Blood Glucose Monitoring | NEW TOC OSCE 2021

For more info:
Twitter @emerdiegoRN
IG @emerdiego
Facebook: OSCE for International Nurses
MARKING CRITERIA:
1. Assembles the equipment required and checks that the strips are in date and have not been exposed to air.
2. Explains the procedure with the person. Gains consent.
3. Cleans own hands with alcohol hand rub, or washes with soap and water and dries with paper towels, following WHO guidelines.
4. Dons a disposable plastic apron and non-sterile gloves.
5. Checks that the patient’s hands are visibly clean.
6. Takes a single-use lancet and takes blood sample from the side of finger, ensuring that
the site of piercing is rotated. Avoids use of index finger and thumb.
7. Inserts the testing strip into the glucometer and applies blood to the strip. Ensures that
the window on the test strip is entirely covered with blood.
8. Gives the patient a piece of gauze to stop the bleeding.
9. Ensures that all sharps and non-sharp waste are disposed of safely (including scooping method of re-sheathing, if used, and transportation of sharps) and in accordance with locally approved procedures.
10. Cleans hands with alcohol hand rub, or washes with soap and water and dries with
paper towels, following WHO guidelines - verbalisation accepted.
11. Verbalises whether the result is within normal limits and indicates whether any action is
required.
12. Documents the result accurately, clearly and legibly.
13. Acts professionally throughout the procedure in accordance with NMC (2018) ‘The Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates’.

[@alliebart3300]

Nice video, I love my FreeStyle Libre 14days and Blucon cgm together, both helps me to manage my blood glucose. My Blucon give me alarms on my and my partner’s phone when I’m high or low so that’s nice.

[@thenoblesiblings6919]

Hi Emer, thank you for these fantastic videos. I'm about to start year 1 at Uni later this month. could you direct me to which videos are relevant to my first year of adult nursing? thank you.

[@bolamustapha9887]

For 8min procedures will set the equipment first bfr proceeding to the patient

[@egbriaugustina8869]

This is superb, pls can you do a video on Braden score, planning and evaluation? Thanks

[@EmerDiego]

Ill upload soon 😉

[@theresaani1379]

thanks so much, my osce is next month and i will come back and share my result bcos i am learning alot from you. please the marking criteria says, take sample before inserting the strip on the machine, and putting the sample on the strip window is that the excepted thing

[@imanmohamed2076]

Hey you got your results?

[@stijojose2649]

No id check?

[@wendyyee1987]

Hi, I have a few questions. 1. Is that the device we will be using? 2. The skill is done in community or hospital settings? 3. We don’t have to ask/check patient’s ID and if he has taken meal/snacks before sugar monitoring? 4. Is it necessary to put on apron? Thanks!

[@EmerDiego]

Hi wendy, please see the marking criteria on the description. You are using the blue glucometer - see the picture. It doesn’t really matter where the setting is, steps are all the same. No mention about the need to check the patient’s identity. Yes apron is needed- refer to the criteria. Goodluck

[@patiencendu8337]

Please, what's the normal glucose reading for OSCE?

[@catalinadiana8129]

no need to check MRN? wipe the finger alcohol wipes, wipe the first blood, then get the next blood for reading?

[@elwinsidhabattula7318]

Where and when do we dispose of the test strip with the blood? Yellow bin together with the gloves ? Thankyou for the superb vid btw.

[@EmerDiego]

Yup that’s correct. Good luck

[@EmerDiego]

UPDATE: you will either be recording a pre or post prandial reading on your documentation. Please read the scenario carefully. Please study the normal values and take note that in the UK our unit of measurement for blood glucose is mmol/L not mg/dl. FUN FACT : here if we say “BM” we are referring to blood sugar or blood sugar monitoring not BOWEL MOVEMENT 😉 Shop the OSCE Workbook here: osce-review-experts.myshopify.com/products/osce-review-expert-workbook

[@johannamarie2474]

Can you please tell us the normal values for pre and post prandial? It shows differently on Google.

[@EmerDiego]

@@johannamarie2474 go to NICE guidelines 😉

[@okekeevergreen4754]

Please what's the community scenario documentation for subcutaneous injection and blood glucose monitoring like.

[@EmerDiego]

Hi it's the same regardless of the setting. You only need to write the results (if relevant) and of course your signature, date and time

[@oluwatobijayeola9865]

Hi Please when do we say a BM is pre /post prandial E.g if my patient ate at 8am, and the BM is checked at 12noon , is that a post or pre?

[@veraemeh5531]

Hello Emer thank you for this great video. Please I would like to confirm if it’s necessary to clean the finger to pierce with alcohol wipes prior to piercing Thanks

[@EmerDiego]

hi not written on the criteria

[@veraemeh5531]

Many thanks

[@shantoantony9667]

Hello dear would they fail you if we didn’t verbalize the finger is clean 😢kindly reply

[@EmerDiego]

It is better if you verbalise that but it will depend on the assessor. BEst of luck

[@oluwatobijayeola9865]

Hi Please when do we say a BM is pre /post prandial E.g if my patient ate at 8am, and the BM is checked at 12noon , is that a post or pre?

[@glyeshua]

Hi what is the answer for this question? Thanks

[@EmerDiego]

What do you think?

[@oluwatobijayeola9865]

@@EmerDiego I only needed a clarification that's why I asked. If you don't mind please

[@EmerDiego]

@@oluwatobijayeola9865 on your example you said that you will check the blood sugar at 12 then the next information you have to know is if the patient will eat. If that’s the case then it will be a preprandial blood sugar. We do post prandial bm after meals around 1-2 hours . Going back to your example if the patient had eaten at 8am and then you checked the bm after 4 hours and lets say the patient will continue NOT to eat for an extended period then to an extent, you are checking the blood sugar on a fasted state. The exam will be straightforward so I will you all good luck ❤️

[@oluwatobijayeola9865]

@@EmerDiego Thank you so much, I really appreciate

[@Dreamuntilyourdreamcometrue]

It is really useful tnk u

[@wilhelmachillesarabani3933]

oi kelvin! aki to from feu haha dito ako bath saan ka?

[@KelvGDG]

Oy. Hahaha. Sa Reading ako! Haha. Kelan ka dumating? Haha

[@chelstarmandi95]

Why did you avoid the index finger?

[@alister214]

Avoid thumb and index finger because it is needed for dexrerity.

[@jamilawekem8548]

We need to wipe after piercing and then take the second sample. Also, no patient identification?

[@EmerDiego]

hi Jamila, its not part of the criteria. good luck

[@Semteachertamil]

❤

[@jacquelynantaran344]

What is the normal BLOOD glucose level?

[@kurtenzena7345]

4-8

[@jithinjose1264]

4.5- 7

[@MedLearnpro]

4-7

[@faridagonani]

Hie,I have 2 questions:first question is between gain consert from the patient and prepare the equipment which one is come first?, Second question is we don't clean with cotton swab before pricking?

[@beck3643]

I also want to question that. Usually i clean the finger with alcohol swab before pricking. Do my practices outdated or Im just doing it in the wrong way? Very confused.

[@EmerDiego]

please check the current evidence based practice

[@florencedeguzman9901]

wow

[@cherrymonette1502]

💯👏👏👏

[@EmerDiego]

❤️❤️❤️