[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-317074-105":59,"doc-detail-317074-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","deteriorating-patient-1-notes-for-candidate","Deteriorating Patient 1 - Notes for Candidate","","Station notes for a clinical assessment of a deteriorating patient within a 10-minute timeframe. The structure requires an ABCDE assessment over 0–6 minutes with nurse communication, appropriate management, and clear rationale for investigations, then a requested procedure over 6–10 minutes followed by interpretation of provided results. Includes an examiner marking rubric, airway/breathing/circulation/disability/exposure findings, and a detailed checklist for performing an arterial blood gas plus aftercare and investigation interpretation.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/deteriorating-patient-1-notes-for-candidate/317074/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/deteriorating-patient-1-notes-for-candidate/317074.png","ImageObject",300,407,{"name":92,"@type":93},"Fans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the time structure for Deteriorating Patient 1 station?","Question",{"text":112,"@type":113},"The station is 10 minutes: 0–6 minutes for ABCDE assessment and 6–10 minutes for a procedure requested by the examiner plus interpretation of results.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What should you do during the ABCDE assessment?",{"text":117,"@type":113},"Perform an ABCDE assessment, asking the nurse for observations at each stage, managing the patient appropriately, and informing the nurse which investigations you want to perform with a brief explanation of why.",{"name":119,"@type":110,"acceptedAnswer":120},"How is an arterial blood gas procedure expected to be carried out and what follows?",{"text":121,"@type":113},"Follow PPE and preparation steps, perform Allen’s Test, locate and prepare the radial artery, obtain the ABG sample, label and send it for processing, then provide aftercare and safety-netting regarding pain, infection, and neurovascular abnormalities.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},317074,1790717083,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Deteriorating Patient 1 – Notes for Candidate Deteriorating patient – 10 minutes  \nYou will not be expected to handover the case during this station. The structure will be:  \n0 – 6 minutes:  \nPerform an ABCDE assessment, asking the nurse for any observations and clinical signs at the appropriate stages of your assessment.  \nManage the patient appropriately during the ABCDE assessment.  \nInform the nurse of the investigations you would like to perform and briefly explain why each is needed.  \n6 – 10 minutes:  \nPerform a procedure as requested by the examiner. (You will not be required to obtain consent or to communicate with the mannequin).  \nInterpret the results of the procedure (which will be provided for you).  \nDeteriorating Patient 1 – Examiner marksheet  \n\n| MARKING RUBRIC | ✓ |\n| --- | --- |\n| Opening:\u003Cbr>• Introduces themselves.\u003Cbr>• Confirms Patient demographics.\u003Cbr>• Explains and gains consent from patient about consultation. |  |\n| • AIRWAY\u003Cbr>Airway clear – Patient is John Smith, 68M who has chest pain, cough, and SOB No relevant PMHx\u003Cbr>NKDA\u003Cbr>No wheeze or stridor |  |\n| • BREATHING RR – 31\u003Cbr>O2 – 93% on air\u003Cbr>Inspection – tachypnoea\u003Cbr>Chest wall movements equal and normal B/L Percussion – dullness over the left lower zone Auscultation – crackles over the left lower zone Central trachea and no cyanosis\u003Cbr>Requests CXR andABG/VBG, give oxygen and titrate down from 15L non-rebreathe aiming for 94-98% |  |\n| • CIRCULATION CRT \u003C 2\u003Cbr>Skin is flushed, feels warm to touch\u003Cbr>HR – 130 BP – 110/90 HS I + II + 0\u003Cbr>Carotid and JVP normal Apex beat normal\u003Cbr>Requests ECG + 2x wide bore cannula + FBC, U&Es, LFTs, Coag, CRP – accept blood cultures. It would also be appropriate to give broad spec IVAbx at this stage |  |\n| • DISABILITY\u003Cbr>Pupils equal and reactive B/L\u003Cbr>Was AVPU – A, but has become more confused, now AVPU – V Cap glucose – normal\u003Cbr>Temperature – 39.4 degrees C |  |\n| • EXPOSURE\u003Cbr>Nothing of note\u003Cbr>Requests sputum culture |  |\n| • CLINICAL SKILL\u003Cbr>Please perform an arterial blood gas, you do not need to obtain consent.