[Link] / M.

Sc NURSING PROGRAMME

MEDICAL SURGICAL NURSING

OSCE / OSPE STATION BANK

INT - 1 of 8
 OSCE /OSPE BANK COMPILATION
INDEX

[Link] 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
[Link] (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
[Link] (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
[Link] (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
[Link] (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
[Link] (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 6) FACTORS INFLUENCING OSCE:

4) WHAT IS ASSESSED IN AN OSCE? 9) EXAMINER
No of Examiner
 Stations are short Learning outcomes and competencies  No of examiner
 Clinical Skills   Single examiner/station
 Highly focused Purpose of exam
 Practical procedures  Who are the Examiners
 Present structured mark scheme The breath of focus of the examination
 Patient Management   Tutor/clinical instructor/Lectures
 Reduced examiner discretion The learning out comes to be Assessed ( Physical
 Health promotion Examination/ interpersonal skills)  Asst professor/clinical perception
 Emphasizes on clinical competence than
 Disease prevention  The resources available (Examiners, real  Associate Professor/Professor
knowledge
 patients/simulated patients/ simulators. After the Examination:
 Test the application of knowledge than recalling Professionalism
 8p features  System based practice  The options with regard to the venue 1. Marking written question stations.
 Performance Assessment  Personal development  The stage in training or seniority of the examinee 2. Deciding the outcome for each examinee.
 Process and product  Communication skills  No of stations 3. Providing feedback to examinees individually or in a group.
  Length of time allotted for each station 4. Evaluation the stations and the examination process.
 Profile of Learner Information Handling
 Role of examiner
 Progress of Learner  Understanding of Basic & clinical Number of circuits
sciences  Use of procedure and question station Before the OSCE
 Public Assessment
 Participation of staff  Attitude & Ethics  Use of double and linked stations 1. Prepare OSCE blueprint
 Decision making  Organization of the station in a circuit and 2. Design individual stations
 Pressure for change
 Clinical reasoning  Provision of feed back to the examinee 3. Adapting standard procedures
 Preset standard of competence 4. Briefing candidates, examiners and simulated points
2) OSCE THE GOLD STANDARD FOR PERFORMANCE:  International relationship skills
During OSCE:
 Team work investigations
 Valid 1. Check resources at the stations
 Reliable 7) SETTING FOR AN OSCE : 2. Greeting the examiner / check the examiner register
 Feasible No.
 Flexible Choosing a Location 3. Observe the Examiners, observe and complete the
 Fair 1. Reasonable Proximal checklist / rating scale.
5) THE MAJOR COMPONENTS ARE:
 Acceptable 2. Linear Arrangements 4. Provide comments on the scoring sheet regarding the
1. The (examination) coordinating committee
 Provision of feed back 2. The examination coordinator Multi site OSCE performance.
1. Selecting multi leaching
 Educational impact 3. Lists of skills, behaviors and attitudes to be assessed 5. Confirmation that a SP at the station portrays the
4. Criteria for scoring the assessment (marking scheme of hospitals/ colleges
 Cost effective clinical condition approximately.
checklist) simultaneously 6. Ensures that the station keeps to time and examiners
5. The examinees moves to the next station on the time signal.
6. The examiners 7. Keeps a record of any problems that arise in the
7. Examination site examination
3) SIGNIFICANCE OF OSCE IN NURSING EDUCATION 8. Examination stations
After the OSCE
PRIMARY SIGNIFICANCE 8.1 Time and time allocation between stations
1. As a part of group exercise
 Summative Assessment – Certifying compliance 8.2 Anatomic models for repetitive
examinations (Breast, 2. Feedback without scoring sheets
 Formative Assessment – Provision of feed back 3. Feedback with individual score sheet
Pelvic/Rectum)
 Assessment of a Learners progress 8.3 Couplet Station 4. Viewing a personal video recording
 Prediction of a Learners future performance 8.4 Examination Questions 5. Meeting with individual examiners
 Selection of students for admission to health care 8.5 Environment of Exam Station Feedback to the Students in difficulty: Approaches of OSCE
profession 8.6 Examination Station Circuit feedback
SECONDARY SIGNIFICANCE 9. Patients Standardized or Simulated 1. Audio feedback
 Evaluating curriculum content 9.1 Instruction to Patients 2. Personalized feedback
 Evaluating course delivery 10. Timekeeper, time clock and time signal 3. Group feedback
 Evaluating approaches to leaching & learning 11. Contingency Plans 4. Video feedback
 Reinforcing specific learning out comes 12. Assessment of Performance of the OSCE 5. Using annotated examiners score sheet
6. Formative and summative feedback
 Evaluating the teacher

INT - 4 of 8
 9.1 INSTRUCTIONS FOR EXAMINERS: 10.2 . IMPLEMENTING OSCE: On the day of examination.
1. Any verbal instructions to be given to the 1. The OSCE lead to be present 1 hour before scheduled time.
candidate in addition. 2. Simulated and real points – 30 minutes before start time.
2. Instruction to the SP 3. Examiner – 30 Minutes before start time.
3. Directions as to the record to be kept of the 4. Presence of reserve examiner
candidate’s Performance. 5. Examinee – 30 minutes prior to start 12) FEEDBACK TO EXAMINEE:
6. Bell signals the start.
7. Time keeper regulates the time 1. Importance of feedback
8. Candidates to give written response where required.  OSCE feedback promotes learning
9.2) TRAINING OF THE EXAMINER: 9. 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 10. Second group of examinee – maintain integrity by assembling them before the end of first circuit.
 Provides strength and weaknesses
OSCE 11. Thank all concerned and arrange expenses for pts.
12. Document pts and problems that had occurred.  OSCE feedback is focused on the domain wise
 The interpretation and OSCE format skills than overall scoring, timing, mode,
 The timing and arrangements specificity, amount and nature of feedback to be
 Examiner role for conducting & feedback decided.
11) EVALUATION OF OSCE: .
13 ) OSCE FEEDBACK TYPES:
Importance of OSCE evaluation A. During OSCE
 Validation should be an ongoing responsibility 1. At the procedure station
10) IMPLEMENTING AN OSCE  Provides guidelines for quality improvement 2. Immediately after procedure station
Includes the Questions to be addressed was the OSCE B. After the OSCE
10.1 Advance planning for an OSCE  Valid 6. As a part of group exercise
10.2 Implementing the OSCE  Reliable
7. Feedback without scoring sheets
 Cost effective
8. Feedback with individual score sheet
10.1 ADVANCE PLANNING:  Examiner’s properly trained
9. Viewing a personal video recording
 Instruction to examinees clear
1. Identify and agree the individuals and committee members responsible for 10. Meeting with individual examiners
 Appropriate feedback given
OSCE C. Feedback to the Sts in difficulty
 Appropriate standard setting process implemented
2. Confirm the purpose of the examination the areas to be assessed. D. Approaches of OSCE feedback
 Impact of OSCE on examinees, teachers and curriculum planning
3. Agree a timeline 7. Audio feedback
Contributors to Evaluation
4. Decide the number and duration of stations to be included.  Examiners 8. Personalized feedback
5. Arrange a suitable venue / venues  Examinees 9. Group feedback
6. Prepare on examination grid / blue print.  Simulated Patents 10. Video feedback
7. Prepare a list of stations  Committee 11. Using annotated examiners score sheet
8. Develop individual stations  External Evaluation 12. Formative and summative feedback
9. Proposal for each station.  Administrative and supportive staff
10. Agree the marking scheme  Clinicians.
11. Appoint examiners. Validity
12. Arrange simulated patients.  Content validity * Criterion Validity * Predictive Validity
13. Organize resources 14) EXAMINEES PERSPECTIVE – OSCE:
1. Equipments / Furniture Reliability:
2. Patient simulation  Stability reliability  Full briefing in advance, will promote positive
3. timing device  Alternate form Reliability attitude.
14. Organize catering  Internal Consistency reliability  Students are informed that OSCE is powerful learning
15. Prepare packets for each station  Approaches to test Reliability experience.
16. Finalize the master list of stations  Classical test theory _CTT  Students should be engaged in planning
17. Prepare a map of OSCE circuit  Generalizability theory – GT implementation and evaluation of OSCE.
18. Prepare direction arrows and station identification cards.  Item response theory – IRT
19. Prepare a smaller set of cards with station numbers. Points to be considered
20. Prepare list of candidates  If higher failure roles appraise if
21. Inform candidate in advance  An in appropriate station standard
22. Set up stations.  Technical problem in the station
 Not a part of expected learning outcome
 Deficient teaching and learning programme

INT - 5 of 8
 16) EVALUATION OF OSCE:
1. Importance of OSCE evaluation 17) LIMITATION OF OSCE
 Validation should be an ongoing responsibility Perceived limitations of an OSCE and possible responses
 Provides guidelines for quality improvement Limitations Response
2. Questions to be addressed was the OSCE
The OSCE does not Use the OSCE alongside other tools,
 Valid
assess a holistic such as portfolios and work – based
 Reliable
approach to a patient assessment instruments.
 Cost effective
 Examiner’s properly trained The OSCE assesses only a Use a blueprint to sample across the
 Instruction to examinees clear limited sample of outcome domains, the body systems
 Appropriate feedback given competencies. and the core tasks.
 Appropriate standard setting process The OSCE is resource With organization, the resources
implemented intensive required can be contained. The cost –
 Impact of OSCE on examinees, teachers and benefit ratio is favorable.
curriculum planning
The role of the examiner Within the the set framework, the
3. Contributors to Evaluation
is prescribed. examiner can also use his/her
 Examiners
 Examinees judgment.
 Simulated Patents Only minimum The scoring system can also reflect
 Committee competence is tested in excellence. More advanced stations
 External Evaluation the OSCE can be included.
 Administrative and supportive staff Some learning outcomes Performance in an OSCE can be
 Clinicians.
are difficult to assess in triangulated with ratings from other
4. Validity
the OSCE. assessments.
 Content validity
 Criterion Validity Students’ behaviours are Design the OSCE to be as close to real
 Predictive Validity influenced by the practice as possible.
5. Reliability: context.
 Stability reliability The OSCE is stressful. Students should be briefed and
 Alternate form Reliability prepared.
 Internal Consistency reliability
 Approaches to test Reliability
 Classical test theory _CTT
 Generalizability theory – GT
 Item response theory – IRT
6. Points to be considered 18) VISION FOR THE OSCE:
If higher failure roles appraise if A Vision for the OSCE over the next decade
 An in appropriate station standard
 The OSCE being an integral part of the curriculum
 Technical problem in the station
 Assessment for learning and assessment as learning
 Not a part of expected learning outcome
 Assessment of different competencies
 Deficient teaching and learning programme
 The OSCE as a progress test
 Adaptive and sequential testing with the OSCE
 Student engagement and the OSCE
REFERENCE:  Appropriate use of technology in the OSCE
 Greater collaboration
Harden RM., Lilley P., Patricio M. The definitive guide to
the OSCE – The Objective Structured Clinical
Examination as a performance assessment, Elsevier
Edinburgh, UK, 2016.

