NMC OSCE Implementation Station

In this video we take a closer look at the Implementation Station in the NMC OSCE exam. An overview of the station is given, followed by 5 top tips highlighting key areas overseas nurse need to learn and practice.
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BNF Online: bnf.nice.org.uk/
NMC OSCE 'The Code': www.nmc.org.uk/standards/code
NMC OSCE Exam introduction: • NMC OSCE Exam Introduc...
MNC OSCE Assessment Station: • NMC OSCE: Assessment S...

[@pratikshyabhandari9145]

Thank you for the video. Please keep uploading more 🤗

[@oscenursetrainingcambridge3851]

More to come!

[@ceciliathomson2659]

Thank you for the very informative teaching. Keep it up

[@oscenursetrainingcambridge3851]

You are welcome

[@swapanamolsanthosh2887]

Your videos are helpful.Thank you

[@oscenursetrainingcambridge3851]

You are welcome!

[@albiangel5363]

Your videos are very helpful for osce

[@oscenursetrainingcambridge3851]

So nice of you

[@Jastix_Scratch]

thank you very much for this video

[@oscenursetrainingcambridge3851]

Thank you for your comment

[@EniolaAkinpelu-ph7qm]

Thank you for your videos, the ventolin nebuliser in the presciotion chart is an inhalation meds, are we going to tell the assessor i'll be given it after the oral medication or is the meds available in tablets?

[@MrYesumerlin]

Wonderful explanation

[@oscenursetrainingcambridge3851]

Glad you think so!

[@vonnettebarrow4400]

I am very happy I subscribe to your channel your videos are very informative I will definitely recommend your channel to other people

[@oscenursetrainingcambridge3851]

Thanks and welcome

[@Amasarpomaa6231]

Please what BP is considered low in the exam?

[@math074]

Also, if you forgot to mention about two fingers inserted in the calf to check if tight but mention qt the end that you needed to mention about respiration but tell them later, would that be an issue?

[@sushmamgr]

If the patient's BP IS 90/60 can I give hypertensives meds? In regular medicine

[@math074]

Hi Shalu, what if time finishes after you document but havent verbalized and the assosor says tile is up, would you fail?

[@naomi6030]

if the prescription is not checked by the pharmacist, is it still considered valid?

[@minsuannaskariah9092]

Mam if there is no finish date for prn and regular medication is it consider as a drug error ..or can i give that medication at my time

[@patriciaf.v.8889]

Thank you

[@oscenursetrainingcambridge3851]

You are very welcome.

[@aanbivlogs3645]

hi on resit will they give the same drug that was given on first time or it will be different n also will they add any more extra drug or will they change the prescription, please do let me know as iam for implementation resit so xxx

[@VeronicaLartey-bg8tq]

Your videos are helpful. Please do you train candidates on midwifery OSCE ?? Thank you.

[@abiolab5143]

Excellent video I did learn something new that is asking about nausea however in the box where is stated time do I out the time the drug was expected to be given (in the omitted section)

[@oscenursetrainingcambridge3851]

no , if it was not given then don't add time.

[@simplynanaadwoa7530]

Hi shalu can you please give me an answer to this question. If a patient is Nauseated do you have to give the drug or not. And if you are not going to give the drug what code will you give for nausea.

[@user-of6os7fx7h]

Hello mam, In implementation patient complaints that he is having vomiting however he is prescribed with metoclopramide but that's not come in my due so what I have to do in end of life care scenario??????

[@aarzookamboj9651]

Hi shalu If duration is not given for any drug in implementation chart. Do we need to code it as prescription is incomplete?. And if in prn medication drug given is salbutamol. Can we directly give salbutamol to patient or do we ask do you want to take salbutamol? Patient is having history of asthma Please reply.thanks

[@sherinmary2088]

Helpful videos

[@oscenursetrainingcambridge3851]

Happy that you like them

[@ma.schelmarivas830]

hello, thank you for this helpful video. if your time is 08.00 and you see a regular drug of ferrous sulfate to be given at 14.00 as OD and a regular dose, will you still give that drug at 08.00 because it's an OD? please enlighten me on this matter. thank you so much.

[@oscenursetrainingcambridge3851]

No,You will only give what is due at your time .

[@daniellewofford9612]

In the blank boxes (such as NMC number by nurse name and signature) do I leave it blank or write N/A or anything? Thanks :)

[@oscenursetrainingcambridge3851]

They have taken that part (NMC number)out of the chart now so do not have to write anything.

