Giving an afternoon antibiotic on a medical unit
IENCAP OSCE practice station
Medication administration · 2 min to read · 13 min to perform
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Tomasz Nowak, aged 70, is being treated for a chest infection.
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You are the nurse on a medical unit in Ontario. Tomasz Nowak, aged 70, is being treated for a chest infection. You are about to give his 14:00 medication. The charge nurse is nearby. Introduce yourself, confirm his identity and prepare to give the antibiotic on the chart provided. Say aloud each check you make. Decide what to do about anything you find, who you will tell and how you will record it.
What this station tests
- Compare the order with the wristband, the client and the allergy record every time.
- Know common drug families: amoxicillin and clavulanic acid is a penicillin-class drug.
- Hold the dose when in doubt and do not give it first and check afterwards.
- Report a discrepancy by SBAR to the prescriber and pharmacist, and file a safety report.
- Tell the client honestly and thank them for speaking up.
Sources for the clinical content
- College of Nurses of Ontario: Medication practice standard
- ISMP Canada Safety Bulletin: Allergy never events
- SafeMedicationUse.ca: Medication allergies
An original practice scenario with invented patients. Not an exam question.