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The document outlines the Objective Structured Clinical Examination (OSCE) and Objective Structured Practical Examination (OSPE) for a B.Sc Nursing program, detailing the structure, components, and evaluation methods. It includes a comprehensive index, descriptions of various nursing circuits, and guidelines for examiners and examinees. Additionally, it addresses the importance of feedback, limitations of OSCE, and future visions for its implementation in nursing education.

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Suchita Sawant
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0% found this document useful (0 votes)
5 views192 pages

Fon Osce Word

The document outlines the Objective Structured Clinical Examination (OSCE) and Objective Structured Practical Examination (OSPE) for a B.Sc Nursing program, detailing the structure, components, and evaluation methods. It includes a comprehensive index, descriptions of various nursing circuits, and guidelines for examiners and examinees. Additionally, it addresses the importance of feedback, limitations of OSCE, and future visions for its implementation in nursing education.

Uploaded by

Suchita Sawant
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 192

B.

Sc NURSING PROGRAMME

NURSING FOUNDATION

OSCE / OSPE STATION BANK

INT - 1 of 8
OSCE /OSPE BANK COMPILATION
INDEX

S.NO CONTENTS PAGE NO.

1 PREFACE FROM TNMMC REGISTRAR 3

2 SNIPPET ON OSCE/OSPE 4 to 6

3 OSCE CIRCUIT GUIDE 7

4 CONTRIBUTOR’S LIST 8
OSCE / OSPE STATION BANK
5
SECTION A: NURSING FOUNDATION NF - 1-180
Circuit - 1 NF – 1-61
Circuit – 2 NF – 62-120
Circuit - 3 NF – 121-180
SECTION B: MEDICAL SURGICAL NURSING MSN- 1- 163
Circuit - 1 MSN-1-66
Circuit – 2 MSN – 67-131
M.Sc (Nursing) Circuit – 3 MSN-PG-132-163
SECTION C: CHILD HEALTH NURSING CHN – 1-234
Circuit - 1 CHN – 1-61
Circuit – 2 CHN – 62 – 123
Circuit – 3 CHN – 123-183
M.Sc (Nursing ) Circuit – 4 CHN-PG-184-234
SECTION D: OBSTRETICS AND GYNAECOLOGY NURSING OBG – 1-147
Circuit - 1 OBG – 1-60
Circuit – 2 OBG – 61 – 120
M.Sc (Nursing ) Circuit – 3 OBG-PG-121-147
SECTION E: COMMUNITY HEALTH NURSING CHN-1-153
Circuit - 1 CHN – 1-62
Circuit – 2 CHN – 63-125
M.Sc (Nursing) Circuit – 3 CHN – PG-126 -153
SECTION F: MENTAL HEALTH NURSING MHN – 1-190
Circuit - 1 MHN – 1 – 65
Circuit – 2 MHN – 66-134
M.Sc (Nursing) Circuit – 3 MHN-PG-135-190
6 REFERENCE

INT - 2 of 8
INT - 3 of 8
2. SNIPPET ON OBJECTIVE STRUCTURED CLINICAL EVALUATION
Objective Structured clinical evaluation is a modern type of clinical/ performance based examination often used in health sciences. It is executed in a planned & structured way with
much attention on maintaining the objectivity of the examination.

1) FEATURES OF OSCE FACTORS INFLUENCING OSCE:


WHAT IS ASSESSED IN AN OSCE? Learning EXAMINER No of
outcomes and competencies No of examiner Examiner
 Stations are short Clinical Skills Purpose of exam Single examiner/station
 Highly focused Practical procedures The breath of focus of the examination Who are the Examiners
 Present structured mark scheme Patient Management The learning out comes to be Assessed ( Physical Examination/ Tutor/clinical instructor/Lectures
 Reduced examiner discretion Health promotion interpersonal skills) Asst professor/clinical perception
 Emphasizes on clinical competence than Disease prevention The resources available (Examiners, real Associate Professor/Professor
knowledge Professionalism patients/simulated patients/ simulators. After the Examination:
 Test the application of knowledge than recalling System based practice
 8p features The options with regard to the venue 1. Marking written question
Personal development The stage in training or seniority of the examinee stations. 2.Deciding the outcome for each
 Performance Assessment Communication skills
 Process and product No of stations examinee.
Information Handling Length of time allotted for each station Providing feedback to examinees individually or in a group.
 Profile of Learner
Understanding of Basic & clinical sciences Number of circuits 4.Evaluation the stations and the examination process.
 Progress of Learner Attitude & Ethics
 Public Assessment Use of procedure and question station Role of examiner
Decision making Use of double and linked stations
 Participation of staff Before the OSCE
Clinical reasoning Organization of the station in a circuit and Prepare OSCE blueprint
International relationship skills
Design individual stations
Team work investigations
Adapting standard procedures
O Briefing candidates, examiners and simulated points
S During OSCE:
C S
Check resources at the stations
E Greeting the examiner / checkE the examiner register No.
T
Observe the Examiners, observe and complete the checklist /
T rating scale. T
5) THE MAJOR
H COMPONENTS ARE: I
Provide comments on the scoring sheet regarding the performance.
E T
Confirmation that a SP at theN station portrays the clinical
h
e condition approximately. G
G Ensures that the station keeps to time and examiners moves to the
O F
next station on the time signal.
(
L e O
Keeps a record of any problems that arise in the
D x R
examination
a After the OSCE
SS m
As a part of group exercise
A
IT i N
Feedback without scoring sheets
A n
G Feedback with individual score
N a O sheet
ND t Viewing a personal video recording
S
IA i Meeting with individual examiners
C
FR o Feedback to the StudentsE in difficulty: Approaches of OSCE
ID n feedback
) Audio feedback :
C
Personalized feedback
AF c Group feedback
NO Choosing
o a Location
R Video feedback R
C o
Using annotated examiners escore sheet
EP r
Formative and summative feedback
a
d
E i s
OR n o
FF a n
O t a
OR INT - 4 of 8 i b
M n l
S e
A g
INSTRUCTIONS FOR EXAMINERS:
Any verbal instructions to be given to the candidate . IMPLEMENTING OSCE: On the day of examination.
in addition. The OSCE lead to be present 1 hour before scheduled time.
Instruction to the SP Simulated and real points – 30 minutes before start time.
Directions as to the record to be kept of the Examiner – 30 Minutes before start time.
Presence of reserve examiner
candidate’s Performance. FEEDBACK TO EXAMINEE:
Examinee – 30 minutes prior to start
Bell signals the start.
Time keeper regulates the time Importance of feedback
TRAINING OF THE EXAMINER: Candidates to give written response where required. OSCE feedback promotes learning
Refreshments – patients and examiners during 30 minutes break time between circuits. Used as a formative assessment tool
Brief the Examiner about the philosophical underpinning the
Second group of examinee – maintain integrity by assembling them before the end of first circuit. Provides strength and weaknesses
OSCE Thank all concerned and arrange expenses for pts.
The interpretation and OSCE format OSCE feedback is focused on the domain wise skills than
Document pts and problems that had occurred.
The timing and arrangements overall scoring, timing, mode,
Examiner role for conducting & feedback

EVALUATION OF OSCE: 13 ) OSCE FEEDBACK TYPES:


Importance of OSCE evaluation During OSCE
Validation should be an ongoing responsibility At the procedure station
IMPLEMENTING AN OSCE Includes Provides guidelines for quality improvement Immediately after procedure station
the Questions to be addressed was the OSCE
After the OSCE
Advance planning for an OSCE Valid
As a part of group exercise
Implementing the OSCE Reliable
Feedback without scoring sheets
Cost effective
Feedback with individual score sheet
Examiner’s properly trained
ADVANCE PLANNING: Viewing a personal video recording
Instruction to examinees clear
Identify and agree the individuals and committee members responsible for OSCE Appropriate feedback given Meeting with individual examiners
Confirm the purpose of the examination the areas to be assessed. Appropriate standard setting process implemented Feedback to the Sts in difficulty
Agree a timeline Impact of OSCE on examinees, teachers and curriculum planning Approaches of OSCE feedback
Decide the number and duration of stations to be included. Contributors to Evaluation Audio feedback
Arrange a suitable venue / venues  Personalized feedback
Examiners
Prepare on examination grid / blue print.  Group feedback
Examinees
Prepare a list of stations  Video feedback
Simulated Patents
Develop individual stations  Using annotated examiners score sheet
Committee
Proposal for each station.  External Evaluation Formative and summative feedback
Agree the marking scheme  Administrative and supportive staff
Appoint examiners.  Clinicians.
Arrange simulated patients. Validity
Organize resources  Content validity * Criterion Validity * Predictive Validity
Equipments / Furniture EXAMINEES PERSPECTIVE – OSCE:
Patient simulation Reliability:
timing device Stability reliability Full briefing in advance, will promote positive attitude.
Organize catering Alternate form Reliability Students are informed that OSCE is powerful learning
Prepare packets for each station Internal Consistency reliability experience.
Finalize the master list of stations Approaches to test Reliability Students should be engaged in planning
Prepare a map of OSCE circuit Classical test theory _CTT implementation and evaluation of OSCE.
Prepare direction arrows and station identification cards. Generalizability theory – GT
Prepare a smaller set of cards with station numbers. Item response theory – IRT
Prepare list of candidates Points to be considered
Inform candidate in advance If higher failure roles appraise if
Set up stations. An in appropriate station standard
Technical problem in the station
Not a part of expected learning outcome
Deficient teaching and learning programme

INT - 5 of 8
17) LIMITATION OF OSCE
Perceived limitations of an OSCE and possible responses

16) EVALUATION OF OSCE:


1. Importance of OSCE evaluation
 Validation should be an ongoing responsibility
 Provides guidelines for quality improvement
2. Questions to be addressed was the OSCE

Valid

Reliable

 Cost effective
 Examiner’s properly trained Limitations Response
 Instruction to examinees clear The OSCE does not Use the OSCE alongside other tools,
 Appropriate feedback given assess a holistic such as portfolios and work – based
Appropriate standard setting process approach to a patient assessment instruments.
implemented The OSCE assesses only a Use a blueprint to sample across the
Impact of OSCE on examinees, teachers and
limited sample of outcome domains, the body systems
curriculum planning
3. Contributors to Evaluation competencies. and the core tasks.
Examiners The OSCE is resource With organization, the resources
Examinees intensive required can be contained. The cost –
Simulated Patents benefit ratio is favorable.
Committee The role of the examiner Within the the set framework, the
External Evaluation is prescribed. examiner can also use his/her
Administrative and supportive staff
judgment.
Clinicians.
4. Validity Only minimum The scoring system can also reflect
Content validity competence is tested in excellence. More advanced stations
Criterion Validity the OSCE can be included.
Predictive Validity Some learning outcomes Performance in an OSCE can be
5. Reliability: 18) VISION FOR THE OSCE:
are difficult to assess
A Vision for theinOSCE over
triangulated
the nextwith ratings from other
decade
Stability reliability
Alternate form Reliability the OSCE. assessments.
The OSCE being an integral part of the curriculum
Internal Consistency reliability Students’ behaviours
Assessment forare Design
learning the OSCE toasbe
and assessment as close to real
learning
Approaches to test Reliability influenced by the of different
Assessment practice as possible.
competencies
Classical test theory _CTT context.The OSCE as a progress test
Generalizability theory – GT The OSCE is stressful.
Adaptive and sequential Students
testing should
with thebeOSCE
briefed and
Item response theory – IRT Student engagement and prepared.
the OSCE
6. Points to be considered
REFERENCE: If higher failure roles appraise if
Appropriate use of technology in the OSCE
Greater collaboration
Harden RM.,An Lilley P., Patricio
in appropriate M. The definitive guide
station standard to
Technical problem in the station
the OSCE –NotThe Objective
a part of expectedStructured Clinical
learning outcome
Examination as a performance
Deficient teaching and learning assessment,
programme Elsevier

Edinburgh, UK, 2016.

