A painful hand after forearm surgery
RN OSCE practice station
Focused assessment · 2 min to read · 8 min to perform
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Complete a bilateral neurovascular assessment and arrange appropriate review; record the findings.
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Joel Reyes has increasing hand pain following forearm fixation. His arm is in a padded splint. Complete a bilateral neurovascular assessment and arrange appropriate review; record the findings. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available.
What this station tests
- A pulse may remain palpable during compartment syndrome.
- Neurovascular changes need side-specific findings and comparison with baseline.
- Keep a compromised limb around heart level and obtain urgent surgical assessment.
Sources for the clinical content
- Healthdirect: Compartment syndrome
- ACSQHC: Recognising and Responding to Acute Deterioration Standard
An original practice scenario with invented patients. Not an exam question.