WOUND ASSESSMENT NMC OSCE NEW TOC 2023 # TOOL FOR ALL NURSES/ STUDENTS.
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- čas přidán 24. 01. 2022
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By using the TIME procedure: T- (Tissue)I can see that the tissue around the wound is slightly swollen, slight colour changes. I- Infection, I can see that there are no sign of infection in the wound; For M- (Moisture), I can see that the wound is dry and is not wet; For E-edges, I can see that the edges of the wound are well projected and is intact. So am happy to proceed for the next procedure. Assessor following my assessment of the patient wound, I can confirm that the wound is healthy.
thank you for this video Dear
Thank you violet God bless you
T= tissue is viable and healthy slight redness and swelling around the wound
I= no inflammation and infection, cant ask so mild pain and heat
M= wound is dry no exduates no soaked dripping and no dressing solid
E= edge are closed and pink, 12 sutures are present all intact no one is out and gaped
S= surrounding skin is dry but having mild odema and erythema
Excellent training ms.violet 👏 keep going
From my assessment I can see that
T: the tissue around the wound is healthy, no swelling and blisters. I’m happy to announce to you Mrs A that your wound is healing adequately
I: can see no signs of infection , however there is slight redness but no exudate seen.
M: here can confirm to you that the wound appears dry
E: the Edges of the wound appears well apposed, no wound dehiscence observed.
Thank you Violet 😊 OSCE done and dusted. Your videos simplified things for us. It was our daily bread. I think I personally watched all of them more than once. I highly recommend the videos for anyone who is about to right OSCE.
So so proud of u
Hi did u use any private training. Or these videos are enough
I've been hearing, but I've seen.
Your really really good.
I learnt alot from this amazing vid🔥
Violet u are highly appreciated
I LOVE YOUR TEACHING , SO WONDERFUL
Bless u sist
I passed my OSCE ...You were a GOD sent to me.thano you for all your efforts may God reward you ...Amen
Amen,so proud of u ❤
Amen 🙏, bless u
Me failed huhu
Thank you for your time,
Hello John i want to assess uour wound using the Time tool...
T-is tissue,i can see there's no bruises,oedem or blisters around your wound and I'm happy about that bcos it's healing fine
I- Infection,i can see that there's slight redness on your wound but there's no exudate,no foul smelling,no erythema so there's no need for wound swab alright.
M-moisture,i can vividly confirm that your wound is dry, indicating that it's healing fast okay....
E-edges,the edges of your wound is well aligned, perfect approximation and I'm happy for that.
Also i will let your medical team to know your progress okay
Thank you for the explanation
T..The wound is healthy,no erythema,no purulent discharges,it is clean and dry.
I... You wound has no sign of infection,no exudate and no any offensive odour.no tenderness.
M..There is no moisture,your wound is clean and dry.
Edges..The edges of your wound is well apposed,no dehiscence ,I am happy the healing is taking place gradually.
T- The wound is generally looking healthy with no blisters or healing well
I - There is no edema, inflammation however there is slight redness around the wound.
M- Not wet and no exudate.
E- The edges are well aligned with no distortion.
Perfect
Great job
The wound is healthy clean no swelling no blisters
It is mildly red no exudate it appears tender no offensive odour
It is dry
Edges are well approximated with no defects.
Thanks for this
My pleasure 🙏
I passed my OSCE exam. Mama V oooooooooo. Haaaa you too much..of a truth you teach because you love your students. This lady will call me Midnight to teach me 😘😘😘😘😘. Your reward is here and in heaven oooo. Mama!!!
Bless u darling, so proud of you ❤
Congratulations! If you don’t mind which nursing skills you perform on your exam?
@@ogboiviolet83
Please I want to join your class
Is there any other personal class apart from CZcams videos? Please let me know
Email on Ogboiviolet83@gmail.com
For our online classes
Many thanks Nurse Violet for these wonderful videos. Been watching them with keen interest. Permit me to ask this question please. Are we supposed to remove the bandaging on the wound even though we have a manequin and the picture or you just talk to the manequine and possibly place the picture around the body of the manequine where the wound is supposed to be while verbalising.
Meanwhile my response to your assignment is as follows:
T: I can see the area around the wound is clean, no blisters but there is redness
I: There is redness around the wound, looks slightly inflammed but the there's no exudate or pus. Are you in pain? Accessor please confirm the temperature of my patient. I will not be taking a swab for culture
M: I notice there is good moisture balance around the wound, so am happy with it
E: The edges of the wound are well apposed and sutures are intact. Am happy with the progress of this wound
Thank you.
