Table 3 Number of participants who successfully completed each sub-item on simulation scenario OSCE checklist pre- and post-intervention (n = 24)
Sub-item | Pre-Interventiona n (%) | Post-Interventiona n (%) | Mean Difference (95% CI) | p Value† |
|---|---|---|---|---|
Checks VS | 24 (100) | 24 (100) | 0 (− 0.04 to 0.04) | 1 |
Includes BP, RR, SPO2, HR | 7 (29) | 7 (29) | 0 (− 0.2 to 0.2) | 1 |
Assesses for malnutrition | 4 (17) | 18 (75) | −0.58 (− 0.85 to − 0.31) | < 0.01 |
Assesses airway | 12 (50) | 20 (83) | − 0.33 (− 0.65 to − 0.02) | 0.06 |
Assesses breathing | 7 (29) | 8 (33) | − 0.04 (− 0.22 to 0.14) | 1 |
Places O2 | 11 (46) | 23 (96) | −0.5 (− 0.77 to − 0.23) | < 0.01 |
Administers O2 correctly | 11 (46) | 23 (96) | −0.5 (− 0.77 to − 0.23) | < 0.01 |
Checks pulse | 17 (71) | 12 (50) | 0.21 (− 0.03 to 0.45) | 0.13 |
Pulse central | 1 (4) | 0 (0) | 0.04 (−0.08 to 0.16) | 1 |
Checks capillary refill | 8 (33) | 20 (83) | −0.08 (− 0.35 to 0.19) | 0.73 |
Initiates fluids within 5 min | 24 (100) | 24 (100) | 0 (−0.04 to 0.04) | 1 |
Correct fluid choice | 0 (0) | 13 (54) | −0.58 (− 0.82 to − 0.34) | < 0.01 |
Attempts IO needle placement | 24 (100) | 24 (100) | 0 (−0.04 to 0.04) | 1 |
Places IO correctly | 8 (33) | 23 (96) | −0.63 (− 0.86 to − 0.39) | < 0.01 |
Rechecks VS | 24 (100) | 22 (92) | 0.08 (−0.07 to 0.24) | 0.5 |
Includes BP, RR, SPO2, HR | 6 (25) | 5 (21) | 0.04 (−0.14 to 0.22) | 1 |
Reassesses patient | 17 (71) | 21 (88) | −0.17 (− 0.4 to 0.06) | 0.22 |
Includes lung auscultation and palpation of liver edge in reassessment | 0 (0) | 11 (46) | −0.46 (− 0.7 to − 0.22) | < 0.01 |
Checks glucose | 11 (46) | 23 (96) | −0.5 (− 0.74 to − 0.26) | < 0.01 |
Administers dextrose | 11 (46) | 21 (88) | − 0.42 (− 0.66 to − 0.18) | < 0.01 |
Correct dextrose dose | 10 (42) | 21 (88) | −0.46 (− 0.7 to − 0.22) | < 0.01 |