[@sashav6847]

Where it says on the MAR "Consultant: Mr. Brownly" is that the consulting Physician? sorry as a Canadian I find the UK doctor titles confusing

[@oscenursetrainingcambridge3851]

Yes

[@TheresahKarikari]

Please madam if you’re serving a 1200 medication but the time on the chart is 1100 , do you code it. Please help

[@tctonyyim4577]

Hello, I can see that the cyclizine (as required) was prescribed without the start day. Is it still a valid prescription for as required drug? Thank you.

[@oscenursetrainingcambridge3851]

Yes it is valid.

[@georgejoanne6026]

Hi.. if I have levothyroxine 40mcg prescribed but only 5mcg tablets were provided, do I give the drug or Code it?

[@oscenursetrainingcambridge3851]

Give 8 tablets.

[@baljindergrewal6834]

Hi Shalu Thank you so much for your help. I have got question if regular medication in Stat dose 14.00 and next page medicine,same medication is OD. At 06.00 but they put cross but should we need to do it. Thanks

[@oscenursetrainingcambridge3851]

You only give and sign for whatever is due at your time. No need to do anything in other section as patient missed the dose at 6.00.

[@ammathews6405]

Thank you very much..bless you. One doubt maam,Paracetamol QD (Given drug chart)can be consider as QDS?

[@oscenursetrainingcambridge3851]

yes ,that is correct.

[@user-po5mj3mg8t]

Please, while reading the MAR chart, I realized that there is a prescription which is not correct at the 'AS REQUIRED' section but it is not due at my time. Do I have to code it or leave it ?

[@oscenursetrainingcambridge3851]

No code for this because you only code drugs due at your time.

[@aprilganigan4270]

Hi, do we code Once only and As Required Medicines? Or do we just verbalize it but not to code it? Thank you

[@mytimor20elliott99]

No need to code As required

[@ivyrosequeppet2965]

Hi thanks for your videos, if we write a code on the medication do we need to put our initials???or just the code

[@oscenursetrainingcambridge3851]

Both

[@ivyrosequeppet2965]

thankyou🙂

[@ademidunomot346]

Good evening ma, thankyoufor all you do. If "as required" medication has no start and finish date, can I still go ahead and administer it?

[@oscenursetrainingcambridge3851]

Yes, it is still valid prescription.

[@bsconvelanganni3492]

Tomorrow is a result after that can I get training for implementation please?

[@liyababu1900]

informative video

[@oscenursetrainingcambridge3851]

Thanks

[@MalihaShoukat-xl4kb]

In drug administration chart, if duration and finished date is not mention than we administration medication or not?

[@nanaakwasiagyemang8085]

I think if the medication is regular, it means that patient is taking it regularly, so if there is no start and finish date, then you can still administer, if every other validity details like prescriber bleep number and signature is present and frequency is seen correctly... all that i mean to say is that patient may be hypertensive and taking medication like amlodipine, and you know they will take this medication forever unless there is a change. so if there is no mention of start date and finish date, it does not matter. you simply have to look at the other validity element like prescriber bleep numbeer and signature, once there are there, and nothing else signals you to stop or code the medication, you have to administered.

[@Amasarpomaa6231]

Thank you for the video Please do we code once only and as required medication?

[@oscenursetrainingcambridge3851]

Once only if it is due at your time but not as required.

[@Amasarpomaa6231]

@@oscenursetrainingcambridge3851 thank you

[@jerrymukolu6675]

lovely

[@oscenursetrainingcambridge3851]

Thank you

[@user-po5mj3mg8t]

Hi Ma'm If a prescription is not having a bleep number, can I code it?

[@meenak.7604]

Yes code 6

[@Amasarpomaa6231]

Hello .. please in the Case where under a medication prescribers signature is for e.g M. Wright with bleep number and at the print name of the same medication the print name is for e.g S. Richards, is it considered as valid and legible or not... If incase it is not valid what code can be used ?

[@meenak.7604]

Code 6

[@junevibez8189]

Do we need to put code for as required meds,?

[@oscenursetrainingcambridge3851]

no omission code for as required, only for regular and antimicrobials.

[@grimfrostad6173]

Hi, I got a question, if I want to omit a medication I have to write the code do I still need to write my name or initials in the box? or is it just the code?

[@oscenursetrainingcambridge3851]

code and initials

[@grimfrostad6173]

@@oscenursetrainingcambridge3851 thank you, big help

[@janetrai185]

hi ,do we get the same drugs in the second resit ?