INT - 6 of 8
3. OSCE CIRCUIT GUIDE

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

In-House Faculty External Contributors Name &

Omayal Achi CON Institution
NURSING FOUNDATION
Mrs. Grace Lydia Mrs. Dayana. B.A.A, SaveethaCON, Chennai
Mrs. Karthika Mrs. P. Geetha, Sri Ramachandra CON, Chennai
Mrs. Groops Gaya. K, M.A.C CON, Chennai
Ms. Jenilin Sujatha. P, MMM CON, Chennai
Mrs. Ramani. R, Sree Balaji CON, Chennai
Mrs. Sathya. G, Dr.M.G.R. Educational and Research Institute
University, Chennai
Ms. Sharmila Mercy. B, Rajalakshmi CON, Chennai
MEDICAL SURGICAL NURSING
Dr. Jolly Ranjith Ms. S. Abirami, Shenbagha CON, Tiruvallur
Mrs. Alice Dinah Margaret. D Mrs. Hepsiba Beula Rajam.T, Tagore CON, Chennai
Mr. Prasanna Kumar Ms. P. Kalavathi, Indira CON, Tiruvallur
Mrs. Gomathy Ms. Priya. C, Venkateswara CON, Chennai
Ms. R. Revathy, Billroth CON, Chennai
CHILD HEALTH NURSING
Dr. Ruthrani Princely Mrs. Brindha. P, Sree Balaji CON, Chennai
Mrs. Sorna Daya Rani Mrs. D. Geetha, Sri Ramachandra CON
Mrs. Phebe Esther Mrs. Mahalakshmi. J, MMM CON, Chennai
Ms. MeljaRani. D, Rajalakshmi CON, Chennai
Mr. Prem, Madha CON, Chennai
OBSTETRICAL AND GYNAECOLOGICAL NURSING
Dr. Amutha T Dr. Susan Mythily.A, Bon Secours CON, Molasur, KPM
Mrs. Beula Jayaselvi
COMMUNITY HEALTH NURSING
[Link] Mrs. Catherine. A, CSI Kalyani CON, Chennai
[Link] Mrs. Darcus Deva Sinthiya.J
Dr. M.G.R. Educational and Research Institute University
Mrs. Jayasree Ms. S. Manimala,, Annai Veilankanni’s CON,Chennai
Dr. Tamilselvi. S, Saveetha CON, Chennai
Mrs. Umalakshmi, [Link], Chennai
MENTAL HEALTH NURSING
Dr. Hemavathy Mrs. E .Elamathi, Hindu Mission CON, Chennai
Mrs. Bettsy Priyanka Mrs. Guhapriya.T, SCARF, Chennai
Mrs. Kansal Mahariba, Mohamed Sathak A J CON, Chennai
Mrs. B. Kalaiyarasi, Venkateswara CON, Chennai
Mrs. Mary Metilda. S, Right CON, Chennai
Ms. Priya. S, Apollo CON, Chennai

INT - 8 of 8
 [Link]. NURSING DEGREE PROGRAM - II YEAR
MEDICAL SURGICAL NURSING-I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK
TEST MAP BASED ON BLUE PRINT

DOMAINS OF CLINICAL EXPERIENCE

TYPE OF PROGRAM COMPETENCY PROPOSED
STATION ITEM TITLE COMMUNICATION EXAMINATION PROCEDURE COGNITIVE SKILLS
STATION COMPONENT TEST TEST FILE
NUMBER
HT OC PE VSI TP DP IATF DI DM PS
Appenditis- Simulated
1 Manned Gastrointestinal PE _ _ 1 _ _ _ _ _ _ -
Abdominal Examination patient
Simulated
2 Unmanned Cardiovascular Dysarrhythmia VSI _ _ _ 1 _ _ _ _ _ -
slides
Diabetes mellitus- Sub
3 Manned Endocrine TP Mannequin _ _ _ _ 1 _ _ _ _ -
cutaneous injection
Identification of the types of
4 Unmanned Musculoskeletal DI Print out _ _ _ _ _ _ _ 1 _ -
Traction
Identification of the parts of
5 Unmanned Respiratory DI Equipment _ _ _ _ _ _ 1 _ -
the AMBU Bag

6 Unmanned Cardiovascular Intravenous Fluid PS Print out _ _ _ - - _ _ _ - 1

Calculation
Simulated
7 Unmanned Respiratory Pulmonary tuberculosis VSI _ _ _ 1 _ _ _ _ - -
slides
Surgical position
8 Unmanned Perioperative Nursing identification and DI Print out _ _ _ _ _ _ 1 _ -
interpretation
Musculoskeletal Identification of abnormal
9 Unmanned IATF Print out _ _ _ _ _ _ 1 _ _ -
X-ray findings (Fracture)
Identification of Suture
10 Unmanned Perioperative Nursing DI Print out _ _ _ _ _ _ 1 _ -
materials
Key Words:
HT: History taking DI: Data interpretation
OC: Other communication IATF: Identification of abnormal test finding
PE: Physical examination DP: Diagnostic procedure
VSI: Virtual sign identification. DM: Decision making
TP: Therapeutic procedure PS: Problem solving

Subject Coordinator Head of the Department

MSN- 1 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ABDOMINAL PALPATION FOR CLASSICAL SIGNS OF APPENDICITIS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the positive classical signs of Appendicitis in an acutely ill-patient
 interpret & document the signs of Appendicitis.
Instructions
 Observe and evaluate the examinee while performing the following steps of physical examination –Abdominal palpation in the correct
sequence and technique.
 Place the evaluated response sheet in the Drop box.
 Score the task based on the following.
Score ‘2’ if the task is performed competently
Score ‘1’ for partially competent
Score ‘0’ if the task is not performed or performed with mistakes as incompetent
 Calculate the total score

MSN- 2 of 66
 STATION NO: 1 – PHYSICAL EXAMINATION – ABDOMINAL PALPATION FOR CLASSICAL SIGNS OF APPENDICITIS

Steps Task Max Registration number

score

1. Introduces self 2
2. Explains the purpose and obtains consent from the patient 2
3. Performs hand-rub 2
4. Palpates the abdomen for:
Localized tenderness 2
5. Muscle guarding 2
6. Rebound tenderness 2
7. Pain at McBurney’s point 2
8. Rovsing’s sign 2
9. Acts courteously and respectfully to the patient 2
10. Interprets and documents the findings 2
Total 20

Signature of the Examiner:

MSN- 3 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ABDOMINAL PALPATION FOR CLASSICAL

SIGNS OF APPENDICITIS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Stimulated Patient For Examiner For Examinee

 Cot with screen  Writing pad with  Writing pad with

 Top sheet instructions to the instructions to
 Writing pad with examiner and examinee
case scenario scoring sheet  Clean tray with hand
 Instructions for  Drop box for rub
simulated patient(to evaluated response  Writing pad with
be informed prior to sheet response sheet
the OSCE)  Pen
 Pencil
 Eraser
 Chair
 Table

MSN- 4 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ABDOMINAL PALPATION FOR CLASSICAL

SIGNS OF APPENDICITIS

INFORMATION TO THE SIMULATED PATIENT

Your role: Patient, named Mrs. Kavitha, aged 28 years.

Demographic Data:

 Name: Mrs. Kavitha

 Age: 28 years
 Educational qualification: [Link]
 Marital Status: Married
 Occupation: Auditor
 Religion: Hindu
 Family income: Rs.50,000/month

Past medical and surgical history

 You have occasional episodes of constipation relieved by taking home remedies.

There is no other significant past medical & surgical history.

Medication record

 You have no significant medication records

Relevant previous medications

 You have no significant past medication history.

Information to be volunteered at the start of the physical examination.

 You have the complaints of sudden onset of low-grade fever, nausea and vomiting
and right-sided abdominal pain with previous history of occasional constipation.
 Ultrasound abdomen reveals inflammation of the vermiform appendix indicating
Acute appendicitis.

MSN- 5 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ABDOMINAL PALPATION FOR CLASSICAL

SIGNS OF APPENDICITIS

INSTRUCTIONS TO THE EXAMINEE

Mrs. Kavitha, aged 28 years, is admitted with complaints of sudden onset of low-
grade fever, nausea and vomiting and right side abdominal pain with previous history of
occasional constipation. Palpate the abdomen for clinical features of lower GI tract
abnormalities and interpret the findings.

 When the bell sounds, enter the room. You have 1 minute to discuss with the patient
and 4 minutes to examine the abdomen of the patient. You may make notes if you
wish.

 The observation you make must be documented on the response sheet.

 The filled response sheet must be handed over to the examiner at the end of the
station.

MSN- 6 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ABDOMINAL PALPATION FOR

CLASSICAL SIGNS OF APPENDICITIS

EXAMINEE RESPONSE SHEET

Registration number:

Documentation:

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------

Signature of the Examinee: Signature of the Examiner:

MSN- 7 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION-ECG RHYTHM IDENTIFICATION AND INTERPRETATION

INSTRUCTION TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the ECG rhythm pattern
 interpret & document the ECG rhythm pattern using the virtual sign on the slide.

Instructions
 Check and evaluate the accuracy of the EGC rhythm pattern, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each rhythm identified accurately
o Score ‘0’ for inaccurate, as suggested in the answer key
 Calculate the total score

MSN- 8 of 66
 STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION-ECG RHYTHM IDENTIFICATION AND INTERPRETATION

SCORING SHEET

Registration number
Max
Slide Rhythm Pattern
score

1 Second Degree Partial block 1

2 Atrial Fibrillation 1

3 Ventricular Tachycardia 1

4 Ventricular Fibrillation 1

5 Third Degree AV Block 1

Total 5

Name & Signature of the Examiner

MSN- 9 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION-ECG RHYTHM IDENTIFICATION AND

INTERPRETATION

ANSWER KEY FOR THE EXAMINER

Slide 1: Second Degree Partial block

Slide 2: Atrial Fibrillation

Slide 3: Ventricular Tachycardia

Slide 4: Ventricular Fibrillation

Slide 5: Third Degree Atrioventricular Block

MSN- 10 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION-ECG RHYTHM IDENTIFICATION AND

INTERPRETATION

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to  Writing pad with instructions to

the examiner and answer key examinee
 Pen  Laptop with power source
 Chair  PPT slides containing images of ECG
 Table rhythms
 Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN- 11 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION-ECG RHYTHM IDENTIFICATION AND

INTERPRETATION

INSTRUCTION TO THE EXAMINEE

 Watch the (virtual sign) power point slide carefully, identify the ECG rhythm pattern and
document its interpretation.
 When the bell sounds, enter the room. You have 5 minutes to identify and interpret the
ECG rhythm pattern.
 Document your responses on the response sheet provided.
 Place the filled response sheet in the drop box at the end of the allotted time.

MSN- 12 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION-ECG RHYTHM IDENTIFICATION AND

INTERPRETATION

EXAMINEE RESPONSE SHEET

Registration number:

Maximum Score
Slide Rhythm Pattern
Score Awarded

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examinee: Signature of the Examiner:

MSN- 13 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE - ADMINISTRATION OF SUBCUTANEOUS INJECTION

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 demonstrate the administration of subcutaneous injection for Diabetic patient
 follow the principles of administration of medication via injection.

