glitter potion and inspects hands, dispense hand cream. 3. Palm wash 4. Back of hand interdigitating 5. Thumbs 6. Distal fingers extensor surface 7. Place hand under ultra violet light- Clean 8. Name of active ingredient in the cream- Alcohol 9. Other active ingredient used in hand washes- · Betadine (Povidine Iodine) · Hibbiscrub (Chlorhexidine) 10. Hospital acquired infections prevented by effective hand washing- · Methicillin Resistant Staphylococcus aureus (MRSA) · Clostridium difficile - Pseudo Membranous Colitis (Total time in hand washing- 2-3 minutes Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2011 Report Share Posted August 23, 2011 hi are u responsible for the cut lip or a collegue?From: diya raj <esther_diya@...>" " < >Sent: Tuesday, August 23, 2011 10:49 AMSubject: Re: Osce lip cut Thanks ...that covers it entirely Rgds,DiaFrom: Lyudmyla Huhley <huhley2006@...>" " < >Sent: Tuesday, August 23, 2011 10:35 AMSubject: Re: Osce lip cut Thank you Dr.Vasileva and Dia,for sharing OSCEsLet me just add some to lip cut osceLip cut osce1.introduce yourself.2. reassure colleague & thank him for trusting u 3.ask details of the incident4.ask him whether the patient has been informed.5.is the patient anaesthetised/or in pain6.any medication applied on the wound7.who is with the patient .8.offer to inform the patient.9.treatment 10. if the cut superficial then compress & stop bleeding11.if deep then either u suture or refer to A & E for suturing12.note the incident in the patient record as well as incident report form 13. explain patient about compliant procedure14.give patient an easy appointment procedure 15. talk & comfort patient & ask him to take some time off work16. ask colleague to contact his defence organization SincerelyLyudmylaFrom: diya raj <esther_diya@...>" " < >Sent: Tuesday, 23 August 2011, 9:07Subject: Re: Osce surgical scrub Hi ,Thanks for that... Since OSCE's are the topic.. here's one1) While working on a patient for a restorative filling your bur slips and cuts the patients lip. There is some bleeding and discomfort but no complaint of pain. How would you manage this scenario in terms of patient management and risk management.Just to begin....1. Stop treatment2. Inform the patient.....2) Same scenario - if your colleague was working on the restoration.Please give your opinionsRegards,DiaFrom: Dr Vasileva <dr.vasileva@...> Sent: Tuesday, August 23, 2011 8:25 AMSubject: Osce surgical scrub [1 Attachment] Hello everyoneplease check attached file Hand washing technique Wet both hands with the given gel. Follow the technique below(or from any good book) for 15 – 30 seconds ensuring that each step consists of at least three strokes backwards and forwards.look in any book for photos Step 1 Rub palm to palm Step 2 Right palm over back of left hand and left palm over back of right hand Step 3 Palm to palm, with bent and spread out fingers Step 4 Backs of fingers to opposing palms with fingers interlocked Step 5 Circular rubbing of left thumb in closed right hand and vice versa Step 6 Circular rubbing, backwards and forwards with closed right hand fingertips in left palm and vice versa Special attention should be paid to fingertips, thumbs and other areas of hands likely to contact a contaminated site. STEPS IN THE EXAM- 1. Roll sleeves above elbow 2. Applies glitter potion and inspects hands, dispense hand cream. 3. Palm wash 4. Back of hand interdigitating 5. Thumbs 6. Distal fingers extensor surface 7. Place hand under ultra violet light- Clean 8. Name of active ingredient in the cream- Alcohol 9. Other active ingredient used in hand washes- · Betadine (Povidine Iodine) · Hibbiscrub (Chlorhexidine) 10. Hospital acquired infections prevented by effective hand washing- · Methicillin Resistant Staphylococcus aureus (MRSA) · Clostridium difficile - Pseudo Membranous Colitis (Total time in hand washing- 2-3 minutes Quote Link to comment Share on other sites More sharing options...
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