I want to let you know that pain assessment was done prior to this.
I can see that your wound is clean, dry and looks healthy. There are No signs of infection like blisters, swelling and exudate. However, there is a slight redness in your wound but that’s ok. Also, the edges of your wound are perfectly aligned.
Welldone
@@ogboiviolet83 Thank you Violet. I'm always watching your videos and really help me in my review now for OSCE. much love :)
@@shiezapanta7823 hi! you mean, just to ask if patient is in pain or to do the whole pain assessment skill? tia
@@aish_12 hello. Thankyou. Already done my OSCE.
T- Area around the wound appears clean and healthy, no blisters, no bruises slight redness is present
I - slight redness and Erythema, no exudate and after touching assess the tenderness and ask for the pain to the patient.
M- Wound appears dry
E - Edges are well approximated and no defect in the closure.
How to describe the condition of the floor??
I have assessed your wound using the TIME technique. For T which is Tissue, I can see that the surrounding tissues around the wound is slightly inflamed. There are some redness to the tissue proximal to the wound and wound edges. It is not bruised. There are no other remarkable changes in color apart from the slight redness stated previously . There are no blisters observed. For I which is Infection, I can see that the wound is slightly red in color. The wound is embossed or sligthly swollen resulting to tension or tightness around the sutures but there are no exudates or discharges coming from the wound. I am going to assess for tenderness now by touching the area...Is it painful? ( proceed to pain assessment and address the pain according to pain scale)
For M which is moisture, the wound area appears to be dry.
For E which is edges, there are no gaps or wound opening. The edges are approximated although the swelling around the tissue shows tightness around the sutures and we may benefit from further evaluation depending on how many days it has been since the sutures were in place.
T-tissue ..I can see that the wound is clean healthy looking
I-infection...I can see that there is redness but looks healthy
M- moisture the wound is dry no
drainage seen
E-edges the edges of the wound are together supported be sutures
Welldone
Pls kindly do video on ANTT wound dressing. God bless
T - There is no erythema, no exudate, the tissue around the wound is intact, but there's small inflammation around the wound
I - There is no discharge or redness. I assume that the inflammation might be part of the second stage of the healing process.
M - The wound is dry not wet or wiping
E - The edges are well aligned. This shows healthy healing.
Since there's inflammation around the wound, I will monitor the progress daily and communicate to the medical team about my observations today
T- I can see that the tissue around the area is swollen, with color changes, clean. No blister noted
I- no exudates noted, with redness, im gonna assess also if the wound is tender to touch. I'm gonna ask my patient if their is pain ?
M- with dry and intact dressing
Edges - are closed together no distortion noted
Pls upload an ANTT video.. 🤗
nice
Thanks my darling sister
T-I can see that there is some redness around the wound however there is no signs of any color change s, blisters or swelling
I-I can see the redness around the area but the wound is dry without any exudates
M-i can see the area around the wound is dry without presence of any moisture
E- I can see the wound edges are well approximated without any defects in the closure.
👍 good
well apposed not well approximated. Weldon!
Hi dear, we need to wear gloves and apron, and what about seen safety
T -there is little redness around the wound however the wound looks healthy
I- there are no signs of infection,there is no exudate and there is no swelling
Miss Hailey I will be touching your wound to see if there is any tenderness
M-there is no moisture visible.The wound is dry and I am not going to be collecting a swab to take to the laboratory as I am happy with it.The wound is clean
E- the edges are well approximated and im happy with that.
Welldone dear
Please do you have a video on ANTT skill
Please do you have a video on ANTT
Hii violet I have questions in ANTT procedure if wastebag inside how I will take it out
T- there is some redness around wound without any blisters or swelling.it is clean
I-redness around wound area without erudite
M-wound is dry.
E-edges are well approximated without any defects.
Perfect, welldone
Hi violet ...today is my exam and i have prepared watching your videos . I cant wait to proudly tell you that i got my pin .🤞.....thanku for keeping me positive throughout my prep journey . Thanku so much
Bless u,can't wait to congratulate you
Hi violet I am ready to inform you that by God's grace and your videos I passed is OSCE in one go......u rightly said OSCE IS SIMPLE AND NURSES ARE BRILLIANT ...THANK YOU SO MUCH....MAY GOD BLESS YOU DEAR
Soooo proud of u
Congratulations 🎊
Hello violet, , i recently did my osce and didnt do well in wound assesment on results ANTT i had passed but failed wound assesment, , , am i going to repeat both fot that case??
prior to this assessed pain assessment as being done. I will be assessing this wound using TIME method .