Instructions
 Observe and evaluate the examinee for correct sequence and technique while she performs the following steps of administration of
Subcutaneous Injection.
 Place the evaluated response sheet in the drop box.
 Score the task based on the following:
o Score ‘2’ if the task is performed competently
o Score ‘1’ for partially competent
o Score ‘0’ if the task is not performed or performed with mistakes
 Calculate the total score

MSN- 14 of 66
 STATION NO: 3 – THERAPEUTIC PROCEDURE - ADMINISTRATION OF SUBCUTANEOUS INJECTION
Steps Max Registration number
Task
score
1. Checks the doctor’s order and the current blood glucose level 2
2. Checks the name, dose, route and frequency of the medication against
2
the doctor’s order and the medication card
3. Explains the procedure to the patient and ensures privacy, if needed 2
4. Washes hands/performs hand rub with antiseptic solution. 2
5. Loads the medication accurately using the appropriate insulin syringe,
2
expels any air and places it in the knife dish kept in the clean tray
6. Positions patient appropriately and exposes the site for injection 2
7. Inspects the skin over the area and ensures the correct site 2
8. Cleans the skin in rotatory motion using antiseptic swab and discards it 2
9. Places the swab between the fingers of the non-dominant hand 2
10. Holds the syringe like a pen in the dominant hand and pinches/ stretches
2
the site using thumb and index finger of non-dominant hand
11. Inserts the needle into the skin at 900 and gently injects the medication
2
completely.
12. Places the clean swab over the injected site and slowly withdraws the
2
syringe and gently wipes the site
13. Instructs the patient not to rub the site and makes patient comfortable 2
14. Discards the soiled items and performs hand rub 2
15. Documents the procedure accurately 2
Total 30

Signature of the Examiner:

MSN- 15 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE - ADMINISTRATION OF SUBCUTANEOUS

INJECTION

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to  Cot with screen

the examiner and scoring sheet  Mannequin
 Drop box for evaluated response  Writing pad with case scenario
sheet drug chart
 Pen  Bed side locker
 Pencil  Clean tray
 Eraser  Hand rub
 Chair  Knife dish lined with gauze pad
 Table  Insulin vial
 Insulin syringe
 Small bowl with 4-5 cotton balls
 Spirit
 Pre filled medication card
 K basin
 Writing pad with response sheet

MSN- 16 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE - ADMINISTRATION OF SUBCUTANEOUS

INJECTION

DRUG CHART

Patient Information

Name: [Link],

Age: 56 years

Gender: Female

IP No: 1605

Bed No: 3

Ward: Female Medical Ward

Diagnosis: Fever for evaluation / Diabetes mellitus

Date:

Medications:

1. [Link] 650 mg - BD

2. [Link] Actrapid based on GMBS - TDS

MSN- 17 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE - ADMINISTRATION OF SUBCUTANEOUS

INJECTION

INSTRUCTIONS TO THE EXAMINEE

Mrs. Rathinam, aged 56 years was admitted with complaints of increased appetite,
thirst and urination and excessive fatigue. Her present GMBS level is 210 mg/dl.

 Read the Doctor’s order

 Demonstrate the administration of Inj. Insulin 4 units for Mrs. Rathinam.
 When the bell sounds, enter the room. You have 4 minutes to perform the medication
administration and 1 minute for any discussion with the patient.
 Document the findings in the response sheet provided.
 The filled response sheet must be handed over to the examiner at the end of the
station.

MSN- 18 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE - ADMINISTRATION OF SUBCUTANEOUS

INJECTION

EXAMINEE RESPONSE SHEET

Registration number:

Documentation:
Name:____________________________ Diagnosis: _________________________________
Age :___________ years Ward: _____________________________________
Gender:___________________ IP No: _____________________________________
Bed No: __________________

Date/ Nurses
Name of the Drug Dose Route Freq Action
Time Responsibility

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

Signature of the Examinee: Signature of the Examiner:

MSN- 19 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR

MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DATA INTERPRETATION- IDENTIFICATION OF THE TYPES OF TRACTION

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the different types of traction
 interpret & document the types of traction using the virtual sign on the slide.

Instructions
 Check and evaluate the accuracy of the different types of Traction, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each type identified accurately
o Score ‘0’ for inaccurate, as suggested in the answer key
 Calculate the total score

MSN- 20 of 66
 STATION NO: 4 – DATA INTERPRETATION- IDENTIFICATION OF THE TYPES OF TRACTION

Registration number
Max
Slide Types of Traction
score

1 Manual Traction 1

2 Head Halter Traction 1

3 Skeletal Traction 1

4 Skin Traction 1

5 Fixed Traction 1

Total 5

Signature of the Examiner

MSN- 21 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DATA INTERPRETATION- IDENTIFICATION OF THE TYPES OF TRACTION

ANSWER KEY FOR THE EXAMINER

Slide 1: Manual Traction

Slide 2: Head Halter Traction

Slide 3: Skeletal traction

Slide 4: Skin traction

Slide 5: Fixed traction

MSN- 22 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DATA INTERPRETATION- IDENTIFICATION OF THE TYPES OF

TRACTION

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and answer key examinee
 Pen  Laptop with power source
 Chair  PPT slides containing images of
 Table Traction
 Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN- 23 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – DATA INTERPRETATION -IDENTIFICATION OF THE TYPES OF TRACTION

INSTRUCTIONS TO THE EXAMINEE

 Watch the (virtual sign) power point slide carefully, identify the types of traction and
document its interpretation.
 When the bell sounds, enter the room. You have 5 minutes to identify and interpret the
types of traction
 Document the answers in the response sheet provided.
 Place the filled response sheet in the drop box.

MSN- 24 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – IDENTIFICATION OF THE TYPES OF TRACTION

EXAMINEE RESPONSE SHEET

Registration number:

Maximum Score
Slide Types of Traction
Score Awarded

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examinee: Signature of the Examiner:

MSN- 25 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -IDENTIFICATION OF THE PARTS OF THE AMBU BAG

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the parts of the AMBU bag
 document the parts of the AMBU Bag displayed.

Instructions
 Check and evaluate the accuracy of the parts of the AMBU bag, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each part identified accurately
o Score ‘0’ for inaccurate response, as suggested in the answer key
 Calculate the total score

MSN- 26 of 66
 STATION NO: 5 – DATA INTERPRETATION- IDENTIFICATION OF THE PARTS OF THE AMBU BAG

SCORING SHEET

Registration number
Max
Label Parts of the AMBU bag
score

1 Pressure Release Valve 1

2 Self Inflating Bag 1

3 Oxygen Inlet 1

4 Air-Inlet & Pressure Release Valves 1

5 Swivel 1

Total 5

Name & Signature of the Examiner

MSN- 27 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION- IDENTIFICATION OF THE PARTS OF THE AMBU BAG

ANSWER KEY FOR THE EXAMINER

1. Pressure Release Valve

2. Self Inflating Bag
3. Oxygen Inlet
4. Air-Inlet & Pressure Release Valves
5. Swivel

MSN- 28 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -IDENTIFICATION OF THE PARTS OF THE AMBU BAG

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and answer key examinee
 Pen  Clean tray containing Ambu bag with
 Chair parts labelled
 Table  Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN- 29 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION-IDENTIFICATION OF THE PARTS OF THE AMBU BAG

INSTRUCTION TO THE EXAMINEE

 Carefully observe and identify the labelled parts of the AMBU bag and document the
responses with accuracy.
 When the bell sounds, enter the room. You have 5 minutes to identify and interpret the
parts of the AMBU bag.
 Document the response in the response sheet provided.
 Place the filled response sheet in the drop box at the end of the allotted time

MSN- 30 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -IDENTIFICATION OF THE PARTS OF THE AMBU BAG

QUESTION SHEET

 Identify and document the name of the parts of the AMBU bag, numbered in the picture
shown below

MSN- 31 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION- IDENTIFICATION OF THE PARTS OF THE AMBU BAG

EXAMINEE RESPONSE SHEET

Registration number:

Max Score
Part No. Parts of the AMBU bag
Score Awarded

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examinee: Signature of the Examiner:

MSN- 32 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –PROBLEM SOLVING - INTRAVENOUS FLUID CALCULATION

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 calculate the rate of infusion for intravenous fluid administration.

Instructions

 Observe and evaluate the accuracy of the examinee’s written responses for calculating the rate of intravenous fluid administration, for the
case scenario given in Station 6.

 Score the task based on the following.

o Score ‘2’ for fully accurate response

o Score ‘1’ for partially accurate response
o Score ‘0’ for inaccurate, as suggested in the answer key

 Calculate the total score

MSN- 33 of 66
 STATION NO: 6 – PROBLEM SOLVING - INTRAVENOUS FLUID CALCULATION

SCORING SHEET

IV Fluid Flow
Total Volume of IV Fluid Flow Drops/Min
Rate(ml/hr) Drops/Min Total
Registration No Fluid Rate(ml/hr) Formula
Formula (2) (10)
(2) (2) (2)
(2)

Name & Signature of the Examiner

MSN- 34 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –PROBLEM SOLVING - INTRAVENOUS FLUID CALCULATION

ANSWER KEY

S. No Steps Answer
1 Total Volume of Fluid 2000 ml
2 IV Fluid Flow Rate(ml/hr) Total volume/ 24 hrs
3 IV Fluid Flow Rate(ml/hr) 83 ml/hr
Volume (ml) × Drop Factor
4 Drops/min Formula
No. of. hours × 60
5 Drops/min 28 drops/minute.

IVF RL 1pint followed by

IVF NS 0.9 % 3 pints over 24 hrs.
Total Volume = No. of. Pints × 500 ml
= 4× 500
= 2000 ml

Note: 2000 ml IV fluid is administrated over 24 hours by a drop factor of 20 drops / ml.
Flow rate (ml/hr) = 2000ml/24 hrs
= 83 ml/hr

IV Fluid Drip Rate (gtts/min)or (drops/min) = Volume (ml) × Drop Factor

No. of. Hours × 60

= (2000 ml ×20 ) / (24 hours ×60)
= 28 drops/minute.

MSN- 35 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –PROBLEM SOLVING - INTRAVENOUS FLUID CALCULATION

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Clean tray with hand rub
 Pencil  Writing pad Case Scenario Drug
 Eraser Chart
 Chair  Writing pad with response sheet
 Table  Drop box for filled response sheet
 Chair
 Table

MSN- 36 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –PROBLEM SOLVING - INTRAVENOUS FLUID CALCULATION

INSTRUCTIONS TO THE EXAMINEE

 When the bell sounds, enter the room. You have 1 minute to read the case scenario and 4
minutes to calculate the rate of administration of IV fluid based on physician’s advice.
 Document your calculation in the response sheet.
 Place the filled response sheet in the drop box.

Case Scenario

Mr. Ranjan 45yrs, admitted in Male Medical Ward with complaints of fever, vomiting
2 episodes and loose stools 3 episodes since yesterday. On examination he looks tired, on and
had reduced appetite with following vital parameters:

Temp: 99.4 F
Pulse: 86
Resp: 20 breaths/ min
BP: 100/60 mmHg

Physicians order:
Tab. Dolo 650 mg SOS
Tab. Ofloxacin(200mg) + Ornidazole (500 mg) BD
Tab. Pan 40 mg OD
Administer Intravenous Fluid:
* IVF RL 1 pint followed by
* IVF NS 0.9 % 3 pints over 24 hrs.

MSN- 37 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –PROBLEM SOLVING - INTRAVENOUS FLUID CALCULATION

EXAMINEE RESPONSE SHEET

Registration Number:

Calculate the rate of IV fluid to be administered:

Signature of the Examinee Signature of the Examiner

MSN- 38 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR

MEDICAL SURGICAL NURSING - I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –VIRTUAL SIGN IDENTIFICATION- PULMONARY TUBERCULOSIS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the images related to pulmonary tuberculosis
 document the responses accurately

Instructions
 Check and evaluate the accuracy of the response related to pulmonary TB, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each image identified accurately
o Score ‘0’ for inaccurate responses based on the answer key
 Calculate the total score

MSN- 39 of 66
 STATION NO: 7 –VIRTUAL SIGN IDENTIFICATION- PULMONARY TUBERCULOSIS

SCORING SHEET

Registration number
Image Max
Pulmonary Tuberculosis
No score

1 Persistent cough 1

2 Hemoptysis 1

3 Weight loss 1

4 Mantoux test/Tuberculin skin test 1

5 DOTS therapy 1

Total 5

Signature of the Examiner:

MSN- 40 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –VIRTUAL SIGN IDENTIFICATION- PULMONARY TUBERCULOSIS

ANSWER KEY FOR THE EXAMINER

Slide
Image Answer
No.
1

Persistent cough

Hemoptysis

Weight loss

4
Mantoux test/
Tuberculin skin test

DOTS therapy

MSN- 41 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –VIRTUAL SIGN IDENTIFICATION- PULMONARY TUBERCULOSIS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Writing pad with response sheet
 Chair  Drop box for filled response sheet
 Table  Laptop with power source
 PPT slides containing images
 Chair
 Table

MSN- 42 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –VIRTUAL SIGN IDENTIFICATION- PULMONARY TUBERCULOSIS

INSTRUCTIONS TO THE EXAMINEE

 Watch the (virtual sign) power point slide carefully, identify and document its
interpretation.
 You have 5 minutes to identify and interpret the images.
 Document your responses on the response sheet provided
 Place the filled response sheet in the drop box.