INT - 6 of 8
3. OSCE CIRCUIT GUIDE

INT - 7 of 8
OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) /
OBJECTIVE STRUCTURED PRACTICAL EXAMINATION (OSPE) STATION BANK

INT - 8 of 8
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)
TEST MAP BASED ON BLUE PRINT
Station Type of Program Item Title Competency Proposed Test Domains of Clinical Experience
Num Station Component (Condition) Tested Item Communication Examination Procedure Cognitive Skill

HT OC PE VSI TP DP IATF DI DM PS
A B C D E F G H I J
1. Manned Oxygenation CPR TP Mannequin 1
2. Manned Care of wounds Eye bandage TP Simulated patient 1
3. Unmanned Comfort Identification of
positions & its pressure VSI Printed images 1
points
4. Unmanned Infection control Bio Medical Waste
DM Items 1
Management
5. Unmanned Vital signs Identification of pulse
VSI Printed images 1
site
6. Unmanned Health assessment Equipment
VSI Equipment 1
identification
7. Unmanned Administration of Drug calculation 1
PS Doctor’s order
medication
8. Unmanned Urinary Urine sample
IATF Test tubes 1
elimination Identification
9. Unmanned Vital signs Abnormal breath 1
sounds IATF Simulator/ laptop
10. Unmanned Oxygen Identification of venturi
DM Venturi masks 1
administration mask
Key words: HT: History Taking; OC: Other Communication; PE: Physical examination; VSI: Virtual Sign Identification; TP: Therapeutic Procedure; DI: Data Interpretation;
IATF: Identification Of Abnormal Test Findings; DP : Diagnostic Procedure; DM: Decision Making; PS: Problem Solving

Subject Co-ordinator HOD

NF - 1 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - CARDIO PULMONARY RESUSCITATION

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to
 assess the safety of the mannequin.
 position the mannequin.
 assess the circulation, airway and breathing of the mannequin
 perform CPR effectively
 document the care given

Observation: Observe if the participant is performing the following steps in the correct sequence when performing CPR. Inform the examinee
that “Vital parameters have improved and are stable” or provide help when he/she completes 3-5 cycles of CPR

Score:
Score the task based on the following level of perfection
 Score “1” for each step conducted correctly (good skill)
 Score “0” if the task is not done or done with mistakes
 Calculate the total score

NF - 2 of 61
STATION NO: 1 –THERAPEUTIC PROCEDURE - CARDIO PULMONARY RESUSCITATION

Steps Task Max Registration number


score
1. Assesses for the safety of the patient 1
2. Positions the patient in supine on a flat surface 1
3. Assesses the patient’s response by asking “are you okay?” 1
4. Assesses breathing by looking at the chest for movement 1
5. If the patient is not breathing, sends or calls for help. 1
6. Assesses circulation by palpating for the carotid pulse. If not felt, start compressions immediately 1
7. Chest compressions 1
Identifies the center of the chest by placing the hands between the nipples.
8. Places the heel of the first hand over the lower half of the sternum and 2nd over the 1st. 1
9. Interlocks the fingers 1
10. Keeps the elbows straight and locked 1
11. Compresses the chest down 5 cms quickly and forcibly 30 times at a rate of 100 /minute 1
12. Observes for the return of chest movement after each compression. 1
13. Does not change position or lift hands in between the compressions. 1
14. Opens the airway and assess the airway. Use head tilt / chin lift method. 1
Keeps one hand over the patient’s forehead; apply firm pressure and tilt the head back.
Places the other hand under the bony prominence of the lower jaw and lift the jaw to bring it 1
forward
15. Mouth to mouth breathing / Ambu Bag: 1
Keeps the airway open, pinch the nose; take a deep breath;
Forms an airtight seal around the patient’s mouth and ventilates with two full breaths or use 1
Ambu bag. Delivers each breath for one full second (Compression : breaths = 30 :2)
16. Repeats the previous step until help arrives or until return of spontaneous breaths – whichever is 1
earlier.
17. Sanitizes hands 1
18. Documents the care given 1
Total 20
1=Fully competent; 0 = Incompetent

Name & Signature of the examiner

NF - 3 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - CARDIO PULMONARY RESUSCITATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner & evaluation proforma  Cot with Mannequin
 Tray for evaluated response sheet  Bed side locker
 Pen  A clean tray lined with paper containing
 Pencil  Oral airway
 Scale  Ambu bag
 Sharpener  Mask
 Eraser  Hand sanitizer
 Chair & Table  Response sheet
 Gong  Chair & Table
 Pen

NF - 4 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - CARDIO PULMONARY RESUSCITATION

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to perform CPR on the mannequin. Conduct a preliminary assessment
and perform Basic Cardiac Life Support. Continue until you receive help or until the examiner
states that “Vital parameters have improved and are stable”. Use the articles which are near the
bedside. Document the care given.

Hand-over the response sheet to the examiner.

NF - 5 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - CARDIO PULMONARY RESUSCITATION

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

NF - 6 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – EYE BANDAGE

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 greet the patient


 introduce self
 apply the eye bandage sequentially.
 document the procedure done

Observation: Observe if the participant is performing the following steps in the correct sequence when applying eye bandage for the patient.

Score:
Score the task based on the following level of perfection.
 Score “2” – Performs the step perfectly with a neat appearance
 Score “1” – Performs the step appropriately without a neat appearance
 Score “0” – Does not perform the step
 Calculate the total score

NF - 7 of 61
STATION NO: 2 –THERAPEUTIC PROCEDURE – EYE BANDAGE

Steps Task Max Registration number


score
1. Greets the patient 2
2. Introduces self 2
3. Explains the procedure and the reasons behind it. 2
4. Sanitizes hands 2
5. Eye Bandage 2
Pads the affected eye.
6. Takes two circular turns around the head bandaging away 2
from the injured eye
7. Carries the bandage, round the head until it reaches the eye on 2
the affected side
8. Takes it obliquely to the back of the head, under the 2
prominence on the back of the skull and from there;
9. Brings it upwards beneath the eye of the affected side. 2
10. Takes it further over the pad of the eye to a circular turn and 2
continue over the head to the starting point
11. Repeats this turn 2 or3 times until the dressing is covered 2
12. Secures it just above the eye with a clip or a safety pin. 2
13. Removes and replace the eye bandage 2
14. Sanitizes hands 2
15. Documents the bandages done 2
Total 30

2 = Fully competent 1 = Partially competent 0 = Incompetent

Name & Signature of the examiner

NF - 8 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – EYE BANDAGE

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For simulated patient For examinee


 Writing pad with  Cot with screen  Writing pad with
instructions to the  Top sheet instructions to examinee
examiner &  Writing pad with case  Bed side locker
evaluation proforma scenario  A clean tray lined with
 Tray for evaluated  Instructions for simulated paper containing
response sheet patient(to be informed prior  Bandage
 Pen to the OSCE)  Metal clip/safety pin
 Pencil  Bowl with gauze pad
 Scale  K- Basin
 Sharpener  Mask
 Eraser  Hand sanitizer
 Chair & Table  Response sheet
 Gong  Chair & Table
 Pen

NF - 9 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – EYE BANDAGE

INFORMATION TO THE SIMULATED PATIENT

Your role: Patient, named Ms. Kumudha, aged 23 years.


Background information
Demographic data

 Name : Ms. Kumudha


 Age : 23 years
 Educational qualification : M.Sc - Physics
 Marital status : Un married
 Occupation : Executive
 Religion : Hindu
 Family income : Rs.40,000/ month
Present surgical history
You have undergone a surgery in the left eye.
Chief complaints
You have headache since morning. You also have pain in the eye. You do not have
any other significant complaints.

NF - 10 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – EYE BANDAGE

INSTRUCTION TO THE EXAMINEE

Ms. Kumudha, a 53 years old lady had enucleation surgery on her left eye before two
days. She has mild head ache and eye pain with no other specific complaints. Her pain score
is 4/10. In station 2, you have to apply eye bandage for her left eye. Document the procedure
done in the documentation sheet

Do not collect history and do not examine the


patient. Hand-over the response sheet to the
examiner.

NF - 11 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – EYE BANDAGE

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

NF - 12 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & THE PRESSURE POINTS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the positions


 list the pressure points for each position

Observation: Observe if the participant is identifying the positions and is able to list the pressure points correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 13 of 61
STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & THE PRESSURE POINTS

Step No Task Max


Registration Number
Score
1 Identifies the position 1 1
2 Lists the pressure point
2a. 1
2b. 1
2c. 1
2d 1
3 Identifies the position 2 1
4 Lists the pressure points
4a. 1
4b. 1
4c. 1
4d. 1
Total 10

Name & Signature of the examiner

NF - 14 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & THE


PRESSURE POINTS

ARTIFACTS / EQUIPMENTS/PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 15 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & THE


PRESSURE POINTS

ANSWER KEY

Position No 1 – Right lateral


Pressure points:
Ear lobe, Acromian process, Olecranon process, Ischium, Greater trochanter, medial
and lateral condyles of knee, malleolus.

Position No 2 – Semi Fowler’s


Pressure points:
Occiput, spinous process, sacrum, ischial tuberosity, heel

NF - 16 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & THE


PRESSURE POINTS

INFORMATION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the images below. Name the
positions and list any four pressure points for each of the position in the documentation sheet.

Drop the response sheet in the drop box kept on the table after documentation.

Position No: 1

Position No: 2

B.Sc NURSING DEGREE PROGRAMME – I YEAR


NURSING FOUNDATIONS

NF - 17 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & THE


PRESSURE POINTS

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:
Question Position 1 Position 2

Name of the Position

Pressure point 1

Pressure point 2

Pressure point 3

Pressure point 4

Signature of the Examinee Signature of the Examiner

NF - 18 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – BIO MEDICAL WASTE MANAGEMENT

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 write the colour coding for the products displayed


 specify the methods of waste disposal for the same.

Observation: Observe if the participant is performing the following task.

Score:
Score the task based on the following.
 Score “1” for each point written correctly
 Score “0” if the task is not written correctly
 Calculate the total score

NF - 19 of 61
STATION NO: 4 – DECISION MAKING – BIO MEDICAL WASTE MANAGEMENT

Steps Task Max Registration number


score
1. Writes the colour coding for product no 1 1
2. Specifies the method of waste disposal for product no 1 1
3. Writes the colour coding for product no 2 1
4. Specifies the method of waste disposal for product no 2 1
5. Writes the colour coding for product no 3 1
6. Specifies the method of waste disposal for product no 3 1
7. Writes the colour coding for product no 4 1
8. Specifies the method of waste disposal for product no 4 1
9. Writes the colour coding for product no 5 1
10. Specifies the method of waste disposal for product no 5 1
11. Writes the colour coding for product no 6 1
12. Specifies the method of waste disposal for product no 6 1
13. Writes the colour coding for product no 7 1
14. Specifies the method of waste disposal for product no 7 1
15. Writes the colour coding for product no 8 1
16. Specifies the method of waste disposal for product no 8 1
17. Writes the colour coding for product no 9 1
18. Specifies the method of waste disposal for product no 9 1
19. Writes the colour coding for product no 10 1
20. Specifies the method of waste disposal for product no 10 1
Total 20

Name & Signature of the examiner

NF - 20 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – BIO MEDICAL WASTE MANAGEMENT

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENT

For examiner For examinee


 Writing pad with instructions to  Writing pad with instructions to
the examiner, evaluation examinee
proforma  Response sheet
and answer key  Drop box
 Pen  Chair & Table
 Pencil  Pen
 Scale  Products – needle, blood bag, underpad,
 Sharpener gloves, syringe cover, ampule, dressing
 Eraser materials, tissue paper, ryles tube,
 Chair & Table disposable face mask
 Gong

NF - 21 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – BIO MEDICAL WASTE MANAGEMENT

ANSWER KEY

S. No Name of the waste product Colour code Methods of disposal


(method of segregation)

1. Used Needles White translucent Autoclaving or dry heat sterilization

2. Blood bag Red Incineration

3. Used Underpad Yellow Incineration

4. Gloves Red Autoclaving

5. Syringe cover Black Incineration

6. Used ampule White translucent Autoclaving or disinfection

7. Dressing material Yellow Incineration

8. Tissue Paper Black Incineration

Autoclaving or microwaving
9. Ryles tube Red followed by shredding or mutilation

10. Disposable face Mask Black Incineration

NF - 22 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – BIO MEDICAL WASTE MANAGEMENT

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to write the color coding for the displayed products as per the
biomedical waste management system and specify the appropriate methods of waste disposal
for each.

