OSCE WORKSTATIONS

APIE STATION

Four stations work together around a single clinical scenario, following the APIE framework Assessment, Planning, Implementation, and Evaluation. This integrated approach challenges candidates to apply a systematic method to clinical problem-solving, ensuring that every step of patient care is thoroughly examined.

Station 1: Assessment

In this station, candidates are tasked with conducting an in-depth, patient-centered evaluation to identify the patient’s specific nursing needs through the lens of their daily living activities. Using the Activities of Daily Living (ADL) model as your framework, you are expected to:

• Record and Plot Vital Signs Accurately:
  Ensure you perform a precise measurement and plotting of vital signs, establishing a dependable clinical baseline as part of your patient evaluation.

• Execute a Systematic A-to-E Assessment:
  Carry out a structured assessment following the A-to-E approach (Airway, Breathing, Circulation, Disability, Exposure). This methodical process will help you identify any critical concerns quickly and comprehensively.

All of these tasks must be completed efficiently within the allocated 20-minute timeframe, demonstrating both your clinical competence and your ability to manage time effectively while providing high-quality patient care.

Guidelines:

• Embrace a holistic approach

• Practice active and empathic listening to the patient’s problems and concerns

Station 2: Planning

In this station, you are required to identify and document two key aspects of nursing care directly derived from the assessment in Station 1. You have 14 minutes to articulate these interventions precisely.

Guidelines for Effective Planning:

• Focus on Relevance and Evidence:
  Select only the most pertinent nursing interventions that address the critical needs identified during your assessment. Ensure that each intervention is supported by current evidence and aligns with best practices in patient care.

• Utilize the SMART Framework:
  Structure each intervention so that it is Specific, Measurable, Achievable, Realistic, and Time-bound. This approach will help you create clear, actionable, and goal-oriented care plans.

• Prioritize the Patient's Key Needs:
  Concentrate on the two most important aspects of nursing care as determined by your assessment. Avoid including extraneous details—your focus should be on delivering high-priority interventions that yield meaningful outcomes.

Station 3: Implementation

In this station, you are required to demonstrate your ability to safely and accurately administer oral medications within a 15-minute timeframe. Your task is to follow established drug administration protocols and adhere to NMC guidance, ensuring optimal patient safety and care quality.

Key Objectives:

• Precise Oral Drug Administration:
  Administer the prescribed oral medications by following the correct principles. This includes verifying the right patient, drug, dosage, route, and time—ensuring that every administration step aligns with NMC standards.

• Adherence to NMC Guidance:
  Ensure that every aspect of your practice from the preparation, administration to post-administration documentation fully complies with the latest NMC guidelines, reflecting the highest level of patient-centered care.

Guidelines:

• Strategic Review of the Medication Administration Record:
  Develop and implement a systematic method for reading and interpreting the medication administration record. Verify all details carefully and cross-check medication particulars to prevent errors.

• Meticulous Documentation:
  Complete all required documentation thoroughly and accurately. Record the administration time, the exact dosage given, and any observations or patient feedback.

Station 4: Evaluation

In this station, you are expected to deliver a clear, concise, and systematic verbal handover of your patient within an 8-minute timeframe. Your handover should be structured using the SBAR framework:

• Situation: Clearly state the current condition of the patient.

• Background: Provide key contextual details, including relevant history and recent observations.

• Assessment: Share your clinical evaluation and any immediate concerns.

• Recommendation: Offer actionable suggestions for further care or management.

Guidelines:

• Be Systematic:
  Approach your handover methodically by following the SBAR format to ensure coherence and completeness.

• Prepare Written Notes:
  Spend a few minutes before your handover to jot down clear, concise notes. These will serve as a reference to keep your information organized and ensure no critical details are missed.

SKILLS STATION

In these stations, you’ll be assessed on your ability to accurately and confidently demonstrate two paired clinical skills selected from a list provided by the test centre. Each skill is assigned its own dedicated time slot—Stations 5 & 6 form one pair, and Stations 7 & 8 comprise the second—so manage your time accordingly to complete each skill to a high standard.

Key Requirements:

• Skill Pairing:
  You should be well-prepared with the specific skills allocated by your test centre. Each pair will test your competency in executing two interrelated clinical procedures.

• Time Management:
  Be mindful of the distinct time limits for each skill. Use your time strategically to ensure every step of the procedure is demonstrated thoroughly and competently.

Guidelines:

• Listen to the Briefing:
  Carefully pay attention to the examiner’s briefing at the start of each station. Listening attentively ensures you understand precisely which skill or combination of skills you need to demonstrate.

• Correct Use of PPE:
  Always adhere to the proper use of Personal Protective Equipment (PPE) from start to finish. Demonstrating proper PPE usage is crucial for maintaining safety and compliance with clinical standards.

• Infection Control Practices:
  Follow correct infection control protocols meticulously. This includes the proper handling and disposal of any clinical waste throughout the demonstration, ensuring that each step meets current health and safety guidelines.

This structured approach not only enables you to showcase your technical proficiency but also highlights your commitment to safety and best practices in clinical care.

APIE STATION

Four stations work together around a single clinical scenario, following the APIE framework Assessment, Planning, Implementation, and Evaluation. This integrated approach challenges candidates to apply a systematic method to clinical problem-solving, ensuring that every step of patient care is thoroughly examined.

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