Learning Objective 1: Identify common nursing student errors/omissions observed during pediatric medication administration OSCE performances.
Learning Objective 2: Discuss nursing education implications of OSCE findings related to undergraduate course and program student learning outcomes.
The purpose is to evaluate undergraduate nursing students’ skills and competencies in pediatric medication administration during an OSCE performance. Upon completion of a 7-hour pediatric medication administration simulation lab and within the first four weeks of pediatrics, all Senior 1 nursing students completed a videotaped solo OSCE performance of medication administration to an infant manikin (two oral and one intravenous medication). This study analyzes data from two semesters (N = 210). Quantitative data was obtained from performance rubric scores (0-not done; 1-done) while viewing OSCE videos; lists of common psychomotor errors were compiled. Data collection will be completed by May, 2011; data analysis by August, 2011. Data from one semester (N=105) shows that most students checked patient ID and allergies, performed accurate calculations, communicated well to parent and infant, and administered oral meds appropriately. Common student errors/omissions were: poor hand hygiene and/or gloving, poor cleansing of IV port with alcohol, administration of heparin as pre-med flush, giving IV infusion med as IV push, giving an oral med IV. Implications for nursing and patient safety include: repetition of foundational nursing skills throughout curriculum, early use of OSCEs in nursing programs, and use of reflective writing immediately following OSCE.
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