Drop the response sheet in the drop box kept on the table after documentation.

NF - 23 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – BIO MEDICAL WASTE MANAGEMENT

STUDENT RESPONSE SHEET

Registration Number: Date:

S. No Name of the product Colour code Methods of disposal


(method of segregation)
1. Used Needles

2. Blood bag

3. Used Underpad

4. Gloves

5. Syringe cover

6. Used ampule

7. Dressing material

8. Tissue Paper

9. Ryles tube

10. Disposable face Mask

Signature of the Examinee Signature of the Examiner

NF - 24 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF PULSE SITE

INSTRUCTION TO THE EXAMINER


Objectives
This station is designed to test the candidate’s ability to

 identify the sites for checking the pulse


 mark the sites correctly on the image given in the paper

Observation: Observe if the participant is identifying and marking the various sites for checking the pulse

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 25 of 61
STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF PULSE SITE

Steps Task Max Registration number


score
1. Labels the site 1 for checking pulse 1
2. Labels the site 2 for checking pulse 1
3. Labels the site 3 for checking pulse 1
4. Labels the site 4 for checking pulse 1
5. Labels the site 5 for checking pulse 1
6. Labels the site 6 for checking pulse 1
7. Labels the site 7 for checking pulse 1
8. Labels the site 8 for checking pulse 1
9. Labels the site 9 for checking pulse 1
10 Specifies any two pulse sites that can be used during emergency for an adult 1
Total 10

Name & Signature of the examiner

NF - 26 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF PULSE SITE

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENT

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma &  Printed image
answer key  Response sheet
 Pen  Chair & Table
 Pencil  Pen
 Scale  Drop box
 Sharpener
 Eraser
 Chair & Table
 Gong

NF - 27 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF PULSE SITE

ANSWER KEY

TEMPORAL

CAROTID

BRACHIAL

RADIAL
ULNAR

FEMORAL

POPLITEAL

POSTERIOR
DORSALIS PEDIS TIBIALIS

NF - 28 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF PULSE SITE

INSTRUCTION TO EXAMINEE

You have 5 minutes to complete this station. Mark the names of the 9 pulse sites for this
image on the image given in the response sheet.

Drop the response sheet in the drop box kept on the table after documentation.

NF - 29 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF PULSE SITE

STUDENT RESPONSE SHEET

NF - 30 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF EQUIPMENT

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the instruments displayed


 write any one purpose for each of the instrument

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 31 of 61
STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF EQUIPMENT

Steps Task Max Registration number


score
1. Identifies the 1st instrument 1
2. Lists the purpose of instrument no 1 1
3. Identifies the instrument no 2 1
4. Lists the purpose of instrument no 2 1
5. Identifies the instrument no 3 1
6. Lists the purpose of instrument no 3 1
7. Identifies the instrument no 4 1
8. Lists the purpose of instrument no 4 1
9. Identifies the instrument no 5 1
10. Lists the purpose of instrument no 5 1
Total 10

Name & Signature of the examiner

NF - 32 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF EQUIPMENT

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENT

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Response sheet
answer key  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale  Equipments – Stethescope, tuning fork,
 Eraser tongue depressor, proctoscope, pen torch
 Sharpener
 Chair & Table
 Gong

NF - 33 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF EQUIPMENT

ANSWER KEY

S. No Name of the equipment Purpose

1. Stethoscope To listen to the sounds made by the heart, lungs or


intestines
2. Tuning fork To assess patient’s hearing ability

3. Tongue depressor For examining the oral cavity and to depress the
tongue for procedures such as intubation, oral care,
insertion of oral airway

4. Proctoscope To examine the rectum

5. Pen torch For clinical examination

NF - 34 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF EQUIPMENT

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to identify the name of the equipments that are displayed and write any 2
purposes for each of them in the response sheet provided.

Do not move the equipments.

Drop the response sheet in the drop box kept on the table after documentation.

NF - 35 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF EQUIPMENT

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S. No Name of the equipment Purpose

1.

2.

3.

4.

5.

Signature of the Examinee Signature of the Examiner

NF - 36 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 calculate the amount that has to be loaded in the syringe


 specify the syringe that has to be taken for loading
 lists any two commonest veins that can be used for intravenous administration

Observation: Observe if the participant is performing the following task.


Score:
Score the task based on the following
 Score “1” for each point calculated/ specified / drawn correctly
 Score “0” for the steps incorrectly or not performed as recommended
 Calculate the score.

NF - 37 of 61
STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

Steps Task Max Registration number


score
1. 1a. Writes the formula for the order 1 1
1b. Calculates the amount of medication that has to be 1
administered in mL
1c. Specifies the syringe for administration. 1
2. Lists any two veins that can be used for intravenous
administration
a. 1
b. 1
Total 5

Name & Signature of the examiner

NF - 38 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENT

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee &
examiner, evaluation proforma and doctor’s order
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 39 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

ANSWER KEY

1. Dr’s order: Inj. Ceftrioxone – 3.0 gm


od Available dose = 2 vials of 2gm
each
Each vial can be mixed with 5mL of distilled water.
So, 2g/5mL; 4g/10mL
Formula= what we want X Available amount (mL)
what we have
3/4*10 = 30/4 = 7.5 mL
2.Any two commonest veins for IV administration
 Cephalic
 Basilic
 Median cubital

NF - 40 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

INSTRUCTION TO THE EXAMINEE

The doctor’s order for a drug administration is as follows. Calculate the following
drug dosage.

1. Order: Injection Ceftrioxone 3.0 gm od IV. You have 2 vials in your hand. Each vial
has 2gm. Five mL of distilled water can be used to dilute each vial.

 Calculate the amount that has to be loaded in the syringe for order 1
 Specify the syringe (mL)that has to be taken for loading
 List any two commonest veins that can be used for intravenous administration

Drop the response sheet in the drop box kept on the table after documentation.

NF - 41 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

STUDENT RESPONSE SHEET

Registration Number: Date:

Order No 1:

NF - 42 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – INTERPRETATION OF URINE SAMPLE

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the abnormality in the urine sample


 list the amount of variability in each sample.

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 43 of 61
STATION NO: 8 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – INTERPRETATION OF URINE SAMPLE

Steps Task Max Registration number


score
1. Identifies the abnormality in urine sample 1 1
2. Identifies the abnormality in urine sample 2 1
3. Identifies the abnormality in urine sample 3 1
4. Identifies the abnormality in urine sample 4 1
5. Identifies the abnormality in urine sample 5 1
6. Lists in numerical value the amount of abnormality seen in sample 1 1
7. Lists in numerical value the amount of abnormality seen in sample 2 1
8. Lists in numerical value the amount of abnormality seen in sample 3 1
9. Lists in numerical value the amount of abnormality seen in sample 4 1
10. Lists in numerical value the amount of abnormality seen in sample 5 1
Total 10

Name & Signature of the examiner

NF - 44 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – INTERPRETATION OF


URINE SAMPLE

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Response sheet
answer key  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale  Test tubes with five urine samples – Positive
 Eraser for sugar with blue, green, yellow, orange and
 Sharpener one with turbid urine
 Chair & Table
 Gong

NF -45 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – INTERPRETATION OF


URINE SAMPLE

ANSWER KEY

S.No Colour Interpretation Amount

1. Blue No sugar No sugar

2. Green +1 250 – 500 mg/100 mL

3. Yellow +2 500 – 1000 mg/100 mL

4. Orange +3 1000 – 1500 mg/100 mL

5. White turbid/cloudy Presence of albumin ++ 100mg/dL

NF -46 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – INTERPRETATION OF


URINE SAMPLE

INSTRUCTION TO THE EXAMINEE

The urine sample is kept in five test tubes. See the colour of the urine sample and identify the
abnormality. After identification, list the amount of variability in each test tube with the
correct unit. You have 5 minutes to complete this station.

Drop the response sheet in the drop box kept on the table after documentation.

NF -47 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – INTERPRETATION OF


URINE SAMPLE

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S.No Colour Interpretation Amount

1.

2.

3.

4.

5.

Signature of the Examinee Signature of the Examiner

NF -48 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – IDENTIFICATION OF BREATH SOUNDS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the abnormal respiratory sound correctly.


 define the respiratory sound heard
 list the disease conditions in which these sounds can be heard.

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.
.

NF - 49 of 61
STATION NO: 9 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – IDENTIFICATION OF BREATH SOUNDS

Steps Task Max Registration number


score
1. Identifies the respiratory sound in the right lung 1
appropriately
2. Defines the respiratory sound heard in the right lung 1
3. Lists down any three possible disease conditions for the
respiratory sound heard in the right lung.
a. 1
b. 1
c. 1
4. Identifies the respiratory sound in the left lung 1
appropriately
5. Defines the respiratory sound heard in the left lung 1
6. Lists down any three possible disease conditions for the
respiratory sound heard in the left lung.
a. 1
b. 1
c. 1
Total 10

Name & Signature of the examiner

NF - 50 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – IDENTIFICATION OF


BREATH SOUNDS

ARTIFACTS /EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Response sheet
answer key  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale  Laptop with power source, head set
 Eraser  Recorded respiratory sounds of crackles and
 Sharpener wheeze in compatible format
 Chair & Table
 Gong

NF - 51 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – IDENTIFICATION OF


BREATH SOUNDS

ANSWER KEY

S.No Respiratory Definition Examples of Disease


Sounds heard conditions where the
respiratory sounds
can be heard

1. Right lung - Crackes are discontinuous crackling or rattling Pneumonia, pulmonary


Crackles sound due to sudden opening of a closed airway. edema, bronchitis,
interstitial lung disease,

2. Left lung - A wheeze is defined as a high pitched whistling Infection, laryryngeal or


Wheeze sound caused by narrowing of airways. tracheal tumors,
Tracheal stenosis,
Tracheomalacia,
Foreign body aspiration
Other causes of large
airway compression or
stenosis, Vocal cord
dysfunction, Asthma
Chronic obstructive
pulmonary
disease (COPD), Cystic
fibrosis, Bronchiectasis
Hypersensitivity
pneumonitis,
Pulmonary edema

NF - 52 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 9 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – IDENTIFICATION OF


BREATH SOUNDS

INSTRUCTION TO THE EXAMINEE

Auscultate the right and left lungs of the mannequin. Identify the respiratory sounds; define
each respiratory sound and quote any three disease conditions in which these sounds can be
heard. You can use the response sheet which is near the mannequin. You have 5 minutes to
complete this station.

Drop the response sheet in the drop box kept on the table after documentation.

