New OSCE tasks

Re: New OSCE tasks

eveleen — Sat, 03 Dec 2011 16:57:31 GMT

I was told that you do not need to work out the BER as its not needed anymore (they have changed the wording on the OSCE task). You just look on the back of your food that is suitable for the tube and divide that by the number of feeds.

Urine calcualtion- 1-2mls/kg/hr - so you x this by the weight & then x 24hours to get the answer in mls.

Re: New OSCE tasks

svngem — Sat, 03 Dec 2011 12:22:25 GMT

we have been told you do, so i'd still practice it there's no harm learning it then not using it. It definately says work out BER

Re: New OSCE tasks

svngem — Sat, 03 Dec 2011 12:21:13 GMT

We are doing our practicals at college at for patency check we have been told to go on 1-2 mls just to ensure position, then 5ml is required after the food has been administer for a final flush and make sure tube is clear.

BER

under 2kg 70*bodyweight

over 2kg 30*bodyweight +70. We have been told to choose the "polymeric food" out of the selection given.

first work out BER and divided by the amount of meals you want to give.

this gives you the kcal required per meal.

you then need to divide that by how many kcal are in 1ml. Examiner should give you this.

This then tells you how many mls you should then administer.

Urinary catheter check as calculation should be 50ml/kg/day

Re: New OSCE tasks

Rachael_24 — Sat, 03 Dec 2011 09:28:29 GMT

Calculating BER is not required for the NO feeding tube task.

The only task that requires you to calculate BER is the insulin injection task (which has been "temporarily removed" from the RCVS website).

Re: New OSCE tasks

Eira Davies — Fri, 02 Dec 2011 19:24:40 GMT

When i did mine in Sept, there was no need to work out BER. The only task that includes BER from what i can remember is the diabetic dog task.

Re: New OSCE tasks

Fuzzyduck — Fri, 02 Dec 2011 18:32:13 GMT

I told all my students to work out the BER and calculate the food requirements using that, just looking on the chart is not a recognised method as far as im aware.

We calculate BER in practice when using feeding tubes anyway as the amount it says on the sides of food tins/packets etc is so variable and often wrong!

All my students passed calculating the BER and working out the food quantity from there.

Re: New OSCE tasks

rosie111 — Fri, 02 Dec 2011 17:42:39 GMT

Do we definitely not have to work out the BER for the feeding task?

Re: New OSCE tasks

Eira Davies — Thu, 01 Dec 2011 22:15:00 GMT

Hi,

The trick is to not look into the OSCE tasks too much, theyre alot easyer than you think. I paniced with mine when there really was no need to!

What is a 'recognised method' for calculating the expected volume of urine for the urinary catheter task (NC17)?

Urine output is 1-2ml / Kg / Hr

What is the correct calculation for calculating the volume of food required for the N/O tube task (NC16)?

For this task, you just choose an appropriate diet out of the three given and then look at its chart to see how much the aminal needs by weight. Alot easier than when i was panicing about BER etc

What is the 'appropriate volume of water for the patency check (NC16)?

5ml of sterile water (they will offer you both). This is in order to check the position of the Naso Gastric tube, and then another 5ml in order to flush the tube after feeding.

Hope this helps xx