T is for tissue
there is slight redness in the wound and surrounding tissue,the wound is granulation well,no signs of necrosis . Bob are you feeling pain or tenderness in the wound or surrounding tissue
I is infection
there is no exudate, swelling,heating,foul odour but the is slight redness . no signs of infection
M moisture
there is good moisture balance,not too dry nor too wet.
E edges
the edges of the wound is approximate, the suture is intact there is no wound dehiscency
Fantastic
T - I can see that there are no blisters or inflammation around the wound
I- There is some erythema but there is no serous or purulent discharges. The wound is not warm or tender on touching. There is no pain associated
M- The wound is very clean na dry
E- The edges are well approximated and closure is intact
Overall the wound is healthy so I won't need to take a swab. However the medical team will be notified of this assessment.
Brilliant 👏
@@ogboiviolet83 Thanks so much Aunty V
Your videos have been very helpful since I discovered your channel yesterday.
Pls keep up the good work and thanks again 🙏
Hi Violet, thanks for this video, I've been able to master wound assessment.
Could you kindly do a video on ANTT as well please, thank you.
Bless you!😇
The tissue is clean, healthy. Wound is healing well.......Infection.No infectioin, wound is dry. Edges are health and granulatting well?
Perfect, welldone dear
I'm going to assess the wound area using the Time methods
T tissue , the area is healthy, clean with no blisters, no swelling, there's a colour change though, I'm not going to take a swab since it's clean
I infection; there's redness, no erythema, no exudates, are you having pain, if yes, can you score the pain for me please from 1-10.
M moisture I can see the wound is dry
E edges, the edges of this wound are well apposed and I'm happy to tell you the healing process is excellent.
Are you comfortable, thanks my lovely
Welldone u
Please is this same with ANTT
Do you remove the bandage or plaster or you just verbalize without touching
U have to remove it because after wound assessment, is ANTT
Assesser, pain assessment has been undertaken prior to the procedure.
Using Time, 1) I can see though mild redness around the wound, the wound is clean and healthy. No swelling. 2) I can see there is no exudus or purulent andit is not tender to touch. So I don't need to take swab. 3) wound look healthy, clean and dry. Healing is taking place well. 4)closure of the wound is intact, edges are well approximated, number of sutures are complete and no defect in the closure.
Hope you will see and assess my explanation. ❤❤
using the T I M E.
Tissue. slight colour change and mild swelling
Infection. redness present. no exudate
Moisture. Dry
Edges. well Approximated.
Plan. No wound swab but refer to medical team for assessment.
Hello violet please in legacy test should I except wound assessment / ANTT/wound dressing.am confused
No.
Thanks
Hi sis, It appears you dont have video on ANTT? I've checked thru and couldn't find it
I Don't have a video on Antt
@@ogboiviolet83 thank you for your response sis. You are the best
Please do video on Antt
Hi violet, could you do a video on antt please
Prior to this a pain assessment was done
I can see that the area of the wound is healing
There are no signs of infections, no slough no exudate
The wound is dry with patches of erythema
The edges of the wound are well aligned and regular
Fantastic
Is this the wound assessment you had in your OSCE?
@@Maria-rt6pd I’ve not written o😂😂
Is this included in the Legacy?
No
Please what's legacy all about
Hello can I still use TIME in the new osce
Offcourse
@@ogboiviolet83 thank you Violent 😊
Please can you explain what you mean by paired procedure, what are the procedure that can paired please
Wound assessment and ANTT, IV flush and vip scoring, catheter removal and fluid balance, peak flow meter with administration of inhaled medication
@@yoursexytary289 Thank you
The tissue is not healthy, there is erythema and swelling. The wound is not healing properly
There are possible signs of infection because of the redness and swelling
The wound is wet, I will take a swab and send to the lab and also inform the medical team for review
The edges are not well approximated and not well aligned. The wound is not healing well and the patients feel pain on a scale of 5/10. I will give prescribed medications and also report to my line manager and patients GP for review.
I will document my findings
I will continue monitoring
Please is there a sink to wash hands or you just act like you are washing your hands?
please lady V how can i contact you. thanks
Ogboiviolet83@gmail.com