NF - 53 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – IDENTIFICATION OF ABNORMAL TEST FINDINGS – IDENTIFICATION OF


BREATH SOUNDS

STUDENT RESPONSE SHEET

Registration Number: Date:

S.No Respiratory Sounds Definition Examples of Disease


heard conditions where the
respiratory sounds can
be heard

1. Right lung - 

2. Left lung - 

Signature of the Examinee Signature of the Examiner

NF - 54 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –DECISION MAKING – IDENTIFICATION OF VENTURI MASK

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 write the correct FiO2 for all the five venturi


 mention the litres of oxygen that can be administered using each color.

Observation:
Observe if the participant is identifying and documenting the given task.
Score
Score the task based on the following
 Score “1” for each point identified / written correctly or mark
 Score “0” if the task is not identified and written as recommended
 Calculate the total score

NF - 55 of 61
STATION NO: 10 –DECISION MAKING – IDENTIFICATION OF VENTURI MASK

Steps Task Max Registration number


score
1. Writes the Fio2 for the 1st venturi 1
2. Mentions the litres of oxygen for the 1st venturi 1
3. Writes the Fio2 for the 2nd venturi 1
4. Mentions the litres of oxygen for the 2nd venturi 1
5. Writes the Fio2 for the 3rd venturi 1
6. Mentions the litres of oxygen for the 3rd venturi 1
7. Writes the Fio2 for the 4th venturi 1
8. Mentions the litres of oxygen for the 4th venturi 1
9. Writes the Fio2 for the 5th venturi 1
10. Mentions the litres of oxygen for the 5th venturi 1
Total 10

Name & Signature of the examiner

NF - 56 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –DECISION MAKING – IDENTIFICATION OF VENTURI MASK

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Response sheet
answer key  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale  Venturi – blue, white, pink, yellow & orange
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 57 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –DECISION MAKING – IDENTIFICATION OF VENTURI MASK

ANSWER KEY

S. No Colour Fio2 Litres of oxygen/minute


1. Blue 24 4
2. White 31 6
3. Pink 40 8
4. Yellow 28 4
5. Orange 50 8

NF - 58 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –DECISION MAKING – IDENTIFICATION OF VENTURI MASK

INSTRUCTIONS TO THE EXAMINEE

Identify the color of the venturi kept; write the color, the percentage of FiO2 and the litres of
oxygen that can be administered using each color of venturi.

You have 5 minutes to complete this station

Drop the response sheet in the drop box kept on the table after documentation.

NF - 59 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –DECISION MAKING – IDENTIFICATION OF VENTURI MASK

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S. No Colour Fio2 Litres of oxygen/minute


1.
2.
3.
4.
5.

Signature of the Examinee Signature of the Examiner

NF - 60 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Name of the exam: Date


Register number of students allotted: From To
Total number of students: Attended: Absent:
Total number of OSCE stations: Basic skills: Advanced skills
OSCE SCORE SUMMARY SHEET

Basic Skill Advanced Skill


Total For 100
Eye Pulse Urine Breath
Reg. No Positions Equipment Venturi CPR BMW Drug Marks
S. No bandage site analysis sounds
(VSI) (VSI) (DM) (TP) (DM) calculation(PS)
(TP) (VSI) (IATF) (IATF)
30 10 10 10 10 10 20 10 20 5 135
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Name & Signature of the examiner 1 Name & Signature of the examiner 2

NF - 61 of 61
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)
TEST MAP BASED ON BLUE PRINT
Station Type of Station Program Item Title Competency Proposed Test Domains of Clinical Experience
Num Component (Condition) Tested Item
Communication Examination Procedure Cognitive Skill

HT OC PE VSI TP DP IATF DI DM PS
A B C D E F G H I J
1. Manned Comfort Back massage 1
TP Mannequin
2. Manned Administration of Intra muscular injection Simulated patient / 1
medication TP Mannequin
3. Unmanned Comfort Identification of
VSI Printed image 1
positions & its purposes
4. Unmanned Equipment & Identification of
DM Instruments 1
Machinery instruments
5. Unmanned Health assessment Identification of chest & 1
back abnormalities PE Printed image
6. Unmanned Basic needs - safety Restraints 1
VSI Printed image
7. Unmanned Administration of Drug calculation 1
medication PS Doctor’s order
8. Unmanned Admission, transfer Transfer of patient
DM Case scenario 1
& discharge
9. Unmanned Body Mechanics Identification of
VSI Printed image 1
movement & its joints
10. Unmanned Nursing process Nursing process PS Case scenario 1
Key words: HT: History Taking; OC: Other Communication; PE: Physical examination; VSI: Virtual Sign Identification; TP: Therapeutic Procedure; DI: Data Interpretation;
IATF: Identification Of Abnormal Test Findings; DP: Diagnostic Procedure; DM: Decision Making; PS: Problem Solving

Subject Coordinator Head of the Department

NF- 62 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE – BACK MASSAGE

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 explain the procedure


 follow scientific principles when performing the tasks in the procedure
 repeat the steps five times

Observation: Observe if the participant is performing the following steps in the correct sequence when performing back massage.

Score
Score the task based on the level of perfection
 Score “2” for each step conducted correctly (good skill)
 Score “1” for each step conducted with mistakes (fair skill)
 Score “0” if the task is not done or done completely wrong
 Calculate the total score

NF- 63 of 120
STATION NO: 1 –THERAPEUTIC PROCEDURE – BACK MASSAGE

Steps Task Max Registration number


score
1. Explains the procedure to the mannequin & Sanitizes hands. 2
2. Positions the mannequin in prone or side lying. 2
3. Exposes the mannequin’s back from shoulder to sacrum & drapes with the bed sheet 2
4. Places towel lengthwise close to the mannequin’s back. 2
5. Warms the lubricant or lotion in the palm of the hand. Applies it in the back. 2
6. Massages the back using four techniques or steps 5 times. 2
Step-1 – Effleurage
Keeps the hands in the sacral area; massages in circular motion, strokes upward from
buttocks to shoulder and massages over scapula with smooth firm stroke
Continues in one smooth stroke to upper arms and laterally along sides of back down to 2
iliac crest.
7. Step-2 – Petrissage 2
Kneads the patient’s skin by gently alternating grasping and compressing motion.
Completes with long stroking effleurage movements. 2
8. Step -3 - Thumb Friction 2
Massages the back with your thumbs in circulatory motion in upward manner starting
from sacrum to shoulder along the spine until the whole back is covered.
Complete with long stroking effleurage movements. 2
9. Step -4 – Tapotement 2
Alternates striking the tissues on either side of back with the ulnar surface of the
hands from the buttocks towards the shoulder.
Completes with effleurage. 2
10. Repositions the mannequin &adjusts the gown 2
11. Sanitizes hands 2
Total 30
2=Fully competent; 1 = Partially competent; 0 = Incompetent

Name & Signature of the examiner

NF- 64 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE – BACK MASSAGE

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

FOR EXAMINER FOR EXAMINEE


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner & evaluation proforma  Cot with Mannequin
 Pen  Bed side locker
 Pencil  A clean tray lined with paper containing
 Scale  Lotion/powder
 Sharpener  Hand sanitizer
 Eraser  Chair & Table
 Chair & Table  Pen
 Gong

NF- 65 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - CARDIO PULMONARY RESUSCITATION

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to perform back massage on the mannequin. Imagine it as a patient and
perform back massage alone including the preliminary steps and after care. Repeat all four
techniques of back massage 5 times.

You need not document the procedure.

NF- 66 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – INTRA MUSCULAR INJECTION

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to
 load the medicine using right technique
 select the appropriate site
 follow correct technique of administration

Observation: Observe if the participant is performing the following steps in the correct sequence when administering IM injection.

Score:
Score the task based on the following level of perfection
 Score “1” for each step conducted correctly (good skill)
 Score “0” if the task is not done or done with mistakes
 Calculate the total score

NF- 67 of 120
STATION NO: 2 –THERAPEUTIC PROCEDURE – INTRA MUSCULAR INJECTION

Steps Task Max Registration number


score
1. Checks the doctor’s order. 1
2. Explains the procedure to the mannequin & Sanitizes hands 1
3. Checks the name, dose and frequency of the medication against the doctor’s order sheet 1
4. Loads the medicine in the syringe. 1
5. Positions the mannequin and exposes the area. 1
6. Identifies the correct site. 1
7. Cleans the skin using a rotatory movement with an antiseptic swab. 1
8. Holds the swab between 3rd and 4th fingers of non-dominant hand. 1
9. Expels the air; holds the syringe like a pen 1
10. With the non dominant hand pinches the skin or spreads the muscle and injects the syringe at an 1
angle of 900.
11. Holds the hub of the needle with the non dominant hand and withdraws the plunger lightly. If 1
there is no blood, then injects the medicine slowly.
12. Keeps the cotton over the punctured site and withdraws the syringe. 1
13. Massages the area & repositions the mannequin 1
14. Sanitizes hands. 1
15. Documents the procedure. 1
Total 15
1=Fully competent; 0 = Incompetent

Name & Signature of the examiner

NF- 68 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

S STATION NO: 2 –THERAPEUTIC PROCEDURE – INTRA MUSCULAR INJECTION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee &
examiner & evaluation proforma Doctor’s order
 Tray for evaluated response sheet  Cot with Mannequin
 Pen  Bed side locker
 Pencil  A clean tray lined with paper containing
 Scale  Injection tray
 Sharpener  Syringe
 Eraser  Needle
 Chair & Table  Bowl with Cotton
 Gong  Disinfectant
 Inj. Neurobion
 K - basin
 Response sheet
 Chair & Table
 Pen

NF- 69 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – INTRA MUSCULAR INJECTION

INSTRUCTION TO THE EXAMINEE

Mr. A has symptoms of fever 101o F since morning and also has muscle weakness. The
doctor has prescribed the following medications Tab. Dolo 650mg 1-1-1, Inj. Neurobion IM – stat
and Tab. Zincovit 0-1-0. You have 5 minutes to load and administer IM Injection for the mannequin.
Use the articles which are near the bedside. Document the care given.

Hand-over the response sheet to the examiner.

NF- 70 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE – INTRA MUSCULAR INJECTION

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

NF- 71 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & ITS PURPOSES

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the positions


 list any 2 purpose for each position

Observation: Observe if the participant is identifying the positions and is able to list the purpose correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF- 72 of 120
STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & ITS PURPOSES

Step No Task Max


Registration number
Score
1. Identifies the position 1 1
2. Lists the purposes of the position No 1
a. 1
b. 1
3. Identifies the position 1
4. Lists the purposes of the position No 2
a. 1
b. 1
5. Identifies the position 3 1
6. Lists the purpose of the position No 3
a. 1
b. 1
7. Identifies the position 4 1
8. Lists the purpose of the position No 4
a. 1
b. 1
9. Identifies the position 5 1
10. Lists the purpose of the position No 5
a. 1
b. 1
Total 15

Name & Signature of the examiner

NF- 73 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & ITS PURPOSES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For Examiner For Examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Tray for evaluated response sheet  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 74 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & ITS PURPOSES

ANSWER KEY

S. No Name of the Position Purposes


 To examine the rectum
1 Knee chest position  To perform gynecological examination
 To treat cord prolapse or retroverted uterus
 To relieve pressure on bony prominence of the back
2 Prone position
 To examine spine and the back
 To relieve dyspnea
3 High Fowlers position
 To aid in postural drainage

Trendelenburg  To treat shock


4
position  To perform pelvic examination
 To perform examination of pelvic organs
5 Lithotomy position
 To perform vaginal delivery

NF- 75 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & ITS PURPOSES

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the images below. Name the positions and list any
two purposes for each of the position in the response sheet.

Drop the response sheet in the drop box kept on the table after documentation.

1 2

3 4

55

NF- 76 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF POSITIONS & ITS PURPOSES

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:
S.No Position Purpose 1 Purpose 2

Signature of the Examinee Signature of the Examiner

NF- 77 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF INSTRUMENTS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the instruments displayed


 list any one clinical situation where it can be used

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the instrument is not identified correctly or if the clinical situation is not specified correctly.
 Calculate the total score.