MSN- 43 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –VIRTUAL SIGN IDENTIFICATION- PULMONARY TUBERCULOSIS

EXAMINEE RESPONSE SHEET

Registration Number:

Maximum Score
Slide No Image Awarded
Score

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner Signature of the Examinee

MSN- 44 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION -- SURGICAL POSITIONS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the images related to surgical position
 document one indication for each position using print out accurately.

Instructions
 Check and evaluate the accuracy of the responses related to the surgical position and its indication, documented by the examinee.
 Score the task based on the following.
o Score ‘2’ for each fully accurate response (both position and its indication) identified
o Score ‘1’ for partially accurate response (either position or indication) identified
o Score ‘0’ for inaccurate responses based on the answer key
 Calculate the total score

MSN- 45 of 66
 STATION NO: 8 – DATA INTERPRETATION - SURGICAL POSITIONS

SURGICAL POSITIONS IDENTIFICATION SCORING SHEET

Registration number
Image Indication Max
Surgical Positions
No score

1 Jack knife position / Kraske Colorectal surgery 2

Lloyd Davies position /
2 Trendelenburg position with legs Pelvic surgery 2
apart or head down Lithotomy
3 Wilson frame position Spinal surgery 2

4 Beach chair position Shoulder surgery 2

5 Flexed lateral decubitus position Renal surgery 2

Total 10

Signature of the Examiner

MSN- 46 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - SURGICAL POSITIONS

ANSWER KEY FOR THE EXAMINER

Image
Name of position Indication Maximum
No Surgical position
(1) (1) Score
1

Jack knife position/ Colorectal

2
Kraske surgery

2
Lloyd Davies position/
Trendelenburg position Pelvic
2
with legs apart or head surgery
down Lithotomy

Spinal
Wilson frame position 2
surgery

Shoulder
Beach chair position 2
surgery

Flexed lateral decubitus Renal

2
position surgery

MSN- 47 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - SURGICAL POSITIONS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and answer key examinee
 Pen  Clean tray with hand rub
 Chair  Images of surgical positions print out
 Table  Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN- 48 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - SURGICAL POSITIONS

INSTRUCTIONS TO THE EXAMINEE

 Carefully observe the (virtual sign) print out images and identify the surgical positions
and document one indication for each surgical position.
 When the bell sounds, enter the room. You have 5 minutes to identify and document the
indication of each surgical position.
 Document your responses in the response sheet.
 Place the filled response sheet in the drop box.

MSN- 49 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - SURGICAL POSITIONS

QUESTION SHEET
Image
Images
No.
1

MSN- 50 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - SURGICAL POSITIONS

EXAMINEE RESPONSE SHEET

Registration number:

Max Score
Image Surgical position Indication Awarded
Score

1 2

2 2

3 2

4 2

5 2

Total 10

Signature of the Examiner Signature of the Examinee

MSN- 51 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING - FRACTURE

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify and interpret each type of fracture from the X-ray images displayed.
 document the findings of each image accurately.

Instructions
 Check and evaluate the accuracy of the responses related to type of fracture, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each image identified accurately
o Score ‘0’ for inaccurate responses based on the answer key
 Calculate the total score.

MSN- 52 of 66
 STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING - FRACTURE

SCORING SHEET

Registration number
Max
Image Fracture
score

1 Simple /complete/transverse fracture 1

2 Oblique/spiral fracture 1

3 Compression/pathological fracture 1

4 Greenstick fracture 1

5 Comminuted fracture 1

Total 5

Name & Signature of the Examiner

MSN- 53 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING – FRACTURE

ANSWER KEY FOR THE EXAMINER

Image
Image Answer
No.
1

Simple /complete/transverse fracture

Oblique/spiral fracture

Compression/pathological fracture

Greenstick fracture

Comminuted fracture

MSN- 54 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING – FRACTURE

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Clean tray with hand rub
 Pencil  Images of X-ray (Fracture) print out
 Eraser  Writing pad with response sheet
 Chair  Drop box for filled response sheet
 Table  Chair
 Table

MSN- 55 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING - FRACTURE

INSRTUCTIONS TO THE EXAMINEE

 Carefully observe the images of abnormal X-ray findings and identify the type of
fracture.
 You have 5 minutes to identify and interpret the images.
 Document each answer in the response sheet provided.
 Place the response sheet in the drop box at the end of the allotted time.

MSN- 56 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING – FRACTURE

QUESTION SHEET FOR EXAMINEE

Image No. Image

MSN- 57 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –IDENTIFICATION OF ABNORMAL X-RAY FINDING - FRACTURE

EXAMINEE RESPONSE SHEET

Registration Number:

Image Max Score

Type of fracture Awarded
No Score

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner Signature of the Examinee

MSN- 58 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – DATA INTERPRETATION -IDENTIFICATION OF SUTURE MATERIALS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the suture material from the print out images displayed.
 document the findings of each image accurately.

Instructions
 Check and evaluate the accuracy of the responses related to suture material, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each image identified accurately
o Score ‘0’ for inaccurate responses based on the answer key
 Calculate the total score.

MSN- 59 of 66
 STATION NO: 10 – DATA INTERPRETATION - IDENTIFICATION OF SUTURE MATERIALS

SCORING SHEET

Registration number
Max
Image Suture Material
score

1 Absorbable/ Synthetic 1

2 Non-absorbable/ Synthetic 1

3 Non-absorbable/ Natural 1

4 Absorbable/ Natural 1

5 Non-absorbable/ Natural 1

Total 5

Signature of the Examiner

MSN- 60 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – DATA INTERPRETATION -IDENTIFICATION OF SUTURE MATERIALS

ANSWER KEY FOR THE EXAMINER

Image
Image Answer
No.
1

Absorbable/ Synthetic

Non-absorbable/ Synthetic

Non-absorbable/ Natural

Absorbable/ Natural

Non-absorbable/ Natural

MSN- 61 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – DATA INTERPRETATION -IDENTIFICATION OF SUTURE MATERIALS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Clean tray with hand rub
 Pencil  Suture material print out
 Eraser  Writing pad with response sheet
 Chair  Drop box for filled response sheet
 Table  Chair
 Table

MSN- 62 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – DATA INTERPRETATION -IDENTIFICATION OF SUTURE MATERIALS

INSRTUCTIONS TO THE EXAMINEE

 Carefully visualize the images of sutures and identify the type of suture material.
 You have 5 minutes to identify and interpret the images.
 Document each answer appropriately in the response sheet provided.
 Place the filled response sheet in the drop box at the end of the allotted time

MSN- 63 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – DATA INTERPRETATION -IDENTIFICATION OF SUTURE MATERIALS

QUESTION SHEET

Identify the type of suture material and document your responses in the response sheet provided

Image
Image
No.
1

MSN- 64 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING - I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – DATA INTERPRETATION - IDENTIFICATION OF SUTURE MATERIALS

EXAMINEE RESPONSE SHEET

Registration Number:

Max Score
Image No Suture Material Awarded
Score

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner Signature of the Examine

MSN- 65 of 66
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING – I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Date: _________________ Name of the examination: ____________________________________________________________

Register number of students allotted: From _________________________ To_____________________________
Total number of students: Allotted: _______________ Attended: ______________ Absent: ________________

Station-Max Scores Total Final OSCE/OSPE

score Score
Registration number 1 2 3 4 5 6 7 8 9 10 %
(Max (University
PE VSI TP DI DI PS VSI DI IATF DI
100) prescribed)
20 5 30 5 5 10 5 10 5 5

Name and signature with date:

Internal Examiner: External Examiner:

MSN- 66 of 66
 [Link]. NURSING DEGREE PROGRAM
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK
TEST MAP BASED ON BLUE PRINT

DOMAINS OF CLINICAL EXPERIENCE

TYPE OF PROGRAM COMPETENCY PROPOSED
STATIONS ITEM TITLE COMMUNICATION EXAMINATION PROCEDURE COGNITIVE SKILLS
STATION COMPONENT TEST TEST FILE
NUMBER
HT OC PE VSI TP DP IATF DI DM PS
Neurological Assessment of Deep Tendon Simulated
1 Manned PE - _ 1 - _ _ _ _ _ -
System Reflexes patient
Burns-Fluid Replacement
2 Unmanned Burns PS Print out - _ _ - - _ _ _ _ 1
Calculation

3 Manned Eye Instillation of eye drops TP Mannequin - _ _ _ 1 - _ _ _ -

Simulated
4 Unmanned Emergency Triage colour coding VSI - _ _ 1 _ _ - - _ -
slides

5 Unmanned Critical Care Cardiac parameters DI Print out - _ _ - _ _ - 1 _ -

Simulated
6 Unmanned Oncology Symptoms of Breast Cancer VSI - _ _ 1 - _ _ _ - -
slides
Identification of ENT
7 Unmanned ENT DI Instruments - _ _ - _ _ - 1 - -
instruments
Identification of the types of
8 Unmanned Critical Care DI Print out - _ _ - - _ _ 1 _ -
Tracheostomy tubes
Identification of
9 Unmanned Emergency DI Print out - _ _ - _ _ - 1 _ -
resuscitation equipments

10 Unmanned Critical Care Drug Calculation PS Print out - _ _ - _ _ _ _ _ 1

Key Words:
HT: History taking DI: Data interpretation
OC: Other communication IATF: Identification of abnormal test finding
PE: Physical examination DP: Diagnostic procedure
VSI: Virtual sign identification. DM: Decision making
TP: Therapeutic procedure PS: Problem solving

Subject Coordinator Head of the Department

MSN - 67 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ASSESSMENT OF DEEP TENDON REFLEXES

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 demonstrate the deep tendon reflexes
 interpret & document the findings.
Instructions
 Observe and evaluate the examinee while performing the following steps of assessment of deep tendon reflexes in the correct
sequence and technique.
 Place the evaluated response sheet in the drop box.
 Score the task based on the following.
o Score ‘2’ if the task is performed competently
o Score ‘1’ for partially competent
o Score ‘0’ if the task is not performed or performed with mistakes as incompetent
 Calculate the total score

MSN - 68 of 131
 STATION NO: 1 – PHYSICAL EXAMINATION – ASSESSMENT OF DEEP TENDON REFLEXES

SCORING SHEET

Registration number
Max
Steps Task
score

1. Introduces self and greets the patients

2
2. Explains the purpose and obtains consent from the patient
2
3. Performs hand-rub and positions the patient
2
4. Biceps reflex: Gives a firm blow over the examiner’s thumb placed over the biceps tendon
2
using a knee hammer.
5. Brachioradialis reflex (Supinator): Taps the styloid process of the radius while the forearm is
2
in semiflexion and semi-pronation
6. Triceps reflex: Strikes on the triceps tendon just above the olecranon process
2
7. Patellar reflex (Knee jerk): Taps on the patellar tendon
2
8. Achilles reflex (Ankle jerk): Taps on Achilles tendon
2
9. Thanks the patient. Acts courteously and respectfully to the patient
2
10. Document the findings of each component of assessment, highlighting the abnormalities
detected and any significant changes noted since the last assessment. 2

20
Total

Signature of the Examiner

MSN - 69 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ASSESSMENT OF DEEP TENDON REFLEXES

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Stimulated Patient For Examiner For Examinee

 Cot with screen  Writing pad with  Writing pad with

 Top sheet instructions to the instructions to
 Writing pad with case examiner and scoring examinee
scenario sheet  Clean tray with hand
 Instructions for  Drop box for rub
simulated patient(to evaluated response  Knee hammer
be informed prior to sheet  Writing pad with
the OSCE)  Pen response sheet
 Pencil
 Eraser
 Chair
 Table

MSN - 70 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ASSESSMENT OF DEEP TENDON REFLEXES

INFORMATION TO THE SIMULATED PATIENT

Your role: Patient, named Mrs. Ramani, aged 68 years.

