Recording a resident’s declined medicine
RN OSCE practice station

The task

You are the RN in an aged care facility. Lucia Bianchi, aged 87, has declined her due oral medicine because she fears choking. A care worker suggests signing it as given to avoid an omission report. Assess the concern, respond safely and write an accurate progress and medicine record. Complete the supplied practice record. A second RN is available. You have eight minutes; describe and select physical actions in this online exercise.

What this station tests

• Lucia’s due medicine is amlodipine 5 mg, held for refusal and swallowing concern.
• Do not force, crush or covertly administer without assessment and authority.
• Use the refused/not-given record and omission process, never a false signature.
• Arrange GP, pharmacist and speech-pathology follow-up with a named owner.

Sources for the clinical content

• ACSQHC: Communicating for Safety Standard
• ACSQHC: Making informed choices (informed consent)
• ACSQHC: Comprehensive Care Standard
• ACSQHC: Medication Safety Standard

An original practice scenario with invented patients. Not an exam question.

Practise next

• Correcting an observation entry safely
• Completing a home fluid balance summary
• Documenting symptomatic low blood glucose
• A glucose chart entry that does not match the meter
• Completing a neurological trend record