NF- 78 of 120
STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF INSTRUMENTS

Steps Task Max Registration number


score
1. Identifies the 1st instrument 1
2. Lists the clinical situation where it can be used 1
3. Identifies the instrument no 2 1
4. Lists the clinical situation where it can be used 1
5. Identifies the instrument no 3 1
6. Lists the clinical situation where it can be used 1
7. Identifies the instrument no 4 1
8. Lists the clinical situation where it can be used 1
9. Identifies the instrument no 5 1
10. Lists the clinical situation where it can be used 1
Total 10

Name & Signature of the examiner

NF- 79 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF INSTRUMENTS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Response sheet
answer key  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale  Instruments – Laryngosope, oral airway, thumb
 Eraser forceps, knee hammer, nasal speculum
 Sharpener
 Chair & Table
 Gong

NF- 80 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – DECISION MAKING – IDENTIFICATION OF INSTRUMENTS

ANSWER KEY

S. No Name of the equipment Purpose

1. Laryngoscope  Intubation
 Examination of Larynx
2. Oral airway  Oral hygiene
 During oral examination
3. Thumb Forceps  To hold any tissue or area during examination/surgery
 Any clinical procedure
4. Knee Hammer  To find reflexes during Neurological examination

5. Nasal Speculum  To inspect nose


 To remove any foreign bodies

NF- 81 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF INSTRUMENTS

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to identify the name of the instruments that are displayed and write any one clinical
situation where it can be used in the response sheet provided.

Do not move the equipment.

Drop the response sheet in the drop box kept on the table after documentation.

NF- 82 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF INSTRUMENTS

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S. No Name of the instrument Clinical situation where it can be used

1.

2.

3.

4.

5.

Signature of the Examinee Signature of the Examiner

NF- 83 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 –PHYSICAL EXAMINATION- IDENTIFICATION OF CHEST & BACK ABNORMALITIES

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the abnormality of back ad spine


 define each of it.

Observation: Observe if the participant is identifying the abnormality and is able to define it correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if it is not identified or defined correctly.
 Calculate the total score.

NF- 84 of 120
STATION NO: 5 –PHYSICAL EXAMINATION- IDENTIFICATION OF CHEST & BACK ABNORMALITIES

Step No Task Max


Registration number
Score
1. Identifies the 1st abnormality 1
2. Defines the 1st abnormality 1
3. Identifies the 2nd abnormality 1
4. Defines the 2nd abnormality 1
5. Identifies the 3rd abnormality 1
6. Defines the 3rd abnormality 1
7. Identifies the 4th abnormality 1
8. Defines the 4th abnormality 1
9. Identifies the 5th abnormality 1
10. Defines the 5th abnormality 1
Total 10

Name & Signature of the examiner

NF- 85 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 –PHYSICAL EXAMINATION- IDENTIFICATION OF CHEST & BACK ABNORMALITIES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 86 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 –PHYSICAL EXAMINATION- IDENTIFICATION OF CHEST & BACK ABNORMALITIES

ANSWER KEY

S. No Name of the Position Purposes


Lateral deviation of spine or sideways curvature of the
1 Scoliosis
spine
Convex curvature of the thoracic spine or forwarded
2 Kyphosis
rounding of the back

It is a deformity of the chest characterized by a


3 Pigeon chest
protrusion of the sternum and ribs.
Exaggerated concavity of lumbar spine or curving
4 Lordosis
inward of the lower back
Broadened rib cage/ Increased Anterio-posterior
5 Barrel chest
diameter

NF- 87 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 –PHYSICAL EXAMINATION- IDENTIFICATION OF CHEST & BACK ABNORMALITIES

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the images below. Name the abnormality and
define each of the abnormality in the response sheet.

Drop the response sheet in the drop box kept on the table after documentation.

1 2 3

4 3

4 5

NF- 88 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 –PHYSICAL EXAMINATION- IDENTIFICATION OF CHEST & BACK ABNORMALITIES

STUDENT RESPONSE
SHEET
Date: _
Registration Number:
Documentation:
S.No Abnormality Definition

Signature of the Examinee Signature of the Examiner

NF- 89 of 120
.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF RESTRAINTS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the type of restraint


 list any two purpose for each of the restraint

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the restraint is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF- 90 of 120
STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF RESTRAINTS

Steps Task Max Registration number


score
1. Identifies the 1st restraint 1
2. Lists the 1st purpose of restraint no 1 1
3. Lists the 2nd purpose of restraint no 1 1
4. Identifies the restraint no 2 1
5. Lists the 1st purpose of restraint no 2 1
6. Lists the 2nd purpose of restraint no 2 1
7. Identifies the restraint no 3 1
8. Lists the 1st purpose of restraint no 3 1
9. Lists the 2nd purpose of restraint no 3 1
10. Identifies the restraint no 4 1
11. Lists the 1st purpose of restraint no 4 1
12. Lists the 2nd purpose of restraint no 4 1
13. Identifies the restraint no 5 1
14. Lists the 1st purpose of restraint no 5 1
15. Lists the 2nd purpose of restraint no 5 1
Total 15

Name & Signature of the examiner

NF- 91 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF RESTRAINTS

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 92 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF RESTRAINTS

ANSWER KEY

S. No Name of the equipment Purpose

1. Clove hitch restraint 1. To immobilize the leg / arm


2. To facilitate the IV infusion for children in extremities
2. Mitten restraint 1. To prevent self-injury in any body part
2. To prevent pulling of tubing
3. Jacket Restraint 1. To help patient to remain flat in supine position
2. To prevent fall from bed or chair
4. Elbow restraint 1. To restrict flexion at elbow joint
2. To facilitate IV infusion
5. Mummy restraint 1. Immobilize the hands and legs for shorter duration
2. Head and neck examination / treatment
3. Jugular venipuncture
4. Gastric gavage/lavage

NF- 93 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF RESTRAINTS

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to identify the name of the restraints and write any 2 purposes for each of them in
the response sheet provided.

Drop the response sheet in the drop box kept on the table after documentation.

1 2

3 4

NF- 94 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF RESTRAINTS

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S. No Name of the restraint Purpose 1 Purpose 2

1.

2.

3.

4.

5.

Signature of the Examinee Signature of the Examiner

NF- 95 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG

CALCULATION INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 Calculate the duration of flow for each pint


 draw the flow chart / specify the starting and ending time for each pint
 calculate the drops per minute for the same.

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point calculated/ specified / drawn correctly,
 Score “0” for the steps incorrectly or not performed as recommended
 Calculate the score.

NF- 96 of 120
STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

Steps Task Max Registration number


score
1. Writes the formula for duration of administration for each pint 1
2. Specifies the starting time of each pint 1
3. Specifies the ending time of each pint 1
4. Writes the formula for calculating drop per minute 1
5. Calculates the drop per minute correctly. 1
6. Write any 5 rights of medication administration
a. 1
b. 1
c. 1
d. 1
e. 1
Total 10

Name & Signature of the examiner

NF- 97 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee &
examiner, evaluation proforma and doctor’s order
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 98 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

ANSWER KEY

1. 3 pint RL and 2 pint NS over 24


hours So, 5 pint over 24 hours
1 pint = 24/5 = 4 hours 48 minutes
09.00 am = 1st pint RL
01.48 pm = 2nd pint NS
06.36 pm = 3rd pint RL
11.24 pm = 4th pint NS
04.12 am = 5th pint RL
09.00 am = disconnect

2. Drop /minute = No of pint X 500 X drop factor


No of hours X 60
= 5 x 500 x 20
24 x 60
= 34 – 35 drops/minute

NF- 99 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

INSTRUCTION TO THE EXAMINEE

The doctor’s order for a drug administration is as follows. Calculate the following
drug dosage.

1. Order: 3 pint RL and 2 Pint NS over 24 hours


 Calculate the hours per pint
 Specify the starting time and ending time of each pint and
 Calculate the drop per minute for the same.

Drop the response sheet in the drop box kept on the table after documentation.

NF- 100 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –PROBLEM SOLVING – DRUG CALCULATION

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examinee

NF- 101 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – TRANSFER OF

PATIENT INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify and list the any 5 observations that have to be documented in the nurse’s record while receiving this patient
 mention the type of bed that has to be prepared for this patient
 list any four equipment or articles that have to be kept near bedside

Observation: Observe if the participant is performing the following task.


Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the clinical situation is not specified correctly.
 Calculate the total score.

NF- 102 of 120


STATION NO: 8 – DECISION MAKING – TRANSFER OF PATIENT

Steps Task Max Registration number


score
12. Lists the 1st observation 1
13. Lists the 2nd observation 1
14. Lists the 3rd observation 1
15. Lists the 4th observation 1
16. Lists the 5th observation 1
17. Mentions the type of bed 1
18. Writes the 1st article that has to be kept near the bed 1
19. Writes the 2nd article that has to be kept near the bed 1
20. Writes the 3rd article that has to be kept near the bed 1
21. Writes the 4th article that has to be kept near the bed 1
Total 10

Name & Signature of the examiner

NF- 103 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – TRANSFER OF PATIENT

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee &
examiner, evaluation proforma and Case scenario
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 104 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – TRANSFER OF PATIENT

ANSWER KEY

1. Observations to be documented
a. Consciousness, orientation
b. Vital parameters
c. IV fluid and IV site
d. Urinary catheter
e. Surgical site
f. Specific complaints like pain and
g. Patient’s condition
2. Post operative bed has to be kept ready
3. List of article / equipment
a. Vital signs tray
b. IV stand
c. Pulse oximeter
d. K – basin
e. Hot water bag & blanket

NF- 105 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – TRANSFER OF PATIENT

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station.

Mrs. Rani, a 75 years old lady had undergone abdominal hysterectomy under spinal
anesthesia. She was in the recovery room for 2 hours. Her vital parameters are stable. IVF
DNS is on flow in her left hand and is having urinary catheter. Surgical site dressing is intact.
Having pain score 6 at the surgical site. She is conscious and oriented getting transferred to
surgical ward. You are the nurse who is receiving the patient.
a. Identify and list the any 5 observations that have to be documented in the
nurse’s record while receiving this patient in you surgical ward.
b. Mention the type of bed that has to be prepared for this patient
c. List any four equipment or articles that have to be kept near bedside.
Drop the response sheet in the drop box kept on the table after documentation.

NF- 106 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – TRANSFER OF PATIENT

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

NF- 107 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF MOVEMENT &

JOINTS INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the movement


 specify the joint involved for the respective movement

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if it is not identified or written correctly.
 Calculate the total score.

NF- 108 of 120


STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF MOVEMENT & JOINTS

Steps Task Max Registration number


score
1. Identifies the movement No 1 1
2. Joint involved for the 1st movement 1
3. Identifies the movement No 2 1
4. Joint involved for the 2nd movement 1
5. Identifies the movement No 3 1
6. Joint involved for the 3rd movement 1
7. Identifies the movement No 4 1
8. Joint involved for the 4th movement 1
9. Identifies the movement No 5 1
10. Joint involved for the 5th movement 1
Total 10

Name & Signature of the examiner

NF- 109 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF MOVEMENT & JOINTS

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 110 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF MOVEMENT & JOINTS

ANSWER KEY

S. No Name of the movement Joint involved

1. Abduction Shoulder
2. Extension Knee
3. Extension Elbow
4. Pronation Wrist
5. Plantar or dorsiflexion Ankle

NF- 111 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF MOVEMENT & JOINTS

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to identify the name of the movement and specify the joint involved for
that movement in the response sheet provided.

Drop the response sheet in the drop box kept on the table after documentation.

