englishmelon
OSCE Adult Nursing (RN1)
- 2 hours 45 minutes.
Stations 1 – 4 APIE Assessment
- Duration (Assessment 20, Planning 14, Implementation 15, Evaluation 8).
- Assessment, Planning, Implementation, Evaluation (APIE)
12 Disease Common Conditions
- Alzheimer’s Anxiety and Depression.
- Asthma.
- Chronic Heart Failure.
- Community Assessment (DM).
- Ectopic Pregnancy.
- End of Life.
- Fall and Fracture.
- Hernia.
- Homelessness.
- Pneumonia.
- Subdural Hematoma
1. Assessment, 20 Minutes
2. Planning, 14 minutes:
Write 2 Care Plans
3. Implementation Station: Oral Medication Administration
Evaluation: 8 Minutes (Handovers)
Skill Stations
- Administration of Inhaled Medication (AIM)
- Administration of Suppository
- Blood Glucose Monitoring (8 minutes)
- Bowel Assessment
- Catheter Specimen of Urine (CSU)
- Fine-bore NG tube
- Fluid Balance (4 different patients)
- In-hospital Resuscitation (no defib) (IHR)
- Intramuscular Injection (IM)
- IV Flush & VIP score
- Nasopharyngeal Suctioning
- Nutritional Assessment
- Oral Care Plan
- Oxygen Therapy
- Pain Assessment
- Peak Expiratory Flow Rate (PEFR)
- Pressure Area Assessment
- Removal of Urinary Catheter (ROC or RUC)
- Subcutaneous Injection
- MSU and Urinalysis
- Wound Assessment and Aseptic Non-touch Technique (ANTT)
Professional Value Station
- Professional values stations
- Bullying marking criteria
- Concealment of bed status marking criteria
- Confidentiality marking criteria
- Drug error marking criteria
- False representation marking criteria
- Falsifying Observations marking criteria
- Falsifying timesheets marking criteria
- Adult Nursing Marking Criteria
Evidence-based Practice Station
- Evidence-based practice stations
- Ankle sprain marking criteria
- Autism Spectrum Disorder marking criteria
- Bedside handover marking criteria.
- Cervical screening marking criteria
- Cranberry juice and urinary-tract infections (UTIs) marking criteria
- Dementia and music marking criteria
- Diabetes marking criteria
- Female myocardial infarction (MI) marking criteria
- Fever in children marking criteria
- Pressure ulcer prevention marking criteria
- Restraint marking criteria
- Saline versus Tap water marking criteria
- Smoking cessation marking criteria
- Use of honey dressing for venous leg ulcers marking criteria.
Sample Station 1 (This is for beginners)
Detailed Scenario: Post-Operative Care for a Patient with Abdominal Surgery
Objective: Assess and provide care for a patient who has just undergone abdominal surgery.
Scenario: You are a nurse on a hospital ward. Your patient, Mr. Johnson, is a 45-year-old male who underwent an appendectomy the previous day. You are required to perform a post-operative assessment, including checking vital signs, assessing the surgical site, managing pain, and encouraging early mobilization. Document your findings and communicate effectively with the patient to ensure they understand their care plan and feel supported.
Setting: Hospital Ward
Sample Solution (5 Minutes)
Nurse: “Good morning, Mr. Johnson. My name is Nurse Emily. I’m here to check on you after your surgery. How are you feeling today?”
Patient: “Good morning, Nurse. I’m feeling a bit sore and uncomfortable.”
Nurse: “That’s understandable after surgery. On a scale from 1 to 10, with 10 being the worst pain imaginable, how would you rate your pain right now?”
Patient: “I’d say it’s about a 6.”
Nurse: “Alright, thank you for letting me know. Have you been able to get out of bed or walk around since the surgery?”
Patient: “Not yet. I’ve been in bed since I came back from the operating room.”
Nurse: “It’s important to start moving around a bit to help with your recovery and prevent complications. I can help you get up and walk a short distance if you’re ready.”
Patient: “I’m a little nervous about moving. It hurts quite a bit.”
Nurse: “I understand. We can take it slow and stop if it becomes too painful. Would you like me to administer some pain medication before we start?”
Patient: “Yes, I think that would help.”
Nurse: “Alright, I’ll get your pain medication. In the meantime, can I check your vital signs and your surgical site?”
Patient: “Sure.”
Nurse: Checks the patient’s blood pressure, heart rate, respiratory rate, and temperature. “Your vital signs look good. Now, let me take a look at your incision.”
Patient: Lifts gown to show the surgical site.
Nurse: Inspects the incision site. “The incision looks clean with no signs of infection, which is great. Any drainage or increased pain at the site?”
Patient: “No, it just feels sore.”
Nurse: “That’s normal at this stage. I’ll go get your pain medication now. Once you’ve had it, we can try to get you out of bed. Sound good?”
Patient: “Yes, thank you.”
Nurse: “You’re welcome. I’ll be back shortly.”
This detailed scenario and script provide a clear framework for the post-operative care required and demonstrate effective communication and patient care techniques for nursing professionals.