– can either do this in the clinical skills lab or verbalise the steps\u003Cbr>5. Apply PPE\u003Cbr>6. Clean Tray + Trolley\u003Cbr>7. Gather ABG Syringe, Chlorhexidine ampoule/ wipe, Sterile gauze, Micropore tape, Sharps bin |  |\n\n\n| 8. Explains Allen’s Test: Occlusive pressure to Radial + Ulnar arteries. Ask patient to clench fist + relax hand. Once palm blanched, release Radial artery. Flushing should return within 5-15 seconds |  |\n| --- | --- |\n| 9. Locate Radial Artery at point of Maximum Pulsation |  |\n| 10. Using Ampoule, clean skin for 30s in a cross-hatch formation. Ampoule into Sharps Bin |  |\n| 11. Open Syringe and expose needle, without touching key parts |  |\n| 12. Locate and stabilise Radial Artery without contaminating puncture site |  |\n| 13. Insert needle bevel-up at 45º |  |\n| 14. Allow syringe to fill to 1mm, aspirate gently if required |  |\n| 15. Remove needle while applying pressure to puncture site with sterile gauze |  |\n| 16. Apply pressure continuously for 5 minutes, check if bleeding stopped then apply tape |  |\n| 17. Make needle safe on hard surface, remove from Syringe. Dispose in Sharps Bin |  |\n| 18. Expel air from Syringe, apply cap. Keep syringe on ice if >15 mins away from ABG Machine |  |\n| 19. Note patient’s Temperature + FiO2 received, along with 3 points of Identification |  |\n| 20. Send sample for processing |  |\n| 21. Thank patient and provide Aftercare (Safety-net about Pain/ infection/ Neurovascular abnormalities |  |\n| • INVESTIGATION\u003Cbr>Please interpret the investigations in the context of this patient\u003Cbr>ABG shows respiratory acidosis, and importantly a raised Urea – in the context of this patient, CURB4 pneumonia, requires admission for IVAbx and potential escalation to HDU.\u003Cbr>CXR shows left lower lobe consolidation consistent with pneumonia. |  |\n\nGlobal Impression: Patient Impression/comments:  \n• Excellent  \n• Good  \n• Pass  \n• Borderline  \n• Fail  \nDete","cbCaiser9a06XsGh","https://ap.wps.com/l/cbCaiser9a06XsGh","pdf",278333,"English","# Station structure\n## 0–6 minutes: ABCDE assessment\n## 6–10 minutes: requested procedure and interpretation\n# Examiner marksheet and marking rubric\n## Opening and consent\n## AIRWAY, BREATHING, CIRCULATION, DISABILITY, EXPOSURE\n## Clinical skill: arterial blood gas steps and aftercare\n## Investigation interpretation\n# Deteriorating Patient 1 - INVESTIGATIONS","[{\"question\":\"What is the time structure for Deteriorating Patient 1 station?\",\"answer\":\"The station is 10 minutes: 0–6 minutes for ABCDE assessment and 6–10 minutes for a procedure requested by the examiner plus interpretation of results.\"},{\"question\":\"What should you do during the ABCDE assessment?\",\"answer\":\"Perform an ABCDE assessment, asking the nurse for observations at each stage, managing the patient appropriately, and informing the nurse which investigations you want to perform with a brief explanation of why.\"},{\"question\":\"How is an arterial blood gas procedure expected to be carried out and what follows?\",\"answer\":\"Follow PPE and preparation steps, perform Allen’s Test, locate and prepare the radial artery, obtain the ABG sample, label and send it for processing, then provide aftercare and safety-netting regarding pain, infection, and neurovascular abnormalities.\"}]","Deteriorating Patient 1 - Notes for Candidate | PDF",1789928471]