1 2 3

4 5

NF- 112 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF MOVEMENT & JOINTS

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S. No Name of the movement Joint involved

1.

2.

3.

4.

5.

Signature of the Examinee Signature of the Examiner

NF- 113 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PROBLEM SOLVING – APPLICATION OF NURSING PROCESS FOR A PATIENT WITH UPPER RESPIRATORY TRACT

INFECTION INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 collect details regarding present illness


 identify the problems and needs
 list the possible nursing diagnosis
 formulate the nursing care plan for the priority nursing diagnoses

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF- 114 of 120


STATION NO: 10 – PROBLEM SOLVING – APPLICATION OF NURSING PROCESS FOR A PATIENT WITH UPPER RESPIRATORY TRACT INFECTION

Steps Task Max Registration number


score
1. Identifies the problems and needs 1
2. Lists the possible nursing diagnosis – minimum 3 1
2.1 Nursing diagnosis 1
2.2 Nursing diagnosis 2 1
2.3 Nursing diagnosis 3 1
3. Formulate the nursing care plan for the first priority problem / need identified
(Minimum 4 interventions and 4 rationale)
3.1 objective data 1
3.2 nursing diagnosis 1
3.3 goal 1
3.4 planning– minimum
a. 1
b. 1
c. 1
d. 1
3.5 rationale
a. 1
b. 1
c. 1
d. 1
Total 15

Name & Signature of the examiner

NF- 115 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PROBLEM SOLVING – APPLICATION OF NURSING PROCESS FOR A


PATIENT WITH UPPER RESPIRATORY TRACT INFECTION

ARTIFACTS / EQUIPMENTS / PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee &
examiner, evaluation proforma and case scenario
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF- 116 of 120


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PROBLEM SOLVING – APPLICATION OF NURSING PROCESS FOR A


PATIENT WITH UPPER RESPIRATORY TRACT INFECTION

ANSWER KEY
1. Needs and problems

a. Fever, body pain, head ache, cough, nasal congestion, anxiety, worried, insufficient
knowledge

2. Possible nursing diagnosis

a. Hyperthermia related to infectious process as manifested by temperature of 101 0 F


and body pain.

b. Pain (generalized body pain) related to disease condition as manifested by pain


score 6/10.

c. Ineffective breathing pattern related to nasal congestion as manifested by


decreased air entry in either of the nostrils.

d. Anxiety related to the prognosis as manifested by worried appearance.

e. Deficient knowledge regarding the course of treatment as manifested by


frequent questioning.

3. Priority Nursing diagnoses

a. Objective data:

i. Temperature = 1010 F, body pain, nasal congestion, cough

b. Goal: patient attains normal body temperature

c. Interventions with rationale

i. Monitor the vital signs – to have baseline data

ii. Open the windows – to promote ventilation

iii. Loosen the clothing – to enhance convection

iv. Apply cold compress – to decrease body temperature by conduction &


evaporation

v. Switch on the fan - to reduce body temperature by convection

vi. Apply ice cap - to decrease body temperature by conduction & evaporation

vii. Instruct the patient to have adequate rest – to decrease the metabolic demand

viii. Administer antipyretics if ordered – to decrease the body temperature

NF- 117 of 120


STATION NO: 10 – PROBLEM SOLVING – APPLICATION OF NURSING PROCESS FOR A
PATIENT WITH UPPER RESPIRATORY TRACT INFECTION

INSTRUCTION TO THE EXAMINEE

Ms. Madhavi, a 32 years old lady is with the complaints of cold, cough and fever. You have 5
minutes to formulate the nursing process. Identify the problems and needs. List any three
possible nursing diagnosis for this patient and formulate nursing care plan for the priority
nursing diagnoses.

Background
information
Demographic data
 Name : Ms. Madhavi
 Age : 32 years
 Educational qualification : BA Economics
 Marital status : Married
 Occupation : House wife
 Religion : Hindu
 Family income : Rs.60,000/ month

Chief complaints

 Cough for the past 1 week. Fever and body pain for the past 3 days.
 Now, temperature is 1010 F
 Initially had nasal congestion for 1 day. Then, started to have running nose, mild
headache and cough.
 Is worried and anxious.
 No other obvious signs and symptoms.
 Not aware of the prognosis and the follow up care.
 Asks questions related to care.
 Investigations : WBC – 16,000 cells/mm3, ESR – 30mm/hr

Drop the response sheet in the drop box kept on the table after documentation.
STATION NO: 10 – PROBLEM SOLVING – APPLICATION OF NURSING PROCESS FOR A
PATIENT WITH UPPER RESPIRATORY TRACT INFECTION

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner


B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Name of the exam: Date


Register number of students allotted: From To
Total number of students: Attended: Absent:
Total number of OSCE stations: Basic skills: Advanced skills
OSCE SCORE SUMMARY SHEET

Basic Skill Advanced Skill


Total For 100
Back Chest Movem Instru Nursing Drug
Reg. Num Positions Restraints Transfer IM Marks
S. Num massage & back ents ments process calculation
(VSI) (VSI) (DM) (TP)
(TP) (PE) (VSI) (DM) (PS) (PS)
30 15 10 15 10 10 15 10 15 10 140
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Name & Signature of the examiner 1 Name & Signature of the examiner 2

NF- 120 of 120


NF- 121 of 120
B.Sc NURSING DEGREE PROGRAMME – I YEAR

NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

Station Type of Program Item Title Competency Proposed Test Domains of Clinical Experience
No Station Component (Condition) Tested Item Communication Examination Procedure Cognitive Skill
HT OC PE VSI TP DP IATF DI DM PS
A B C D E F G H I J
1. Manned Body mechanics ROM Simulated
TP 1
patient
2. Manned Health History collection Simulated
TP 1
Assessment patient
3. Unmanned Comfort Identification of comfort
VSI Artifact 1
devices & its purposes
4. Unmanned Equipment & Identification of
DM Artifact 1
Machinery equipments
5. Unmanned Fluid and Interpretation of lab
IATF Artifact 1
electrolytes values
6. Unmanned Oxygenation Methods of
VSI Artifact 1
administration
7. Unmanned Administration of Identify the parts of the
medication syringe & match the PS Artifact 1
needle size.
8. Unmanned Infection control Identification of PPE 1
DM Artifact
& its purposes
9. Unmanned Vital signs Name & define the vital
DI Artifact 1
parameters
10. Unmanned Hot & Cold Identification of hot
application and cold application & VSI Artifact 1
list its purposes

Subject Coordinator Head of the Department

NF - 121 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE – RANGE OF MOTION EXERCISE

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to
 explain the procedure.
 demonstrate the steps sequentially using right technique
 return to normal resting position after demonstrating each step
 follow scientific principles when performing the tasks in the procedure.
 document the procedure done.

Observation: Observe if the participant is performing the following steps range of motion exercise in the correct technique (as necessary).

Score
Score the task based on the level of perfection
 Score “2” – Performs the step without any mistake
 Score “1” – Performs the step with minimal mistake
 Score “0” – Does not perform the step or performs it completely wrong
 Calculate the total score

NF - 122 of 180
STATION NO: 1 –THERAPEUTIC PROCEDURE – RANGE OF MOTION EXERCISE

Steps Task Max Registration number


score
1. Explains to the patient, the purpose of performing the exercise. 2
2. Sanitizes hands. 2
3. Positions the patient comfortably 2
4. Instructs the patient to repeat each step 5 times as demonstrated 2
5. Instructs the patient to restore to normal resting position after performing each step 2
6. Neck 2
6.1 Moves head through flexion by bringing chin to rest on chest
6.2 Returns head to erect position for extension. 2
6.3 Bends head back as far as possible for hyperextension. 2
6.4 Lateral flexion – tilts head as far as possible towards each shoulder. 2
6.5 Rotation – turns head as far as possible in circular movement. 2
7. Shoulder 2
7.1 Flexion – raises arm from side position forward to position above head.
7.2 Extension – returns arm to position at the side of body 2
7.3 Hyperextension- moves arm behind body, keeping elbow straight 2
7.4 Adduction- lowers arm sideways and across body as far as possible 2
7.5 Abduction- moves arms away from body as much as possible 2
7.6 Internal rotation - with elbow flexed, rotates shoulder by moving arm until thumb is 2
turned inwards and towards back
7.7 External rotation - with elbow flexed, moves arm until thumb is upward and lateral to 2
head.
7.8 Circumduction - moves arm in full circle 2
8. Re positions the patient comfortably. 2
9. Documents the procedure done. 2
Total 20
2 = Fully competent; 1 = Partially competent; 0 = Incompetent

Name & Signature of the examiner

NF - 123 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE – RANGE OF MOTION EXERCISE

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For simulated patient For examinee


 Writing pad with  Cot with screen  Writing pad with
instructions to the  Writing pad with case instructions to examinee
examiner & scenario  Bed side locker
evaluation proforma  Instructions for simulated  A clean tray lined with
 Tray for evaluated patient(to be informed prior paper containing hand
response sheet to the OSCE) sanitizer
 Pen  Response sheet
 Pencil  Chair & Table
 Scale  Pen
 Sharpener
 Eraser
 Chair & Table
 Gong

NF - 124 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE – RANGE OF MOTION EXERCISE

INSTRUCTION TO THE EXAMINEE

Ms. Maheshwari, a 28 years old lady is a post operative patient after escharotomy of
the neck region. On examination, it is her 9 th post operative day and her vital signs appear to
be stable for the past 3 days. The surgeon has insisted on regular exercise of the neck and
Shoulder to prevent complications. You have 5 minutes to complete the range of motion
exercise procedure of the neck and shoulder as you discuss with the patient. Document the
care given.

Do not examine the patient.


Hand-over the response sheet to the examiner.

NF - 125 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE – RANGE OF MOTION EXERCISE

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

NF - 126 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –HISTORY TAKING – HISTORY COLLECTIONS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to
 obtain demographic data
 collect details regarding present illness
 elicit past medical history
 document the information

Observation: Observe if the participant is performing the following steps of collecting history in the correct sequence (as necessary).

Score
Score the task based on the level of perfection
 Score “2” for each point collected perfectly
 Score “1” for each point collected with partial mistake
 Score “0” if the history is not collected or collected with gross mistake
 Calculate the total score

NF - 127 of 180
STATION NO: 2 –HISTORY TAKING – HISTORY COLLECTION

Steps Task Max Registration number


score
1 Introduces self appropriately & Clarifies reason for visit 1
2 Obtains demographic data 1
2.1Name
2.2 Age 1
2.3 Educational qualification 1
2.4 Occupation 1
2.5 Marital status 1
2.6 Religion 1
2.7 Family income 1
3 Collect details regarding present illness 1
a. Chief complaint
3.2 Duration 1
3.3 Treatment taken 1
4 Elicit past medical history 1
4.1 Significant past illness
4.2 Treatment taken 1
5 Summarizes history & Encourages patient to discuss 1
6 Documents the collected history briefly 1
Total 15
2=Fully competent; 1 = Partially competent; 0 = Incompetent

Name & Signature of the examiner

NF - 128 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –HISTORY TAKING – HISTORY COLLECTION

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For simulated patient For examinee


 Writing pad with  Cot with screen  Writing pad with
instructions to the  Writing pad with case instructions to examinee
examiner & scenario  Bed side locker
evaluation proforma  Instructions for simulated  Response sheet
 Tray for evaluated patient(to be informed prior  Chair & Table
response sheet to the OSCE)  Pen
 Pen
 Pencil
 Scale
 Sharpener
 Eraser
 Chair & Table
 Gong

NF - 129 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –HISTORY TAKING – HISTORY COLLECTION

INFORMATION TO SIMULATED PATIENT


Your role: Patient, named Ms. Dalia, aged 32 years.

Information to be volunteered at the start of the history taking.