[@oscenursetrainingcambridge3851]

Yes, Should do

[@uwakweamarachi4034]

Thank you for your videos. What code do you give when the dose at hand is different from the prescribed dose? Please your response is urgently need please.

[@typicallySweet17]

Code 6, I think. Incorrect prescription. Please check 5:48 on the video

[@oscenursetrainingcambridge3851]

None, you need to work out how many tablets you need to give of stock dose to match it to prescribed dose.

[@sushmamgr]

What if I have to give 5 my but I have 10 mg on my hand?

[@nanaakwasiagyemang8085]

If you have 5mg to be given and from the drug trolley 10mg is only available, you will need to code it as medication unavailable. also let us say you have to give 40mg of a medication, and it comes in a form of 5mg, it means you will need to serve 8tABLES/PILLs. but before that ask the patient whether he or should can take the 8tablets, if not, then you dont even have to dispense it into the cup and waste the medication. and once the patient said he is not able to take it, it did not mean that he or she refused the medication, but he cannot take such many tablets at once. so you can code it as medication unavailable- to inform prescriber or something like that. I stand to be corrected @@sushmamgr

[@maggiemunetsi4422]

Hello , can l administer due medications with a start date but no end date (antidepressants and ferrous sulfate) for a PHQ9 patient

[@oscenursetrainingcambridge3851]

It is still counted as a valid prescription if patient takes these drugs on a long term basis due to chronic problems so will not have end date.

[@maggiemunetsi4422]

Thank you very much for the response

[@rajeevtmanjakuzhayil722]

If stop date is not mentioned in the prescription chart,is this prescription is valid?please reply

[@oscenursetrainingcambridge3851]

It depends on medication.

[@aanbivlogs3645]

hi can we give as required medicine if start date and time not mentioned

[@oscenursetrainingcambridge3851]

there will be no time as its as required, you will add the time if you give it.

[@ManpreetKaur-qv6mz]

If in regular medicine no time is given than what should i write to omit the medicine. Do i write in time column at what time and than sign and code it that it is incorrect prescriptions

[@oscenursetrainingcambridge3851]

There will be time written for regular drugs. Try not to overthink.

[@kolejames]

Hi, do you know what it means when there's an X in the box where the signature is required? Thank you

[@oscenursetrainingcambridge3851]

That the medication is not given

[@Ivybasnet]

If medication was not given at 8am for OD medication as patient was out of ward. Will I need to give at 14:00??

[@oluwakemioyebode6329]

Please on as required how do I know that patients will require the drug is It by asking them if they have the symptoms?

[@oscenursetrainingcambridge3851]

Yes by asking

[@sangaiahpalanisamy3154]

Patient complains nausea in chart there is a medicine in as required however there is no pharmacy check so what I have to do?

[@oscenursetrainingcambridge3851]

You can give

[@anukurian273]

Mam should we right all the codes at the back or only for code 6?

[@oscenursetrainingcambridge3851]

Any omitted medicine need to be written

[@user-sv2nm1ij7v]

Hi Mam I am watching your video every day it's really helpful . I have doubt in prescription if patient complaining for constipated , and in prescription prescribed Seena PRN , and the prescription there is no pharmacy check can I give the medication or not .

[@oscenursetrainingcambridge3851]

Not having pharmacy check does not make the prescription invalid.

[@user-sv2nm1ij7v]

It's means I can give the medication because prescriber signature is there Thanks man 🙏

[@oscenursetrainingcambridge3851]

Yes

[@Onyi8Obi]

If my scenario is TODAY 0800 and there's a drug that is due 0815 do i still administer the drug?

[@oscenursetrainingcambridge3851]

No

[@zaharasalim1658]

Is it a must you will get medicine to code

[@oscenursetrainingcambridge3851]

No

[@bsconvelanganni3492]

Yesterday i had my resit implementation i gave frusemide amlodipine and bisoprolol all due at my time but i forgot to ask patient heart rate really i am scared

[@srajwin7099]

Could you please correct me in implimentation station.. Can we put code and signature straightway for an omitted drug while preparing all medicine. Or should I wait until I dispense all other medicine? Pls reply

[@oscenursetrainingcambridge3851]

You should put code and signature straight away if you have decided to omit a drug, don't wait as you may forget to do it later on and then it will count as fail.

