OSCE

• What is the first step in initiating the session?

  Introduce themselves as the pharmacist
• Why is it important to explain the purpose of the consultation?

  To ensure the patient understands the process
• What should the student ask the patient regarding the consultation room?

  If the patient would like to go to a consultation room
• What should the pharmacist check for during the gathering information phase?

  Known drug allergies
• What reason does the patient give for wanting suppositories?

  To help with constipation as recommended by the doctor
• How long has the patient been constipated?

  A few days
• What does the pharmacist need to check regarding the patient's medications?

  If the patient is taking any other medications
• What type of medications does the pharmacist check for?

  OTC, herbal, and prescription medications
• What does the pharmacist ask about the patient's medical conditions?

  If the patient has any medical conditions
• What does the pharmacist agree to sell to the patient?

  Glycerol suppositories
• Has the patient used suppositories before?

  No, never used suppositories before
• What is the first step in using the suppositories?

  Wash your hands before handling
• What should be done if the suppository is too soft?

  Chill it in the refrigerator before use
• How should the patient position themselves for insertion?

  Lie on their left side with knees drawn up
• What is the correct way to insert the suppository?

  Gently push it into the rectum with the tapered tip first
• How far should the suppository be inserted?

  As far as possible
• What should the patient do after inserting the suppository?

  Lower legs to a comfortable position
• How long should the patient retain the suppository?

  For 15-20 minutes if possible
• What should the patient do if they feel an immediate urge to go to the bathroom?

  Ignore it as it won't work yet
• What should the patient do after the insertion of the suppository?

  Wash hands after insertion
• What are two possible side effects of glycerol suppositories?

  Abdominal cramps and irritation around the rectum
• What lifestyle advice should be offered to the patient?

  • Increase fibre in diet
  • Maintain adequate hydration
  • Increase exercise
  • Contact GP if red flags develop
• What are the red flags to watch for after using suppositories?

  • Blood in stool
  • Symptoms of allergic reaction
  • Pain on defecation
• What question does the patient ask at the end of the session?

  How long will they take to work?
• How does the pharmacist respond to the patient's question about effectiveness?

  Suppositories work very quickly, 15-30 minutes
• What is the final step in closing the session?

  Offer teach back or check understanding
• What is a friendly way to close the session?

  Provide a friendly close
• What are the key components of the OSCE Harks Scheme for this session?

  • Initiating the session
  • Gathering information
  • Explanation and planning
  • Management, monitoring, and follow-up
  • Closing the session