A care situation in the practical part — the whole process

From getting to know the patient to the examiner talk: how to plan, carry out, evaluate and justify a care situation in the practical part — built around the tasks reserved for nurses under § 4 PflBG (Vorbehaltsaufgaben).

Content created with AI assistance from public clinical sources (RKI, AWMF) – may contain mistakes; if in doubt, your textbook is right

Translated from the German original, which is authoritative. The exam itself is in German.

Material

• The patient's nursing documentation, care plan and medical orders
• A separate sheet for gathering information and for your written plan (follow the examination board's requirements)
• Materials for the planned interventions — prepared completely beforehand
• A watch: no more than 120 minutes per care situation (§ 45 Abs. 5 PflAPrV)

Typical mistakes in the exam

• Copying the existing care plan instead of assessing the needs yourself
• Problems without priorities and interventions without justification
• Sticking to the plan even though the patient's situation has changed
• Leaving out the evaluation or just writing “goal achieved”
• Keeping quiet about mistakes in the examiner talk instead of reflecting on them

What examiners ask afterwards

• Why did you rank this problem as the most important?
• Which of your activities today were reserved tasks, and what does that mean?
• How did you notice that your plan had to be adapted?
• What would you do differently next time?

Sources

• § 45 Pflegeberufe-Ausbildungs- und -Prüfungsverordnung (PflAPrV)
• § 4 Pflegeberufegesetz (PflBG): Vorbehaltene Tätigkeiten