Demographic Data:
 Name: Mrs. Ramani
 Age: 68 years
 Education qualification: HSC
 Marital status: Married
 Occupation: Pension
 Religion: Hindu
 Family income: Rs. 18,000/ month

Past medical and surgical history

 There is no other significant past medical and surgical history.

Medical record
 You have no significant medication records

Relevant previous medications

 You have no significant past medication history

Information to be volunteered at the start of the physical examination.

 You have the complaints of weakness of right upper and lower extremities. When the
examinee taps using the Knee hammer elicit an increased response.
 CT brain reveals acute haemorrhage in the left ganglio-capsular region.

MSN - 71 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ASSESSMENT OF DEEP TENDON REFLEXES

INSTRUCTIONS TO THE EXAMINEE

Mrs. Ramani, aged 68 years, has complaints of weakness of right upper and lower
extremities. Assess the deep tendon reflexes for both right and left side and interpret the
findings.

 When the bell sounds, enter the room. You have 1 minute to discuss with the patient
and 4 minutes to demonstrate the neurological reflexes for the patient. You may make
notes if you wish.

 The observation you make must be documented in the response sheet provided.

 The filled response sheet must be handed over to the examiner at the end of the
station.

MSN - 72 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – PHYSICAL EXAMINATION – ASSESSMENT OF DEEP TENDON REFLEXES

EXAMINEE RESPONSE SHEET

Registration number:

Documentation:

----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------

Signature of the Examinee: Signature of the Examiner:

MSN - 73 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – PROBLEM SOLVING - BURNS FLUID REPLACEMENT CALCULATION

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 calculate the amount of fluid (Crystalloids) to be replaced for the 1st 24 hours by using Evan’s formula for the percentage of burns
in the given scenario.

Instructions
 Check and evaluate the accuracy of the fluid calculation done using Evan’s formula
 Score the task based on the following:
o Score ‘3’ each fully accurate formula and calculation and score ‘2’ for accurate total fluid volume in first 8 and next 16
hours, as suggested in the answer key.
o Score ‘0’ for inaccurate responses.
o Calculate the total score

MSN - 74 of 131
 STATION NO: 2 – PROBLEM SOLVING - BURNS FLUID REPLACEMENT CALCULATION

BURNS FLUID REPLACEMENT SCORING SHEET

Evan’s Fluid
Remaining 16
Evan’s Formula Replacement 1st 8 Hours Total
Registration No Hours
(3) Calculation (2) (10)
(2)
(3)

Signature of the Examiner

MSN - 75 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – PROBLEM SOLVING - BURNS FLUID REPLACEMENT CALCULATION

ANSWER KEY FOR THE EXAMINER

S. No Steps Answer

1 Evan’s Formula 1ml x bodyweight (kg) x TBSA (%)

Evan’s Fluid Replacement

2 Calculation-Total fluid volume 2,226 ml

1st 8 Hours 1,113ml

3

4 Remaining 16 Hours 1,113ml

Note: Fluid for replacement: Crystalloids,

Patient’s body weight is 53 kg,

Patient’s TBSA is 42%

Evan’s Formula for Fluid Replacement =1ml x bodyweight (kg) x TBSA (%)

= 1 x 53 x 42

= 2,226ml

1st 8 hours (half of the fluid) = 2,226 ÷ 2

= 1,113ml

Remaining 16 hours = 1,113 ml

MSN - 76 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – PROBLEM SOLVING - BURNS FLUID REPLACEMENT CALCULATION

ARTIFACT/ EQUIPMENTS / PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and answer key examinee
 Pen  Print out containing case scenario
 Chair drug chart
 Table  Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN - 77 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – PROBLEM SOLVING - BURNS FLUID REPLACEMENT CALCULATION

INSTRUCTIONS TO THE EXAMINEE

 Calculate the amount of fluid (Crystalloids) to be replaced for the 1st 24 hours by
using Evan’s formula for the percentage of burns in the given scenario.
 When the bell sounds, enter the room. You have 1 minute to read the case scenario
and 4 minutes to do the calculation.
 Document your calculation in the response sheet.
 Place the filled response sheet in the drop box at the end of the allotted time.

Case scenario:

Mr. Balu, 45 years, admitted in the Burns unit with 42% TBSA burns yesterday.
On examination, the vital parameters are as follows,

Temp: 99o F
Pulse: 80 beats/min
Resp: 20 breaths/ min
BP: 110/70 mmHg
Weight: 53 kg

MSN - 78 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – PROBLEM SOLVING - BURNS FLUID REPLACEMENT CALCULATION

EXAMINEE RESPONSE SHEET

Registration Number:

Calculate the fluid volume to be replaced for the Burn patient:

Signature of the Examinee Signature of the Examiner

MSN - 79 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE – INSTILLATION OF EYE DROPS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 demonstrate the instillation of eye drops for patient who has undergone cataract surgery
 document the findings accurately

Instructions
 Observe and evaluate the examinee while performing the following steps of instillation of eye drops in the correct sequence and
technique.
 Place the evaluated response sheet in the drop box.
 Score the task based on the following.
o Score ‘2’ for each task performed fully competently
o Score ‘1’ for partially competent and
o Score ‘0’ if the task is not performed or performed with mistakes as incompetent
 Calculate the total score
MSN - 80 of 131
 STATION NO: 3 – THERAPEUTIC PROCEDURE – INSTILLATION OF EYE DROPS
SCORING SHEET

Max Registration number

Steps Task
score

1. Introduces self and greets the patient 2

2. Explains the purpose and obtains consent from the patient 2
3. Positions the patient by placing the patient’s head over a pillow and turns head slightly to the affected side 2
4. Ensures availability of all articles and performs hand-rub 2
5. Puts on gloves and offers tissue to patient 2
6. Cleanses the eyelids with normal saline using a cotton ball moving from inner canthus to outer canthus 2
7. Removes cap from medication bottle without touching the inner aspect of the medication container 2
8. Instructs the patient to look up and focus on something on the ceiling. 2
9. Exposes the conjunctiva by pulling the lower eyelid and ensures that the dropper does not touch the eyelids or lashes. 2
10. Squeezes container and allows prescribed number of drops to fall into the lower conjunctival sac. 2
11. Releases the lower eyelid after instilling the eye drops and instructs the patient to gently close the eyes. 2
12. Applies gentle pressure over inner canthus and instructs the patient not to rub the eye. 2
13. Doffs the gloves and assists patient to a comfortable position 2
14. Thanks the patient courteously and performs hand rub 2
15. Documents the procedure highlighting any significant findings noted 2
Total 30

Signature of the Examiner

MSN - 81 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR

MEDICAL SURGICAL NURSING - II

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE – INSTILLATION OF EYE DROPS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Cot with screen

examiner and scoring sheet  Mannequin
 Drop box for evaluated response sheet  Writing pad with case scenario drug
 Pen chart
 Pencil  Bed side locker
 Eraser  Clean tray with hand rub
 Chair  Clean gloves
 Table  Prescribed eye drops with dispensing
nozzle
 Normal saline
 Knife dish lined with gauze pad
 Small bowl with 4-5 cotton balls and
gauze square (2×2 cm)
 Pre filled medication card
 K basin
 Drop box for filled response sheet

MSN - 82 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE – INSTILLATION OF EYE DROPS

DRUG CHART

Patient Information

Name: Mrs. Malar

Age: 61years

Gender: Female

Bed No: 5

Ward: Eye ward

Medical Diagnosis: Left Eye Cataract

Surgical Diagnosis: Left Eye Cataract Surgery Intra-occular lens replacement

POD: 2

Physicians order

Medications:

1. Chloramphenicol eye drops – one drop- QID× 2 weeks

MSN - 83 of 131
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE – INSTILLATION OF EYE DROPS

INSTRUCTIONS TO THE EXAMINEE

Case Scenario:

Mrs. Malar, aged 61 years, was admitted with complaints of blurred vision and poor
night vision. She was diagnosed to have left eye Cataract and has undergone Left Eye
Cataract Surgery with Intraoccular lens replacement. Today is the 1st post op day.

Instructions:

 Read the Doctor’s order

 Demonstrate the instillation of eye drops prescribed by the surgeon
 When the bell sounds, enter the room. You have 1 minute to read the case scenario
and drug chart, and 4 minutes to perform the eye drops administration procedure.
 Document the findings.
 The filled response sheet must be handed over to the examiner at the end of the
station.

MSN - 84 of 131
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING I
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – THERAPEUTIC PROCEDURE – INSTILLATION OF EYE DROPS

EXAMINEE RESPONSE SHEET

Registration number:

Documentation:
Name: Medical Diagnosis:
Age: Surgical Diagnosis:
Gender: POD:
Ward: Bed No: IP No:

Date/ Name of the Drug Dose Route Freq Action Nurses

Time Responsibility

--------------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

Signature of the Examinee Signature of the Examiner

MSN - 85 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION-TRIAGE COLOUR CODING

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the triage colour coding.
 interpret & document the triage colour coding using the virtual sign on the slide

Instructions
 Check and evaluate the accuracy of the triage colour coding, documented by the examinee
 Score the task based on the following.
o Score ‘1’ for each fully accurate response
o Score ‘0’ for inaccurate response, as suggested in the answer key
 Calculate the total score
MSN - 86 of 131
 STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION-TRIAGE COLOUR CODING

SCORING SHEET

Registration number
Max
Slide Triage Colour Coding
score

1 Red 1
2 Green 1
3 Black 1
4 Red 1
5 Yellow 1

Total 5

Name & Signature of the Examiner

MSN - 87 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION-TRIAGE COLOUR CODING

ANSWER KEY FOR THE EXAMINER

Slide Triage Colour

Triage Image
Number Code

1 Red

2 Green

3 Black

4 Red

5 Yellow

MSN - 88 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION-TRIAGE COLOUR CODING

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Writing pad with response sheet
 Chair  Laptop with power source
 Table  PPT slides containing images
 Chair
 Table
 Drop box for filled response sheet

MSN - 89 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION-TRIAGE COLOUR CODING

INSTRUCTION TO THE EXAMINEE

 Watch the (virtual sign) power point slide carefully, identify the triage colour coding and
document its interpretation.
 When the bell sounds, enter the room. You have 5 minutes to identify and interpret the
triage colour coding.
 Document your response in the response sheet provided.
 Place the filled response sheet in the drop box at the end of the allotted time.

