ISCE tips?

**iceman_jondoe** · 21-02-2010, 07:23 PM

to be fair when your on the wards you will be asked to do a MMSE and MSE on 5 patients in a row..(as i was a few weeks back) and my god you will never forget it ever again.

**Dr Noodle** · 21-02-2010, 09:25 PM

30 points?? (clearly showing I wasn't paying attention =p) Why so many? Surely it doesn't take that many q's to ascertain whether someone is confused or not?

**Yixian** · 21-02-2010, 10:49 PM

Originally Posted by Dr Noodle

30 points?? (clearly showing I wasn't paying attention =p) Why so many? Surely it doesn't take that many q's to ascertain whether someone is confused or not?

The total score is out of 30 but some questions are worth more than 1 point.

For example when you ask them to touch their index finger to their ear then nose, that's 3 points

**Dr Noodle** · 02-03-2010, 01:42 AM

Nav would you mind if we included some of your points in the SP ISCE booklet we are writing? We'll credit you of course! And I need to get you that orange juice I promised you way back in 2007 I think it was, you've helped with quite a few things now!

**Yixian** · 02-03-2010, 01:49 AM

Oh and Nav got any tips for medications review? Apparently last year you guys weren't given much teaching on it?

**Dr Noodle** · 02-03-2010, 05:14 AM

There's a lot of useful links/info in the ISCE pack on Emily for medications review.

**iceman_jondoe** · 03-03-2010, 01:16 AM

Originally Posted by Dr Noodle

Nav would you mind if we included some of your points in the SP ISCE booklet we are writing? We'll credit you of course! And I need to get you that orange juice I promised you way back in 2007 I think it was, you've helped with quite a few things now!

Of course you can! You dont even have to ask! im happy to help!

**iceman_jondoe** · 03-03-2010, 01:23 AM

Originally Posted by Yixian

Oh and Nav got any tips for medications review? Apparently last year you guys weren't given much teaching on it?

We were not given any teaching on it at all!...its the only station i had trouble with last year but after receiving feedback heres what you need to do:
1) Make sure you write neatly, they assess your ability to write clearly and in a thought out manner. The best way to do this is to make a table as the patient you will be given is likely to have around 7 diff meds. SO make a table of the drug, dose, indication, any side effecs the pt may be experiencing and recommendations (made by you).

2) Remember to ask the patient about any allergies

Heres a full list of what you will be marked on in the meds review station:

Patient documentation
Drug history
Allergies, sensitivites and drug reactions.
concordance issues - so make sure if there is polypharmacy, that the patient is managing to remember to take all his/her meds!
Recommendations - made by you (you'll have a BNF there with you)
Legibility

**Yixian** · 12-03-2010, 02:52 PM

Originally Posted by iceman_jondoe

We were not given any teaching on it at all!...its the only station i had trouble with last year but after receiving feedback heres what you need to do:
1) Make sure you write neatly, they assess your ability to write clearly and in a thought out manner. The best way to do this is to make a table as the patient you will be given is likely to have around 7 diff meds. SO make a table of the drug, dose, indication, any side effecs the pt may be experiencing and recommendations (made by you).

2) Remember to ask the patient about any allergies

Heres a full list of what you will be marked on in the meds review station:

Patient documentation
Drug history
Allergies, sensitivites and drug reactions.
concordance issues - so make sure if there is polypharmacy, that the patient is managing to remember to take all his/her meds!
Recommendations - made by you (you'll have a BNF there with you)
Legibility

Thanks! That's great!

So we take a medications history from a patient, write it out, and then report back to a doctor? Or do we just write down all the contraindications and recommendations etc. ourselves and hand it in?

**iceman_jondoe** · 19-03-2010, 03:11 AM

Originally Posted by Yixian

Thanks! That's great!

So we take a medications history from a patient, write it out, and then report back to a doctor? Or do we just write down all the contraindications and recommendations etc. ourselves and hand it in?

Sorry for the late reply..you just write it all out and hand it in to the actor/actress. And they pass it on to the clinical skills staff who will mark it.