An abdominal review after stoma surgery
RN OSCE practice station
Focused assessment · 2 min to read · 8 min to perform
Try a real conversation · RN OSCEAI practice
Carry out a focused assessment, record your findings and plan the next steps.
Janet HughesMy stomach feels tight.
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Open the full station (charts, voice, result letter) →The task
Janet Hughes is recovering after ileostomy surgery and reports abdominal discomfort. Carry out a focused assessment, record your findings and plan the next steps. The surgical clinician is reachable and Casey is on the ward.
What this station tests
- Low ileostomy output with distension and vomiting needs urgent assessment.
- Pink stoma tissue does not exclude bowel obstruction.
- Do not irrigate an ileostomy or add laxatives without specialist direction.
Sources for the clinical content
- ACSQHC: Comprehensive Care Standard
- ACSQHC: Recognising and Responding to Acute Deterioration Standard
- Healthdirect: Bowel obstruction
An original practice scenario with invented patients. Not an exam question.