MSN - 90 of 131
 [Link]. NURSING DEGREE PROGRAMME – II YEAR
MEDICAL SURGICAL NURSING I

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION-TRIAGE COLOUR CODING

EXAMINEE RESPONSE SHEET

Registration number:

Score
Max Awarded
Slide Triage Colour Coding
Score

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examinee: Signature of the Examiner:

MSN - 91 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION-CARDIAC PARAMETERS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the normal and abnormal cardiac parameters
 interpret & document the normal and abnormal cardiac parameters using the virtual image.

Instructions
 Check and evaluate the accuracy of the cardiac parameters, documented by the examinee
 Score the task based on the following.
o Score ‘3’ for each fully accurate response
o Score ‘0’ for inaccurate, as suggested in the answer key
 Calculate the total score

MSN - 92 of 131
 STATION NO: 5 – DATA INTERPRETATION -CARDIAC PARAMETERS

SCORING SHEET

Pulmonary
Respiration Mean pressure ECG Artery Pressure Arterial BP Total
Registration No
(3) (3) (3) (PAP) (3) (15)
(3)

Signature of the Examiner

MSN - 93 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION - CARDIAC PARAMETERS

ANSWER KEY FOR THE EXAMINER

S. Cardiac
Patient Value Normal Value Interpretation
No Parameters

1 Respiration 40 12-20 Tachypnea

Mean pressure 79 70-100 mmHg Normal

2

ECG Sinus rhythm Sinus rhythm Normal

3

Pulmonary Artery
4 Pressure (PAP) 29/14 20-30/6-10 mm Hg Normal

Systolic BP:90-120
mmHg
5 Arterial BP 119/79 Normal
Diastolic BP:50-80
mmHg

MSN - 94 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -CARDIAC PARAMETERS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Writing pad with response sheet
 Chair  Images of cardiac parameter print out
 Table  Chair
 Table
 Drop box for filled response sheet

MSN - 95 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -CARDIAC PARAMETERS

INSTRUCTIONS TO THE EXAMINEE

 Carefully read the content on the print out and note the respiration, mean pressure, ECG,
Pulmonary Artery Pressure (PAP) and Arterial BP readings from the cardiac monitor
image.
 Document the findings as patient value, normal value and its interpretation.
 When the bell sounds, enter the room. You have 5 minutes to identify and interpret the
cardiac monitor readings mentioned in the question sheet.
 Document your answers in the response sheet provided.
 Place the filled response sheet in the drop box.

MSN - 96 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -CARDIAC PARAMETERS

QUESTION SHEET

 Note and record the respiration, mean pressure, ECG, Pulmonary Artery Pressure (PAP)
and Arterial BP readings from the cardiac monitor image given below

CARDIAC MONITOR IMAGE

MSN - 97 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DATA INTERPRETATION -CARDIAC PARAMETERS

EXAMINEE RESPONSE SHEET

Registration number:

S. Cardiac Patient Normal Max Score

Interpretation
No Parameters Value Value Score Awarded

Respiration
1 3

Mean pressure
2 3

ECG
3 3

Pulmonary
4 Artery Pressure 3
(PAP)

Arterial BP
5 3

Total 15

Signature of the Examinee: Signature of the Examiner:

MSN - 98 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –VIRTUAL SIGN IDENTIFICATION- SYMPTOMS OF BREAST CANCER

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the images related to breast cancer
 document the responses accurately
Instructions
 Check and evaluate the accuracy of the response related to Breast Cancer, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each image identified accurately
o Score ‘0’ for inaccurate responses based on the answer key
 Calculate the total score

MSN - 99 of 131
 STATION NO: 6 –VIRTUAL SIGN IDENTIFICATION- BREAST CANCER

SCORING SHEET

Registration number
Image Max
Breast Cancer
No score

1 Erythema 1

2 Bloody Discharge 1

3 Inverted Nipple 1

4 Lump 1

5 Peau d’orange 1

Total 5

Signature of the Examiner

MSN - 100 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –VIRTUAL SIGN IDENTIFICATION- SYMPTOMS OF BREAST CANCER

ANSWER KEY FOR THE EXAMINER

Slide
Image Answer
No.

1 Erythema

2 Bloody Discharge

3 Inverted Nipple

4 Lump

5 Peau d’orange

MSN - 101 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –VIRTUAL SIGN IDENTIFICATION- SYMPTOMS OF BREAST CANCER

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Writing pad with response sheet
 Chair  Drop box for filled response sheet
 Table  Laptop with power source
 PPT slides containing images
 Chair
 Table

MSN - 102 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –VIRTUAL SIGN IDENTIFICATION- BREAST CANCER

INSTRUCTIONS TO THE EXAMINEE

 Watch the (virtual sign) power point slide carefully, identify and document the
interpretation of the images related to breast cancer.
 You have 5 minutes to identify and interpret the images.
 Document your responses in the response sheet provided.
 Place the filled response sheet in the drop box.

MSN - 103 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –VIRTUAL SIGN IDENTIFICATION- BREAST CANCER

EXAMINEE RESPONSE SHEET

Registration Number:

Maximum Score
Slide No Image
Score Awarded

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner Signature of the Examinee

MSN - 104 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DATA INTERPRETATION - IDENTIFICATION OF ENT INSTRUMENTS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify and document the displayed ENT instruments

Instructions
 Check and evaluate the accuracy of the name of the ENT instrument, documented by the examinee.
 Score the task based on the following.
o Score ‘1’ for each instrument identified accurately
o Score ‘0’ for inaccurate response, as suggested in the answer key
 Calculate the total score

MSN - 105 of 131

 STATION NO: 7 – DATA INTERPRETATION- IDENTIFICATION OF ENT INSTRUMENTS

SCORING SHEET

Registration number
Labelled Max
Name of the ENT Instrument
No score

1 Otoscope 1

2 Post Nasal Mirror 1

3 Simpson’s Aural syringe 1

4 Nasal Speculum 1

5 Hartmann Alligator Forceps 1

Total 5

Signature of the Examiner

MSN - 106 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DATA INTERPRETATION -IDENTIFICATION OF ENT INSTRUMENTS

ANSWER KEY FOR THE EXAMINER

Labelled
Name of the ENT Instrument Answer
No

Otoscope

Post Nasal Mirror

Simpson’s Aural syringe

Nasal Speculum

Hartmann Alligator Forceps

MSN - 107 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DATA INTERPRETATION -IDENTIFICATION OF ENT INSTRUMENTS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and answer key examinee
 Pen  Clean tray containing labelled ENT
 Chair instruments
 Table  Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN - 108 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – IDENTIFICATION OF ENT INSTRUMENTS

INSTRUCTIONS TO THE EXAMINEE

 Carefully observe and identify the labelled ENT instruments displayed and document the
name of each instrument with accuracy, in the same order.
 When the bell sounds, enter the room. You have 5 minutes to identify and name the
displayed ENT instruments.
 Document your answer in the response sheet provided.
 Place the filled response sheet in the drop box

MSN - 109 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DATA INTERPRETATION -IDENTIFICATION OF ENT INSTRUMENTS

Registration number:

Max Score
Label No Name of the ENT Instrument
Score Awarded

1 1

2 1

3 1

4 1

5 1

5
Total

Signature of the Examinee: Signature of the Examiner

MSN - 110 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the tracheostomy tube
 interpret & document the name of the tracheostomy tube using the image on the print out.

Instructions
 Check and evaluate the accuracy of the types of tracheostomy tubes, documented by the examinee
 Score the task based on the following.
o Score ‘1’ for each fully accurate response
o Score ‘0’ for inaccurate, as suggested in the answer key
 Calculate the total score

MSN - 111 of 131

 STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

SCORING SHEET

Registration number
Image Type of Tracheostomy Tube Max
No score

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner

MSN - 112 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

ANSWER KEY FOR EXAMINER

Maximum
Image Tracheostomy Tube Name
Score

1 Cuffed tube 1

2 Uncuffed tube 1

3 Fenestrated tube 1

4 Metal tube 1

Cuffed
5 Adjustable 1
Flange Tube

Total 5

MSN - 113 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Writing pad with response sheet
 Chair  Print out of image containing
 Table tracheostomy tube
 Chair
 Table
 Drop box for filled response sheet

MSN - 114 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

INSTRUCTIONS TO THE EXAMINEE

 Watch the images in the print out carefully, identify the type of tracheostomy tube and
document the name for each tracheostomy tube
 You have 5 minutes to identify and interpret the images.
 Document your answers on the response sheet provided.
 Place the filled response sheet in the drop box.

MSN - 115 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

QUESTION SHEET

Image Tracheostomy Tube

MSN - 116 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DATA INTERPRETATION - TYPES OF TRACHEOSTOMY TUBES

EXAMINEE RESPONSE SHEET

Registration Number:

Tracheostomy Tubes Max Score

Image No
Score Awarded

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner Signature of the Examinee

MSN - 117 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 identify the resuscitation equipments
 interpret & document the name of the resuscitation equipment from the images on the print out.

Instructions
 Check and evaluate the accuracy of the resuscitation equipments, documented by the examinee
 Score the task based on the following.
o Score ‘1’ for each fully accurate response
o Score ‘0’ for inaccurate, as suggested in the answer key
 Calculate the total score

MSN - 118 of 131

 STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

SCORING SHEET

Registration number
Image Max
Resuscitation Equipments
No score

1 Bougie / ET Stillet
1

Mouth to Mouth Rebreather Mask

2 1

3 Automated CPR Compressor Machine

1

4 Laryngeal Mask Airway

1

5 Oropharyngeal Airway
1

Total 5

Signature of the Examiner

MSN - 119 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

ANSWER KEY FOR THE EXAMINER

Maximum
Image Resuscitation Equipment Name
Score

Bougie/ET
1 1
Stillet

Mouth to Mouth
2 Rebreather 1
Mask

Automated CPR
3 Compressor 1
Machine

Laryngeal Mask
4 1
Airway

Oropharyngeal
5 1
Airway

Total 5

MSN - 120 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For Examiner For Examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner and scoring sheet examinee
 Pen  Writing pad with response sheet
 Chair  Printout of Resuscitation equipment
 Table  Chair
 Table
 Drop box for filled response sheet

MSN - 121 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

INSTRUCTIONS TO THE EXAMINEE

 Carefully note and identify the images of resuscitation instrument given on the print out
and document the name of the resuscitation equipment in the same order.
 You have 5 minutes to identify and interpret the images.
 Document your responses on the response sheet provided.
 Place the filled response sheet in the drop box.

MSN - 122 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

QUESTION SHEET

Identify the images of resuscitation instrument given on the print out and document the
name of the resuscitation equipment in the same order in the response sheet provided.

Image Resuscitation Equipment

MSN - 123 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – DATA INTERPRETATION - RESUSCITATION EQUIPMENTS

EXAMINEE RESPONSE SHEET

Registration Number:

Max Score
Image No Resuscitation Equipment
Score Awarded

1 1

2 1

3 1

4 1

5 1

Total 5

Signature of the Examiner Signature of the Examinee

MSN - 124 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10– PROBLEM SOLVING –DRUG CALCULATION

INSTRUCTIONS TO THE EXAMINER

Objectives
The station is designed to test the examinee`s ability to:
 Calculate the rate of infusion for emergency drug administration using infusion pump

Instructions
 Examine the examinee’s written responses for calculating the rate of infusion for emergency drug administration using infusion
pump for the case scenario given below,

Case scenario: Mr. Raghu 76 yrs, admitted in Cardiac Intensive Care Unit for supportive care has been prescribed an infusion of
Inj. Dopamine at 5 mcg/min stat. Body weight of the patient is 60 kg.
 Scoring criteria:
If examinee’s response is
o Fully accurate, score ‘5’ can be given,
o Partly accurate, score ‘3’ can be given,
o Inaccurate, score ‘0’ can be given.