 You have been coughing up for the past 1 week. You are also having fever for the
past 3 days.

Information to be given if asked

 Initially you had nasal congestion for 1 day. Then you started to have running nose,
mild headache and cough. Now, for the past three days, you have fever with body
pain.
 No other obvious signs and symptoms.

Background information

Demographic data

 Name : Ms. Dalia


 Age : 32 years
 Educational qualification : BA Economics
 Marital status : Married
 Occupation : House wife
 Religion : Hindu
 Family income : Rs.60,000/ month

Past medical and surgical history

 You have had recurrent chest infections over the past 2 years.
 You had pneumonia when you were 5 years old.
 Other complaints : None.

Medication record

 Took tablet cetizine from the pharmacy in the morning and night for the past 6 days.

Relevant previous medications

 You have taken six or seven courses of medicines over the past 2 years. You cannot
remember the names of these.

NF - 130 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –HISTORY TAKING – HISTORY COLLECTION

INSTRUCTION TO THE EXAMINEE

Ms. Dalia, a 32 years old lady is here with the complaints of cold, cough and fever.
Collect the focused history from her. You have 5 minutes to take the history and for
discussion with this patient. You may make notes if you wish. Document the history
collected.

Do not examine the patient.


Any notes you make must be handed to the examiners at the end of the
station Hand-over the response sheet to the examiner.

NF - 131 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –HISTORY TAKING – HISTORY COLLECTION

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

NF - 132 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF COMFORT DEVICES & ITS

PURPOSES INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the comfort devices


 list any 2 purpose for each comfort device

Observation: Observe if the participant is identifying the comfort devices and is able to list the purpose correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the comfort device is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 133 of 180
STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF COMFORT DEVICES & ITS PURPOSES

Step No Task Max Registration Number


Score

1. Identifies the comfort device 1 1


2. Lists the purposes of the comfort device No 1
a. 1
b. 1
3. Identifies the comfort device 1
4. Lists the purposes of the comfort device No 2
a. 1
b. 1
5. Identifies the comfort device 3 1
6. Lists the purpose of the comfort device No 3
a. 1
b. 1
7. Identifies the comfort device 4 1
8. Lists the purpose of the comfort device No 4
a. 1
b. 1
9. Identifies the comfort device 5 1
10. Lists the purpose of the comfort device No 5
a. 1
b. 1
Total 15

Name & Signature of the examiner

NF - 134 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF COMFORT


DEVICES & ITS PURPOSES

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 135 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF COMFORT


DEVICES & ITS PURPOSES

ANSWER KEY

Name of the
S. No Purposes
Comfort device
 To prevent top cloth coming in contact with the
1 Bed cradle patient
 Can be used for patients with burns
 Supports back
2 Back rest
 For easy breathing
 To raise the head or foot end
3 Bed blocks  To arrest bleeding
 To retain fluid in case of enema administration
 Immobilization
4 Sand bag  Support foot
 Prevent foot drop
 To lean forward
 To help while eating & reading
5 Cardiac table
 For patients with cardiac disease – to enhance
comfort

NF - 136 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF COMFORT


DEVICES & ITS PURPOSES

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the images below. Name the comfort
devices and list any two purposes for each of the comfort device in the response sheet.

Drop the response sheet in the drop box kept on the table after documentation.

1 2
1

3
4

NF - 137 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 –VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF COMFORT


DEVICES & ITS PURPOSES

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:
S.No Comfort device Purpose 1 Purpose 2

Signature of the Examinee Signature of the Examiner

NF - 138 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF EQUIPMENT & ITS METHOD OF DISINFECTION

INSTRUCTION TO THE EXAMINER

Registration Number: Date:

Objectives
This station is designed to test the candidate’s ability to

 identify the equipments displayed


 specify the method of disinfection for each equipment

Observation: Observe if the participant is performing the following task.


Score
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the method of disinfection is not specified correctly.
 Calculate the total score.

NF - 139 of 180
STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF EQUIPMENT & ITS METHOD OF DISINFECTION

Steps Task Max Registration number


score
1. Identifies the 1st equipment 1
2. Name the method of disinfection for 1st equipment 1
3. Identifies the 2nd equipment 1
4. Name the method of disinfection for 2nd equipment 1
5. Identifies the 3rd equipment 1
6. Name the method of disinfection for 3rd equipment 1
7. Identifies the 4th equipment 1
8. Name the method of disinfection for 4th equipment 1
9. Identifies the 5th equipment 1
10. Name the method of disinfection for 5th equipment 1
Total 10

Name & Signature of the examiner

NF - 140 of 180
.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF EQUIPMENT & ITS METHOD OF


DISINFECTION

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 141 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF EQUIPMENT & ITS METHOD OF


DISINFECTION

ANSWER KEY

S. No Name of the equipment Method of disinfection


1. Surgical scissors Disinfection with Lysol/ Gas autoclave

2. Steel K- Basin Autoclaving

3. Macintosh Disinfection with Lysol/ Dettol

4. Bed pan Disinfecting and Heating under sunlight

5. Surgical glove Autoclaving

NF - 142 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF EQUIPMENT & ITS METHOD OF


DISINFECTION

You have 5 minutes to identify the name of the equipments that are displayed and write the
method of disinfection for each of the equipment in the response sheet provided.

Do not move the equipments.

Drop the response sheet in the drop box kept on the table after documentation.

2
1

NF - 143 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DECISION MAKING – IDENTIFICATION OF EQUIPMENT & ITS METHOD OF


DISINFECTION

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S. No Name of the equipment Method of disinfection

1.

2.

3.

4.

5.

Signature of the Examinee Signature of the Examiner

NF - 144 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION– INTERPRETATION OF LAB VALUES

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 interpret the diagnostic test values


 write the normal value for each
 specify the remarks wherever applicable.

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if it is not identified correctly
 Calculate the total score.

NF - 145 of 180
STATION NO: 5 – DATA INTERPRETATION– INTERPRETATION OF LAB VALUE

Steps Task Max Registration number


score
1. Writes the normal value for test no 1 1
2. Specifies the remarks for test no 1 1
3. Writes the normal value for test no 2 1
4. Specifies the remarks for test no 2 1
5. Writes the normal value for test no 3 1
6. Specifies the remarks for test no 3 1
7. Writes the normal value for test no 4 1
8. Specifies the remarks for test no 4 1
9. Writes the normal value for test no 5 1
10. Specifies the remarks for test no 5 1
11. Writes the normal value for test no 6 1
12. Specifies the remarks for test no 6 1
13. Writes the normal value for test no 7 1
14. Specifies the remarks for test no 7 1
15. Writes the normal value for test no 8 1
16. Specifies the remarks for test no 8 1
17. Writes the normal value for test no 9 1
18. Specifies the remarks for test no 9 1
19. Writes the normal value for test no 10 1
20. Specifies the remarks for test no 10 1
Total 20

Name & Signature of the examiner

NF - 146 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION– INTERPRETATION OF LAB

VALUE ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee &
examiner, evaluation proforma and Lab values
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 147 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION– INTERPRETATION OF LAB VALUE

ANSWER KEY

S.No Name of the investigation Patient’s value Normal value Remarks

1. ESR 32 mm/hr <20mm/hour Suggestive of


infection
2. Haemoglobin (female) 10.5 gm/dL 12-14 mg/dL Anemia

3. S. Urea 23 mg/dL 8 -40 mg/dL Normal

4. S. Creatinine 1.2 mg/dL 0.8 – 1.4 mg/dL Normal

5. Sodium 138 mEq/L 135 – 145 mEq/L Normal

6. Potassium 4.2 mEq/L 3.5 – 5.1 mEq/L Normal

7. Total bilirubin 2.8 mg/dL 0.2 – 1.4 mg/dL Suggestive of


liver impairment
8. Total cholesterol 268 mg/dL <200 mg/dL Suggestive of
liver impairment
9. Total protein 6.8 g/dL 6-8 gm/dL Normal

10. Serum albumin 2.8 g/dL 3.5 – 5 gm/dL Hypoalbuminemia

NF - 148 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION– INTERPRETATION OF LAB VALUE

INSTRUCTION TO THE EXAMINEE

You have 5 minutes for this station. Mr. X, 40 years old is admitted for a routine health
checkup. His reports are displayed on the table. Interpret each and write the normal value and
the remarks for each in the tabular column on the answer sheet.

Drop the response sheet in the drop box kept on the table after documentation.

NF - 149 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION– INTERPRETATION OF LAB

VALUE STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

S.No Name of the investigation Patient’s value Normal value Remarks

1. ESR 32 mm/hr

2. Haemoglobin (female) 10.5 gm/dL

3. S. Urea 23 mg/dL

4. S. Creatinine 1.2 mg/dL

5. Sodium 138 mEq/L

6. Potassium 4.2 mEq/L

7. Total bilirubin 2.8 mg/dL

8. Total cholesterol 268 mg/dL

9. Total protein 6.8 g/dL

10. Serum albumin 2.8 g/dL

Signature of the Examinee Signature of the Examiner

NF - 150 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECSION MAKING – IDENTIFICATION OF METHOD OF OXYGEN ADMINISTRATION

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the method of oxygen administration


 specify the fio2 & litres of oxygen
 list any one advantage & disadvantage for each

Observation: Observe if the participant is identifying the method of oxygen administration, specify the litres, fio 2 and is able to list one
advantage & disadvantage for each correctly
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if it is not identified correctly or if it is not written correctly.
 Calculate the total score.

NF - 151 of 180
STATION NO: 6 –DECISION MAKING – IDENTIFICATION OF METHOD OF OXYGEN ADMINISTRATION

Step No Task Max Registration Number


Score

1. Identifies the 1st method of oxygen administration 1


Specifies the fio2 1
Writes the litres of oxygen 1
Lists one advantage 1
Lists one disadvantage 1
2. Identifies the 2nd method of oxygen administration 1
Specifies the fio2 1
Writes the litres of oxygen 1
Lists one advantage 1
Lists one disadvantage 1
Total 10

Name & Signature of the examiner

NF - 152 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECSION MAKING – IDENTIFICATION OF METHOD OF OXYGEN


ADMINISTRATION

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation Performa and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 153 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECSION MAKING – IDENTIFICATION OF METHOD OF OXYGEN


ADMINISTRATION

ANSWER KEY

1.Nasal Cannula
a. 1 to 6 l/Min;
b. Fio2 – 24 to 44 %
c. Advantage:
i. Easy to use, Disposable, Cheap
ii. Well tolerated, May talk & eat, Allows ambulation
iii. Good patient compliance
d. Disadvantage:
i. Unstable, easily dislodged,
ii. High flow – uncomfortable
iii. Dryness, bleeding, irritation of nasal mucosa & necrosis to nostrils,
cheeks & ears
iv. Polyps, mouth breathers, DNS – reduced Fio2

2.Simple face mask


a. 6 to 10 l/Min;
b. Fio2 – 35 -60 %
c. Advantage:
i. Easy to use, Disposable, Cheap
d. Disadvantage:
i. Uncomfortable, prevents radiant heat loss
ii. Blocks vomittus in unconscious patients
iii. Hot & confining
iv. May irritate skin or tight seal
v. Impractical for long term
vi. Interferes with eating & talking,

NF - 154 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECSION MAKING – IDENTIFICATION OF METHOD OF OXYGEN


ADMINISTRATION

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the images below. Name the method of
administration, specify its Fio2, L/Min, advantage & disadvantage for each in the response
sheet.

Drop the response sheet in the drop box kept on the table after documentation.

