Pressure wound care with consent concerns
RN OSCE practice station
Aseptic technique · 2 min to read · 8 min to perform
Try a real conversation · RN OSCEAI practice
Assess the wound and consent, demonstrate a safe aseptic approach and arrange follow-up.
Betty JamesPlease tell me before you move my foot.
Free · no sign-up · uses your one free station
Open the full station (charts, voice, result letter) →The task
You are the RN in an aged care facility. Betty James, aged 90, has a prescribed dressing change to a small heel pressure wound. Her niece urges you to continue even if Betty objects. Assess the wound and consent, demonstrate a safe aseptic approach and arrange follow-up. Complete the supplied practice record. Niece Susan is present. You have eight minutes; describe and select physical actions in this online exercise.
What this station tests
- Betty’s consistent understanding and choice take priority over Susan’s request to continue.
- A superficial pink open heel wound is consistent with stage 2 pressure injury.
- Pause painful movement, offload the heel and arrange pain and wound review.
- Paracetamol given three hours ago requires checking the full order before another dose.
Sources for the clinical content
- NHMRC: Australian Guidelines for the Prevention and Control of Infection in Healthcare
- ACSQHC: Comprehensive Care Standard
- ACSQHC: Making informed choices (informed consent)
- ACSQHC: Communicating for Safety Standard
- TGA: Recommended paracetamol doses
An original practice scenario with invented patients. Not an exam question.