[@samsam-hu4xz]

Hi, ur videos r really heplfull ..i got result today..have to resit implementation..do u give classes online only for implementation..coz i failed one station only

[@oscenursetrainingcambridge3851]

Yes, email us on [e-mail]

[@okonoffiong3424]

Good day. Please I love ur videos. I failed my implementation station. I was told that i defaced my chart. I saw levothyroxine and amlodipine as stat dose and i saw it as regular drugs and i signed the two. Please which one am i to sign? Thank you

[@oscenursetrainingcambridge3851]

If you gave as STAT dose and it was due at your time then you need to only sign in STAT section , do not sign in regular .

[@meenak.7604]

@@okonoffiong3424yes you need to put code 5

[@okonoffiong3424]

Thanks a lot. I have passed

[@ritaokoh5715]

@@oscenursetrainingcambridge3851 after giving and signing start dose, would we then need to code the regular column, 5, since both are in start and regular due my time? or we leave the regular blank even when its due my time

[@genevacruz2238]

Hello. For antimicrobials: if the prescription has start date and duration but without finish date is the prescription valid? Or if it has start date and finish date but no duration, is it a valid prescription? Thank you

[@oscenursetrainingcambridge3851]

Antibiotics should never be prescribed without duration, start and end date.

[@NurseShah]

@@oscenursetrainingcambridge3851 hello, if it’s regular medication, do you still give if no duration but finish date there? Or both must be present?

[@janetwaambo9559]

If start dose is not given and it's due, do we give

[@oscenursetrainingcambridge3851]

No

[@bsconvelanganni3492]

Hi mam why we should not give

[@tasha-kayjames3253]

Hello maam thank you for this video If you have 3 antihypertensive to be given at the same time for example furosemide, bisoprolol, and ramipril and the blood pressure is normal should all of them be given at the same time, if not what code should be used con a code of 10 be used?

[@kurtenzena7345]

u can., furosemide is a diuretic..,, but side effect is it can bring down BP… all the 3 meds can be given at the same time given that BP and HR are normal or above normal…

[@kurtenzena7345]

if BP is 100 systolic below then code furosemide, Bisoprolol and ramipril as 9

[@tasha-kayjames3253]

Thank you very much

[@researchandscientificwriti5887]

Any advice and tips to complete the implementation station on time I have been practicing it and cannot complete it within 15 minutes if I am very careful with 6Rs, prescription reading, instructions, and explanation. If I do it fast, I miss critical points I feel reading the drug chart is taking a lot of time and there are many explanation points for the patient and assessor

[@oscenursetrainingcambridge3851]

You need to check the validity of all prescribed drugs but in explanation you need to give the reason why drug is used .You don't need to give any explanation about side effects unless your patient or assessor ask for it. We provide online practice sessions for different stations so please contact us if you would like that .

[@abiolab5143]

I agree I'm having the same problem

[@abiolab5143]

@@oscenursetrainingcambridge3851 how can I access your online training what is the link and cost

[@ivyrosequeppet2965]

hi mam, what if the antibiotic that is due has start date and duration but no finish date, is it valid prescription or not?thankyou

[@oscenursetrainingcambridge3851]

no

[@bsconvelanganni3492]

Hi mam i like your videos very much can i get training for only implementation station please

[@oscenursetrainingcambridge3851]

Email on [e-mail]

[@Emma-nw8xu]

Can you fail for not wearing gloves?

[@oscenursetrainingcambridge3851]

Do not need to wear gloves but when you dispense medication it's needs to be non touch technique , you can not touch tablets. You need to dispense straight from box/ bottle to medicine cup.

[@Emma-nw8xu]

@@oscenursetrainingcambridge3851 and if you touch it is a critical fail?

[@soniyaps3042]

Do u have offline training

[@oscenursetrainingcambridge3851]

Yes,we offer both online and face to face

[@ansuthomas2638]

Patient is in pain and as required pain medication prescription is wrong. Do I need to write this in omitted dose with code and signature or reason and signature

[@oscenursetrainingcambridge3851]

No just escalate to medical team.You only need to code regular drugs due at your time.

[@infobracePrasad]

Thank you Your videos helped me for OSCE self preparation can I get your mail id please

[@oscenursetrainingcambridge3851]

Thanks a lot, it is [e-mail]

[@jollybijuninan5760]

Thank you

[@oscenursetrainingcambridge3851]

You're welcome

[@sujamalatmalattar_sujahowi8989]

If patient is allergic to penicillin and pt is prescribed penicillin which code do we need to write?

[@oscenursetrainingcambridge3851]

Code 10.