12. Stage 3 OSCE 20th May - Post operative instructions 12. Stage 3 OSCE 20th May - Post operative instructions 12. Stage 3 OSCE 20th May - Post operative instructions In addition to marking the objective checklist please grade the candidate using the MSBU system at the bottom of the marking schedule. This should be based on your overall perception of candidate performance rather than a calculation of accrued marks. Examiner initials Candidate number (format e.g. D5053) INTRODUCTION Candidate begins interaction with statement to suggest that they have just removed the tooth and will now discuss after care instructions (no marks for introducing themselves) Candidate begins interaction with statement to suggest that they have just removed the tooth and will now discuss after care instructions (no marks for introducing themselves) 1 0 Will give copy of the instructions and spare gauze to take home Will give copy of the instructions and spare gauze to take home 2 1 0 General advice Information on leaflet presented in logical and clearly understood way Information on leaflet presented in logical and clearly understood way 1 0 No omissions (care while numb, avoid hot drinks, alcohol, smoking, strenuous exercise) No omissions (care while numb, avoid hot drinks, alcohol, smoking, strenuous exercise) 1 0 "Why am I biting on this gauze?" The socket is bleeding, and pressure is needed to stop the bleeding The socket is bleeding, and pressure is needed to stop the bleeding 1 0 "How long does it take for the bleeding to stop?" 5-10 minutes of pressure should be enough to stop bleeding 5-10 minutes of pressure should be enough to stop bleeding 1 0 "Should I keep the gauze in on the way home then?" If the bleeding has stopped then there is no need to keep gauze in If the bleeding has stopped then there is no need to keep gauze in 1 0 "What if it starts bleeding again at home?" Place and fold gauze into the socket as they are doing now (1), firm pressure for 5-10 minutes while seated (1) Place and fold gauze into the socket as they are doing now (1), firm pressure for 5-10 minutes while seated (1) 2 1 0 "Why can't I smoke now?" Risks dry socket (1 mark), explains what dry socket is (loss of the blood clot, leading to exposed bone) (1 mark) and pain which can be worse than the original toothache) (1 mark) Risks dry socket (1 mark), explains what dry socket is (loss of the blood clot, leading to exposed bone) (1 mark) and pain which can be worse than the original toothache) (1 mark) 3 2 1 0 Explained what a dry socket is without needing a prompt from the role player Explained what a dry socket is without needing a prompt from the role player 1 0 Increased risk of infection Increased risk of infection 1 0 "Should I get antibiotics now?" No signs of systemic infection (1 mark), antibiotics not indicated (1 mark) No signs of systemic infection (1 mark), antibiotics not indicated (1 mark) 2 1 0 Removal of the cause of the pain should resolve the symptoms (1) Removal of the cause of the pain should resolve the symptoms (1) 1 0 If signs develop of systemic infection (raised temperature, malaise, swelling) then to return for treatment of this. If signs develop of systemic infection (raised temperature, malaise, swelling) then to return for treatment of this. 1 0 "What painkillers should I take?" Correct medication, dose and regime Correct medication, dose and regime 3 2 1 0 Paracetamol, Ibuprofen indicated when fit and well e.g. 500mg-1g paracetamol qds e.g. 200-400mg ibuprofen tds e.g. 600mg ibuprofen qds Maximum 3 marks even if more than one medication and regime described) Escalating pain should then return for further advice and treatment (1), describes methods for contacting if needed (1) Escalating pain should then return for further advice and treatment (1), describes methods for contacting if needed (1) 2 1 0 Gaining consent Candidate checks for understanding of discussions Candidate checks for understanding of discussions 1 0 Asks if any further questions Asks if any further questions 1 0 General communication skills Candidate actively listens (nodding, eye contact) Candidate actively listens (nodding, eye contact) 1 0 - Candidate uses lay terms which can be understood by patient: consistently (2 marks) sometimes (1 mark) not at all (0 marks) - Candidate uses lay terms which can be understood by patient: consistently (2 marks) sometimes (1 mark) not at all (0 marks) 2 1 0 GLOBAL SCORE GLOBAL SCORE M S B U Data Protection Statement Warning: this form does not contain a data protection statement.