MSN - 125 of 131

 STATION NO: 10– PROBLEM SOLVING –DRUG CALCULATION

SCORING SHEET

Amount of Drug Amount of Drug Drug Rate of Infusion Rate of Infusion Total
Registration No
by Weight (2) to Dilute (2) Preparation (2) Formula (2) (2) (10)

Signature of the Examiner

MSN - 126 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10– PROBLEM SOLVING –DRUG CALCULATION

ANSWER KEY

S. No Steps Answer

180 mg
1 Amount of Drug by Weight

2 Amount of Drug to Dilute 4.5 ml

3 Drug Preparation 3600 mcg

Dose (in mcg) x body weight x 60 (min)

4 Rate of Infusion Formula
Drug concentration in mcg

5 Rate of Infusion 5 ml/hr

Drug ordered: Inj. Dopamine at 5 mcg/min stat

1 ampoule contains 200mg in 5 ml
Amount of drug = Body Weight × 3
= 60×3
= 180 mg
Amount of drug in ml = 180mg × 5 ml =4.5 ml
200 mg
Drug preparation: Dopamine 180mg (4.5 ml) + (45.5 ml) NS = 50 ml

Therefore 50 ml contains 180mg=180/50=3.6mg

Drug concentration in mcg = 1000×3.6
= 3600 mcg
Rate of Infusion = Dose (in mcg) x body weight x 60 (min) = __________ ml/hr
Drug concentration in mcg

5 mcg x 60 kg x 60 min = 5 ml/hr

3600 mcg/ ml
Answer: Rate of infusion of [Link] = 5ml/hr

MSN - 127 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10– PROBLEM SOLVING –DRUG CALCULATION

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee

 Writing pad with instructions to the  Writing pad with instructions to

examiner, answer key and evaluation examinee
format  Writing pad with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN - 128 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10– PROBLEM SOLVING –DRUG CALCULATION

INSTRUCTIONS TO THE EXAMINEE

 When the bell sounds, enter the room. You have 5 minutes to calculate the rate of
infusion for the given drug.
 Read the case scenario and do the calculation as directed on the response sheet provided.
 Leave the filled response sheet in the drop box on completion of the allotted time.

Case Scenario

Mr. Raghu 76 yrs, admitted in Cardiac Intensive Care Unit for supportive care has
been prescribed an infusion of Inj. Dopamine at 5 mcg/min stat. Body weight of the patient is
60 kg.

Question:

Calculate the rate of infusion (ml/hr) that has to be administered for 50 ml of Dopamine
infusion if drug dose ordered is 5mcg/min.

MSN - 129 of 131

 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10– PROBLEM SOLVING –DRUG CALCULATION

EXAMINEE RESPONSE SHEET

Registration number:

Calculation of Drug Infusion Rate

Signature of the Examinee: Signature of the Examiner:

MSN - 130 of 131
 [Link]. NURSING DEGREE PROGRAMME – III YEAR
MEDICAL SURGICAL NURSING - II
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Date: _________________
Name of the examination: ______________________________________________________________
Register number of students allotted: From _____________________ To _______________________
Total number of students: Allotted: _________________ Attended: _________________Absent: _____________________

Station - Max Score Total Final

PE PS TP VSI DI VSI DI DI DI PS % OSCE/OSPE
S. No. Registration number Score
110
20 10 30 5 15 5 5 5 5 10 (University
prescribed)

Name and signature of the Examiners:

External Internal

MSN - 131 of 131

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY-MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

TEST MAP-BASED ON BLUE PRINT

DOMAINS OF CLINICAL EXPERIENCE

STATION TYPE OF PROGRAM COMPETENCY PROPOSED COGNITIVE
ITEM TITLE COMMUNICATION EXAMINATION PROCEDURE
NUMBER STATION COMPONENT TEST TEST FILE SKILLS
HT OC PE VSI TP DP IATF DI DM PS
Peripheral
Vascular System
Peripheral Assessment Simulated
1 Manned PE _ -- 1 _ _ _ _ _ _ _
Vascular (Palpation of patient
Lower
Extremities)

2 Unmanned Cardiothoracic Drug Calculation PS Print out _ _ _ _ _ _ _ _ _ 1

Arterial blood
3 Manned Respiratory DP Mannequin _ _ _ _ 1 _ _ _ _ _
sample collection

Simulated
4 Unmanned Gastrointestinal Cirrhosis of liver VSI _ _ _ 1 _ _ _ _ _ _
slides

Identification of
the parts and
5 Unmanned Cardiothoracic DI Print out _ _ _ _ _ _ _ 1 _ _
purpose of Swan
Ganz Catheter
Key Words:

HT: History taking DI: Data interpretation

OC: Other communication IATF: Identification of abnormal test finding
PE: Physical examination DP: Diagnostic procedure
VSI: Virtual sign identification. DM: Decision making
TP: Therapeutic procedure PS: Problem solving

Subject Coordinator Head of the Department

MSN - 132 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY-MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 1: PHYSICAL EXAMINATION-PERIPHERAL VASCULAR SYSTEM ASSESSMENT (PALPATION OF LOWER EXTREMITIES)

INSTRUCTIONS TO THE EXAMINER

Objectives:
The station is designed to test the examinee`s ability to:
 Perform physical examination (palpation) of the lower extremities to check for any peripheral vascular abnormalities
 interpret & document the findings.

Instructions:
 Observe and evaluate the examinee while performing the following steps of physical examination–Palpation of peripheral vascular abnormalities in the
lower extremities in the correct sequence and technique.
 Score ‘2’ for each task performed competently, ‘1’ for partially competent and ‘0’ if performed incompetently, as recommended in the evaluation
format, and calculate the total score.

MSN - 133 of 163

 STATION 1: PHYSICAL EXAMINATION – PERIPHERAL VASCULAR SYSTEM ASSESSMENT (PALPATION OF LOWER EXTREMITIES)

Registration Number
Max
[Link]. Tasks
score
2
1 Greets the patient and introduces self
2
2 Explains the procedure to the patient and obtains consent
2
3 Provides privacy and ensures availability of articles
2
4 Performs hand-rub and positions patient comfortably in supine
Palpates the lower extremities for: 2
5 Edema- Gently presses the skin over the tibia or medial malleolus and dorsum of both
feet for 5 seconds and notes indentation (pit) after releasing the pressure (both the legs)
Pulse- Assesses the rate, rhythm, volume and pressure in each blood vessels of both the 2
6
lower extremities (popliteal, posterior tibial and dorsalis pedis artery)
2
7 Measures the calf muscle circumference in both the legs
Assesses Homan’s sign (both legs) bydorsiflexing the foot and notes any pain in the calf 2
8
muscle
2
9 Makes the patient comfortable and replaces the articles
2
10 Interprets and documents the findings
20
Total

Signature of the Examiner:

MSN - 134 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 1: PHYSICAL EXAMINATION –

PERIPHERAL VASCULAR SYSTEM ASSESSMENT (PALPATION OF LOWER EXTREMITIES)

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For stimulated patient For examiner For examinee

 Cot with screen  Writing pad with instructions  Writing pad with instructions
 Top sheet to the examiner and scoring to examinee
 Writing pad with case sheet  Clean tray with hand rub and
scenario  Drop box for evaluated inch tape
 Instructions for simulated response sheet  Tray with response sheet
patient(to be informed prior to  Pen
the OSCE)  Pencil
 Eraser
 Chair
 Table

MSN - 135 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 1: PHYSICAL EXAMINATION –

PERIPHERAL VASCULAR SYSTEM ASSESSMENT (PALPATION OF LOWER EXTREMITIES)

INFORMATION TO THE SIMULATED PATIENT

Your role: Patient, named Mr. Maran, aged 53 years.

Information to be volunteered by you at the start of the physical examination

 You have the complaints of sudden onset of mild pain in the lower limbs while walking.
 You are a known case of Chronic Hypertension on irregular treatment for the past 5 years
 You are a smoker and alcoholic for 30 years.
 Your BP on admission was 160/100 mmHg

Background information

Demographic Data:

 Name: Mr. Maran

 Age: 53 years
 Educational qualification: [Link]
 Marital Status: Married
 Occupation: Police constable
 Religion: Hindu
 Family income: Rs.40 ,000/month

Past medical and surgical history

 Has past history of hypertension and not on regular treatment.

 You have no significant medications records
 You have no past surgical history.

Relevant previous medications

 You have no significant past medication history.

MSN - 136 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 1: PHYSICAL EXAMINATION –

PERIPHERAL VASCULAR SYSTEM ASSESSMENT (PALPATION OF LOWER EXTREMITIES)

INSTRUCTIONS TO THE EXAMINEE

Case Scenario:

Mr. Maran, aged 53 years is admitted with complaints of sudden onset of mild pain in the lower
limbs while walking. He is a known case of Chronic Hypertension on irregular treatment for the past 5 years
and has history of smoking and alcoholism for 30 years.

Instructions:

 Palpate the lower extremities for clinical features of peripheral vascular abnormalities and interpret the
findings.
 When the bell sounds, enter the room. You have 1 minute to discuss with the patient and 4 minutes to
examine the lower extremities of the patient using the articles provided.
 Document your observations and interpretations in the response sheet provided
 Hand over the response sheet to the examiner at the end of the station.

MSN - 137 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 1: PHYSICAL EXAMINATION –

PERIPHERAL VASCULAR SYSTEM ASSESSMENT (PALPATION OF LOWER EXTREMITIES)

EXAMINEE RESPONSE SHEET

Registration Number:

Documentation:

----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------

Signature of the Examinee:

Signature of the Examiner:

MSN - 138 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 2: PROBLEM SOLVING -CALCULATION OF DRUG INFUSION RATE

INSTRUCTIONS TO THE EXAMINER

Objectives:
The station is designed to test the examinee`s ability to:
 Calculate the rate of infusion for emergency drug administration using infusion pump

Instructions:

 Examine the examinee’s written responses for calculating the rate of infusion for emergency drug
administration using infusion pump for the case scenario given below.

Case scenario: Mr. Mani 52 yrs, admitted in Cardiac Intensive Care Unit for supportive care has
been prescribed an infusion of Inj. Dobutamine at 4 mcg/min stat. Body weight of the patient is 70
kg.

 Scoring criteria:
If examinee’s response is
 Fully accurate, score ‘5’ can be given,
 Partly accurate, score ‘3’ can be given,
 Inaccurate, score ‘0’ can be given.

MSN - 139 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 2: PROBLEM SOLVING -CALCULATION OF DRUG INFUSION RATE

ANSWER KEY

Drug ordered:Inj. Dobutamine at 4 mcg/min stat

1 ampoule contains 250mg in 5 ml

Amount of drug = Body Weight ×3

= 70×3
= 210 mg

Amount of drug in ml = 210mg × 5 ml

250 mg
= 4.2 ml

Drug preparation: Dobutamine 210mg (4.2 ml)+(45.8 ml) NS = 50 ml

Therefore 50 ml contains 250mg

Drug concentration in mcg = 1000×4.2

= 4200 mcg

Rate of Infusion=Dose (in mcg) x body weight x 60 (min) = __________ ml/hr

Drug concentration in mcg

4 mcg x 70 kg x 60 min = 4 ml/hr

4200 mcg/ ml

Answer: Rate of infusion of [Link]=4ml/hr

MSN - 140 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 2: PROBLEM SOLVING -CALCULATION OF DRUG INFUSION RATE

Registration number
Score
awarded

(Max
score 5)

Signature of examiner:

MSN - 141 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 2: PROBLEM SOLVING -CALCULATION OF DRUG INFUSION RATE

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee

 Writing pad with instructions to the  Writing pad with instructions to examinee
examiner, answer key and evaluation format  Tray with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN - 142 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 2: PROBLEM SOLVING -CALCULATION OF DRUG INFUSION RATE

INSTRUCTIONS TO THE EXAMINEE

 When the bell sounds, enter the room. You have 5 minutes to calculate the rate of infusion for the given
drugmentioned below, on the response sheet provided.
 Leave the filled response sheet in the drop box on completion of the allotted time.

