Assessment 3: OSCA & Reflection
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.
Practical skill Assessment undertaken during Week 3.
800 word Written Reflection
Checklist and Written Reflection Due: Week 3, Friday @1200pm
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
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.
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
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:
What happened? What did you learn?
What does the experience mean? Why?
How valuable was the learning experience?
How will you apply your learning?
Assessment Criteria and Submission
Please read the skill checklist and rubric for this assessment task carefully, these are the criteria you will be assessed against for this task. The rubric has been broken into two (2) parts to reflect Part 1 & Part 2.
OSCA checklists must be uploaded to the dropbox so as the reflection can be marked; without the checklist the written submission cannot be marked.
Understanding the criteria in the checklist and rubric will help you clarify what you need to demonstrate to be successful in this assessment. If unsafe practice has been documented on the 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.
All written assessments must align to the following academic standards and submission instructions.
Academic standards require:
This assessment is reflective so will be written in first person.
APA 6th edition for in-text citations and reference list;
Adherence to word count;
12 size font in either Arial, Times New Roman or Calibri;
1.5 spacing; and
Submitted using a MS word document only
Submission instructions require:
All assessments should have a title page that specifies:
Unit Code & Unit Name
Student Identification number
Title of assignment
An accurate word count including in-text citations, but not the reference list
Students should refer to VU Assessment for Learning policy regarding late submission penalties.