Hint for Admission Exam

NOTE: The information provided in this document is varies and it’s in no particular order. Apply

this information according to your circumstance. Most of the info you would of already

familiarized and engaged in.

PREPARATION

 Ask Almighty God to take control of your pre up preparation, during and after exam.

 Have a healthy breakfast.

 Work together as a team to achieve desire outcome.

 Be organized /prepare ensure you/team gather the necessary items early “label bag/box

with items (batch, date, state for exam use). Hide it somewhere on the ward ++

 Order from CSSD 3 sterile trays also 3 sterile green cloth linens (at least 1wk in

advance). Note: Get the head nurse to write up your request on a req form (he/she

must sign it) before you go down to CSSD.

 Go down to laundry and request linens (“preferable long sheets, “short fitted sheets may

not fit bed”) the day before exam (morning)/ or you can go earlier if you want. NO need

head nurse to sign for this.

 Prepare for the unknown have more than one linen , thermometer, etc

 Inform the nurse in charge date of exam also inform the following

- dietitian/ nursing assistant / ATN (patient being admitted so meal can be

provided
 - inform the doctor that if the patient you admitted was not seen by doctor. You can

also inform the nurse in charge.

- Inform doctors/nurses/ colleagues etc your prepared exam room/ admission area

is in use. You can have someone you trust stand in front room /admission area to secure

your items while you are away. If they do borrow items ask them to return ASAP.

PUT UP SIGNS AND REMOVE OLD ONES/ will send signs. Labels on all tray items

 You can add / omit preparation according.

AREAS TO FOCUS ON

 Communication

 Safety

 Organisation

 Preparedness

 Team work

 Patient centeredness

 Ability (nursing skills/ accuracy results important ++ D0 NOT GIVE WRONG

RESULT/ OR PROVIDE INFO THAT WAS NOT PERFORMED accept if

error was make try to correct it efficiently.

 Critical thinking “identify problems treat with it effectively” explanation further

in doc.

 Analytical ability ( nursing diagnosis/ health assessment/ patho)

 Written info ( nursing plan, database, temp chart, nurses notes , doctor’s notes

(health assessment and nursing diagnosis not to be written in nurses notes to be

 given to miss on page presented appropriately ) Miss wants to see this if she your

examiner

 Giving over “do not Provide Info That Was Not Performed if otherwise the

patient now mentions it make sure and record it”.

A preview of what may be possible on day of exam

DAY OF EXAM

 Please be on time /before time ++

 Write patient’s name in the admission book (s) clearly. Try to do it during

admission once time is available.

 Maintain aseptic technique by all means

 Once you have identified your patient’s correct name /spelling /document. Tag

patient one time and right identification info on every page of nurses note/

doctor’s note ++

 Those doing exam on WARD 7 and you admitting a patient that has to do a lap

cholecystectomy check doctor note (may request to do pregnancy test This must

be done for this patient). Ask the head nurse on the day/day before “just in case”

of exam for pregnancy test strip.

 Do not leave your patient unattended no times have some nearby.

 Do not walk off on your examiner without explaining where you are going.

 Be patient centered than exam centered.

 Do let the examiner know the suite/room/cubicle patient is going to stay

 Have linen prepare on trolley / side table in room waiting.

 Make up bed according before/ after. Critical thinking/ safety applies here
 Also have your urinalysis tray in appropriate area (gloves, dip strips in container

check expiry date, line tray and a kidney dish)

 Be simple ,focus and to the point.

 Perform all examinations (this may vary with examiner and other circumstances)

in the presence of the examiner (vital signs show miss the thermometer before

shaking down again “please please” be accurate with pulse rate, temp. and resp

miss will check).

 Know your exit points / staircase, location of fire extinguisher. Examiner may

ask

 Mention what you can explain and not what you cannot comprehend. If you

cannot engage misunderstanding appropriately to examiner.

 Examiner may ask you. To briefly explain/state/define something you have

mentioned in your admission procedures. For example

 - You said “no crepitus felt”, the examiner may ask “what is crepitus”.

 Or you make say the “patient is on Calms” and the examiner may ask “what

calms use for and why is the patient on it”.

 Do account for what you say/ reason why you perform this particular type of

examination. This is where your pathophysiology, health assessment examination

comes in to play regarding your analytical capabilities.

 Write your nursing diagnosis. Make sure diagnosis equates with what you written

in the nurse’s notes.

 Patient safety applies critical thinking eg vital sign abnormal high BP and patient

show sign and symptoms likewise take patient to bed immediately.

  Critical thinking applies patient condition

Eg asthmatic/sickle cell/ COPD patients put the patient by bed where oxygen line

is function and readily available.

 After follow up is important also

I DID NOT NO SPELLING CHECK PLEASE FORGIVE ME

Hope this info is helpful to you. May almighty god be control of lives now and evermore? Have

a bless day everyone.

You can add / omit info according

BY Natalie Ellis BSCN5