1
2

NF - 155 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECSION MAKING – IDENTIFICATION OF METHOD OF OXYGEN


ADMINISTRATION

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:
Name of the L/Min Advantage Disadvantage
S. Num Fio2
method

Signature of the Examinee Signature of the Examiner

NF - 156 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF SYRINGE PARTS & NAMING THE TUBINGS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the parts of the syringe & needle


 name the tubing

Observation: Observe if the participant is performing the following task.

Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if it is not identified correctly
 Calculate the total score.

NF - 157 of 180
STATION NO: 7 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF SYRINGE PARTS & NAMING THE TUBINGS

Steps Task Max Registration number


score
1. Identifies the part number 1 correctly 1
2. Identifies the part number 2 correctly 1
3. Identifies the part number 3 correctly 1
4. Identifies the part number 4 correctly 1
5. Identifies the part number 5 correctly 1
6. Identifies the part number 6 correctly 1
7. Identifies the part number 7 correctly 1
8. Identifies the part number 8 correctly 1
9. Identifies the tubing number 1 correctly 1
10. Identifies the tubing number 2 correctly 1
Total 10

Name & Signature of the examiner

NF - 158 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF SYRINGE PARTS


& NAMING THE TUBINGS

ANSWER KEY

A. Parts of the syringe & needle

S.No Part Name


a. Syringe tip
b. Plunger tip or plunger seal
c. Barrel
d. Plunger
e. Bevel
f. Needle cover
g. Shaft
h. Hub of the needle

B. Tubing
S.No Name of the tubing
1. IV Set
2. Blood Set

NF - 159 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF SYRINGE PARTS


& NAMING THE TUBINGS

You have 5 minutes for this station. Identify the parts of the syringe, needle and name the
tubings in the response sheet provided.

Drop the response sheet in the drop box kept on the table after documentation.

A. Label the parts of the syringe & needle

B. Identify the tubing


2

NF - 160 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF SYRINGE PARTS


& NAMING THE TUBINGS

STUDENT RESPONSE SHEET

Registration Number: Date:

Documentation:

A. Parts of the syringe & needle


S.No Part Name
a.
b.
c.
d.
e.
f.
g.
h.

B. Tubing
S.No Name of the tubing
1.
2.

Signature of the Examinee Signature of the Examiner

NF - 161 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –DECISION MAKING - IDENTIFICATION OF PERSONAL PROTECTIVE EQUIPMENTS & ITS PURPOSES

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the personal protective equipments


 list any 1 purpose for each personal protective equipment

Observation: Observe if the participant is identifying the personal protective equipment and is able to list the purpose correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the equipment is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 162 of 180
STATION NO: 8 –DECISION MAKING - IDENTIFICATION OF PERSONAL PROTECTIVE EQUIPMENTS & ITS PURPOSES

Step Task Max Registration number


No Score

1. Identifies the personal protective equipment 1 1


2. Mention the purpose of the personal protective equipment No 1 1
3. Identifies the personal protective equipment 1
4. Mention the purpose of the personal protective equipment No 2 1
5. Identifies the personal protective equipment 3 1
6. Mention the purpose of the personal protective equipment No 3 1
7. Identifies the personal protective equipment 4 1
8. Mention the purpose of the personal protective equipment No 4 1
9. Identifies the personal protective equipment 5 1
10 Mention the purpose of the personal protective equipment No 5 1
Total 10

Name & Signature of the examiner

NF - 163 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –DECISION MAKING - IDENTIFICATION OF PERSONAL PROTECTIVE


EQUIPMENTS & ITS PURPOSES

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Response sheet
answer key  Drop box
 Pen  Table & Chair
 Pencil  Pen
 Scale  PPEs – Gloves, mask, goggles, face shield,
 Eraser surgical gown
 Sharpener
 Chair & Table
 Gong

NF - 164 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –DECISION MAKING - IDENTIFICATION OF PERSONAL PROTECTIVE


EQUIPMENTS & ITS PURPOSES

ANSWER KEY

Name of the Personal


S. No Purposes
protective equipment
 For examination
1 Gloves
 To prevent cross infection
 To prevent respiratory infection
2 Mask
 To enhance protection against any disease
 To protect the eye from splash injury
3. Goggles

 To protect the face from splash injury


4. Face shield
 To prevent contact with respiratory droplets
 To prevent contamination
5. Surgical gown
 To prevent cross infection

NF - 165 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –DECISION MAKING - IDENTIFICATION OF PERSONAL PROTECTIVE


EQUIPMENTS & ITS PURPOSES

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the personal protective equipment that
is displayed on the table. Name the personal protective equipments and list any one purpose
for each of the personal protective equipment in the response sheet.

Do not move the PPE’s

Drop the response sheet in the drop box kept on the table after documentation.

NF - 166 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –DECISION MAKING - IDENTIFICATION OF PERSONAL PROTECTIVE


EQUIPMENTS & ITS PURPOSES

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:
S.No Personal protective Purpose 1
equipment
1

Signature of the Examinee Signature of the Examiner

NF - 167 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –DATA INTERPRETATION – NAME & DEFINE THE VITAL PARAMETERS

INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 interpret the vital parameter based on the value


 define each of it.

Observation: Observe if the participant is identifying the vital parameter and is able to define it correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if it is not identified or defined correctly.
 Calculate the total score.

NF - 168 of 180
STATION NO: 9 –DATA INTERPRETATION – NAME & DEFINE THE VITAL PARAMETERS

Step Task Max Registration Number


Num Score

1. Interprets the 1st vital parameter 1


2. Defines the 1st vital parameter 1
3. Interprets the 2nd vital parameter 1
4. Defines the 2nd vital parameter 1
5. Interprets the 3rd vital parameter 1
6. Defines the 3rd vital parameter 1
7. Interprets the 4th vital parameter 1
8. Defines the 4th vital parameter 1
9. Interprets the 5th vital parameter 1
10. Defines the 5th vital parameter 1
Total 10

Name & Signature of the examiner

NF - 169 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –DATA INTERPRETATION – NAME & DEFINE THE VITAL PARAMETERS

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation proforma and  Printed values/images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 170 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –DATA INTERPRETATION – NAME & DEFINE THE VITAL PARAMETERS

ANSWER KEY

S. No Vital Values Interpretation Definition


Parameters

1 Temperature 1010F Hyperthermia Increased body


temperature

2 Pulse 50 beats/minute Bradycardia Pulse rate < than 60


beats/minute

3 BP 70/40 mm Hg Hypotension Decreased BP below


the normal value –
systolic - <90 mmHg

4 Respiration Cheyne stoke Irregular rate &


respiration depth of respiration
characterized by
alternating period of
apnea &
hyperventilation

5 Respiration Kussmaul’s Abnormally deep


respiration regular respiration
with increased rate

NF - 171 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –DATA INTERPRETATION – NAME & DEFINE THE VITAL PARAMETERS

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the vital parameters below. Interpret it
and define each of the abnormality in the response sheet.

Drop the response sheet in the drop box kept on the table after documentation.

S. Vital Values Interpretation Definition


Num Parameters

1 Temperature 1010F

2 Pulse 50 beats/minute

3 BP 70/40 mm Hg

4 Respiration

5 Respiration

NF - 172 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –DATA INTERPRETATION – NAME & DEFINE THE VITAL PARAMETERS

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:

S. Vital Values Interpretation Definition


Num Parameters

1 Temperature 1010F

2 Pulse 50 beats/minute

3 BP 70/40 mm Hg

4 Respiration

5 Respiration

Signature of the Examinee Signature of the Examiner

NF - 173 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF HOT/COLD APPLICATION & ITS

PURPOSES INSTRUCTION TO THE EXAMINER

Objectives
This station is designed to test the candidate’s ability to

 identify the hot/cold application


 list any 4 purpose for each hot/cold application

Observation: Observe if the participant is identifying the hot/cold application and is able to list the purpose correctly.
Score
Score the task based on the following
 Score “1” for each point identified and written correctly
 Score “0” if the hot/cold application is not identified correctly or if the purpose is not specified correctly.
 Calculate the total score.

NF - 174 of 180
STATION NO: 10 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF HOT/COLD APPLICATION & ITS PURPOSES

Step No Task Max Registration Number


Score

1. Identifies the hot/cold application 1 1


Lists the purposes of it
a. 1
b. 1
c. 1
d. 1
2. Identifies the hot/cold application 2 1
Lists the purposes of it
a. 1
b. 1
c. 1
d. 1
3. Identifies the hot/cold application 3 1
Lists the purposes of it
a. 1
b. 1
c. 1
d. 1
Total 15

Name & Signature of the examiner

NF - 175 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF HOT/COLD


APPLICATION & ITS PURPOSES

ARTIFACT / EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee


 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, evaluation Performa and  Printed images
answer key  Response sheet
 Pen  Drop box
 Pencil  Table & Chair
 Scale  Pen
 Eraser
 Sharpener
 Chair & Table
 Gong

NF - 176 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF HOT/COLD


APPLICATION & ITS PURPOSES

ANSWER KEY

Name of the hot/cold


S. No Purposes
application
 To decrease joint stiffness & to relax muscles
 To relieve bladder distension
 To reduce tissue swelling & pain
1 Hot water bag  To improve circulation to the specified area
 To promote warmth & comfort
 To promote suppuration & wound healing
 To re-warm the patient incase of hypothermia
 To loosen the secretion
 For easy expectoration
2 Nelson’s inhaler  To moisten the mucus membrane
 To relieve irritation & congestion
 To relax muscles & thus relieve cough
 To reduce inflammatory response
 To reduce the level of pain
 To reduce the body temperature
3 Ice cap
 To arrest bleeding
 To reduce edema, swelling & muscle spasm
 To promote comfort

NF - 177 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF HOT/COLD


APPLICATION & ITS PURPOSES

INSTRUCTION TO THE EXAMINEE

You have 5 minutes to complete this station. Look at the images below. Name the comfort
devices and list any two purposes for each of the comfort device in the response sheet.

Drop the response sheet in the drop box kept on the table after documentation.

2
1 1

NF - 178 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF HOT/COLD


APPLICATION & ITS PURPOSES

STUDENT RESPONSE SHEET

Registration Number: Date: _


Documentation:
Name of the hot/cold
S. No Purposes
application

Signature of the Examinee Signature of the Examiner

NF - 179 of 180
B.Sc NURSING DEGREE PROGRAMME – I YEAR
NURSING FOUNDATIONS
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Name of the exam: Date


Register number of students allotted: From To
Total number of students: Attended: Absent:
Total number of OSCE stations: Basic skills: Advanced skills
OSCE SCORE SUMMARY SHEET

Basic Skill Advanced Skill


Total For 100
Hot/ Instru
ROM Positions History Syringes PPE Values Vitals Oxygen Marks
S. Num Reg. Num cold ments
(TP) (VSI) (hist) (VSI) (DM) (DI) (DI) (DM)
(VSI) (DM)
20 15 15 10 10 15 20 10 10 10 135
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Name & Signature of the examiner 1 Name & Signature of the examiner 2

NF - 180 of 180
6. REFERENCES

1. Ghai, S. PGIMER-NINE: Clinical Nursing Procedures. CBS Publishers.


2. Kelly, M.A., Mitchell, M.L., Henderson, A. et al. (2016). OSCE best practice guidelines—
applicability for nursing simulations. Adv Simul 1, 10. https://doi.org/10.1186/s41077-016-
0014-1
3. Omayal Achi College of Nursing. (2018). Manual of Nursing Procedures and Practice (2nd
ed.). New Delhi:Wolters Kluwer.
4. OSCE: The Ultimate Prep Guide in 2021. (2021). Available from: OSCE: The Ultimate Prep
Guide in 2021 | BeMo® (bemoacademicconsulting.com).
5. Harden, R.M., Lilley, P. & Patrício, M. (2015).The Definitive Guide to the OSCE: The
Objective Structured Clinical Examination as a performance assessment. Elsevier.

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