Case Scenario:
Mr. Mani 52yrs, admitted in Cardiac Intensive Care Unit for supportive care was ordered an infusion
of Dobutamine at 4 mcg/min [Link] body weight is 70 kg.

Question:

Calculate the rate of infusion (ml/hr) that has to be administered for 250 ml of Dobutamine infusion if drug
dose ordered is 4mcg/min.

MSN - 143 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 2: PROBLEM SOLVING -CALCULATION OF DRUG INFUSION RATE

EXAMINEE RESPONSE SHEET

Registration number:

Calculation of Drug Infusion Rate

Signature of the Examinee: Signature of the Examiner:

MSN - 144 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION3: DIAGNOSTICPROCEDURE– ARTERIAL BLOOD SAMPLE COLLECTION

INSTRUCTIONS TO THE EXAMINER

Objectives:

The station is designed to test the examinee’s ability to:

 demonstrate the arterial blood sample collection from the radial artery.
 follow the correct sequence and technique of collecting the arterial blood sample.

Instructions:

 Observe and evaluate the examinee for correct sequence and technique while she performs the following steps of arterial blood collection.
 Score ‘2’ for each task performed competently, ‘1’ for partially competent and ‘0’ if performed incompetently as recommended in the evaluation format
and calculate the total score.

MSN - 145 of 163

 STATION 3: DIAGNOSTICPROCEDURE– ARTERIAL BLOOD SAMPLE COLLECTION

Registration No
Max
[Link]. Tasks
score

1. Verifies the doctor’s order, identifies and greets the patient. 2

2. Explains the procedure and obtains consent from the patient. 2

3. Provides privacy and ensures availability of articles 2
4. Performs hand hygiene and positions patient comfortably in supine position 2
5. Places mackintosh and towel under the forearm, and a rolled towel under the wrist. 2
6. Performs Allen’s test and ensures adequate circulation to the forearm. 2
7. Performs hand rub, wears gloves and palpates selected radial artery 2
8. Stabilizes the artery by slight hyperextension; cleans the site with alcohol swab and allows it to dry. 2
9. Holds a gauze pad with the fingers used to palpates the artery and prepares the patient for needle stick 2
10. Holds needle bevel up and inserts the needle at 45 o angle into radial artery 2
11. Allows arterial pressure to pump about 1 ml of blood into heparinized syringe. 2
12. Hold gauze pad over puncture site, withdraw syringe and needle and caps needle using one-hand 2
technique
13. Applies firm pressure over and just proximal to puncture site with gauze, until the bleeding stops and 2
instructs the patient to avoid using the extremity for vigorous activity for at least 24 hrs
14. Applies a small adhesive tape over stick site, after bleeding stops; checks and expel any air bubbles in 2
the syringe
15. Makes patient comfortable; monitors patient for circulatory complications such as swelling, pain, 2
numbness, tingling and document the findings of Allen’s test, details of sample collected and arterial
puncture site

Total 30

Signature of the Examiner:

MSN - 146 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 3: DIAGNOSTICPROCEDURE– ARTERIAL BLOOD SAMPLE COLLECTION

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee

 Writing pad with instructions to the examiner  Writing pad with instructions to examinee
and scoring sheet  Tray with response sheet
 Drop box for evaluated response sheet  Cot with screen
 Pen  Mannequin
 Pencil  Writing pad with case scenario
 Eraser  Bedside locker
 Chair  Clean tray with hand rub
 Table  Injection tray
 1-2 ml heparinized syringe with cap
 23 or 25 gauge needle
 Small bowl with 4 to 5 cotton balls
 2 to 3 small gauze pads (2x2 inch size)
 Spirit
 Clean glove
 Small rolled towel
 Adhesive tape
 Small mackintosh with towel
 K - basin
 Label with patient’s details, date and time
sample collection

MSN - 147 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 3: DIAGNOSTICPROCEDURE– ARTERIAL BLOOD SAMPLE COLLECTION

INSTRUCTIONS TO THE EXAMINEE

Case Scenario:

Mrs. Rajammal, aged 56 years, with a history of CCF,is admitted in the cardiac ward with
complaints of difficulty in breathing, orthopnoea and sleeplessness.

Instructions:

 Read the doctor’s order and

 Demonstrate the arterial blood sample collection from the radial artery.
 When the bell sounds, enter the room. You have 4 minutes to perform the arterial blood sample
collection and 1 minute for any discussion with the patient.
 Document the procedure and
 Hand over the filled response sheet to the examiner at the end of the station.

MSN - 148 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 3: DIAGNOSTICPROCEDURE– ARTERIAL BLOOD SAMPLE COLLECTION

EXAMINEE RESPONSE SHEET

Registration Number:

Documentation:

----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------

Signature of the Examinee:

Signature of the Examiner:

MSN - 149 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 4: VIRTUAL SIGN IDENTIFICATION- CIRRHOSIS OF LIVER

INSTRUCTIONS TO THE EXAMINER

Objectives:

The station is designed to test the examinee`s ability to:

 identify the images related to Cirrhosis of liver
 document the responses accurately.

Instructions:
 Check the accuracy of the responses, documented by the examinee, for the images related to
Cirrhosis of liver
 Score ‘1’ for each image identified accurately or ‘0’ for inaccurate response based on the answer key
and calculate the total score.

MSN - 150 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 4: VIRTUAL SIGN IDENTIFICATION- CIRRHOSIS OF LIVER

ANSWER KEY FOR THE EXAMINER

Slide No. Image Answer

1 Jaundice

2 Ascites

3 Spider telangiectasia

4 Edema

5 Palmar erythema

MSN - 151 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 4: VIRTUAL SIGN IDENTIFICATION- CIRRHOSIS OF LIVER

SCORING SHEET

Registration number
Slide Max
Image
No Score

1 Jaundice 1

2 Ascites 1

3 Spider telangiectasia 1
4 Edema 1

5 Palmar erythema 1
Total 5

Signature of the examiner:

MSN - 152 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 4: VIRTUAL SIGN IDENTIFICATION- CIRRHOSIS OF LIVER

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee

 Writing pad with instructions to the examiner,  Writing pad with instructions to examinee
answer key and scoring sheet  Laptop with power source
 Pen  PPT slides containing relevant images
 Chair  Tray with response sheet
 Table  Drop box for filled response sheet
 Chair
 Table

MSN - 153 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 4: VIRTUAL SIGN IDENTIFICATION- CIRRHOSIS OF LIVER

INSTRUCTIONS TO THE EXAMINEE

 Carefully observeand identify the images (virtual sign) on the power point slides, and document the
interpretation for each image in the response sheet provided.
 You have 5 minutes to identify and interpret the images.
 Leave the filled response sheet in the drop box on completion of the allotted time.

MSN - 154 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 4: VIRTUAL SIGN IDENTIFICATION- CIRRHOSIS OF LIVER

EXAMINEE RESPONSE SHEET

Registration Number:

Max
Slide No Image Score awarded
Score
1 1
2 1
3 1
4 1
5 1
Total 5

Signature of the examiner:

MSN - 155 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

INSTRUCTIONS TO THE EXAMINER

Objectives:

The station is designed to test the examinee`s ability to:

 identify theparts of the Swan Ganz Catheter, marked on the image given, and
 document the name and purpose of the parts accurately on the response sheet provided.

Instructions:
 Check the accuracy of the responses, documented by the examinee, related to the name and purpose
of the 5 marked parts of the Swan Ganz Catheter
 Score ‘2’ for each fully accurate response (both name and purpose), ‘1’ for partially accurate
response (either name or purpose) or ‘0’ for inaccurate response based on the answer key and
calculate the total score.

MSN - 156 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

ANSWER KEY FOR THE EXAMINER

Parts of Swan Ganz Catheter and its purpose

Part Name of the part Purpose Max

No Score
1 Right atrial infusion port To assess CVP and measure RA pressure 2
Distal pulmonary arteryinfusion port For PA pressure transducer and mixed
2 2
SvO2sampling
3 Right ventricle infusion/pacing port For infusion or pacing the right ventricle 2
Monitor/ thermistor connector For power plug connection to the monitor for PA
4 2
blood temperature measurement
Proximal injection port For CVP monitoring, IV fluid and drug
5 2
administration
Total 10

MSN - 157 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

SCORING SHEET

Registration number
Part Name of the Max
Purpose
No part Score

Right atrial To assess CVP and

1 2
infusion port measure RA pressure

Distal
For PA pressure
pulmonary
2 transducer and mixed 2
arteryinfusion
SvO2sampling
port
Right ventricle
For infusion or pacing
3 infusion/ 2
the right ventricle
pacing port
For power plug
Monitor/ connection to the
4 Thermistor monitor for PA blood 2
connector temperature
measurement
For CVP monitoring,
Proximal
5 IV fluid and drug 2
injection port
administration

Total 10

Signature of the examiner:

MSN - 158 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

ARTIFACT/ EQUIPMENTS/ PRELIMINARY REQUIREMENTS

For examiner For examinee

 Writing pad with instructions to the examiner  Writing pad with instructions to examinee and
and answer key  Print out of question sheet
 Tray with response sheet
 Drop box for filled response sheet
 Chair
 Table

MSN - 159 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

INSTRUCTIONS TO THE EXAMINEE

 Carefully observe the parts of the Swan Ganz catheter, marked on the print out, identify the name of the
parts and the purpose of each and document the findings.
 You have 5 minutes to identify and interpret the parts and its purpose.
 Document your responses on the response sheet provided and
 Leave the filled response sheet in the drop box on completion of the allotted time.

MSN - 160 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

QUESTION SHEET

 Carefully observe the partsof the Swan Ganz catheter, marked on the print out
 Identify the name of the parts 1-5 and the purpose of each and document the findings in the
response sheet provided.

MSN - 161 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL / CLINICAL EXAMINATION (OSPE/OSCE) BANK

STATION 5: DATA INTERPRETATION-

IDENTIFICATION OFTHE PARTS & PURPOSE OF SWAN GANZ CATHETER

EXAMINEE RESPONSE SHEET

Registration Number:

Part Parts of Swan Ganz Purpose Max Score

No Catheter Score awarded

1 2

2 2

3 2

4 2

5 2

Total 10

Signature of the examiner:

MSN - 162 of 163

 [Link]. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY- MEDICAL SURGICAL NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE) BANK

SCORE COMPILATION SHEET

Date:_________________

Name of the examination:______________________________________________________________

Register number of students allotted: From _____________________ To _______________________

Total number of students: Allotted: _________ Attended:____________ Absent:_________________

Final
Station-Max Scores
OSCE/OSPE
Total score Score
Registration number 1 2 3 4 5 %
(Max 70) (University
PE PS DP VSI DI
prescribed)
20 5 30 5 10

Name and signature with date:

Internal Examiner: External Examiner:

MSN - 163 of 163

 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. [Link]
0014-1
3. Omayal Achi College of Nursing. (2018). Manual of Nursing Procedures and Practice (2 nd
ed.). New Delhi:Wolters Kluwer.
4. OSCE: The Ultimate Prep Guide in 2021. (2021). Available from: OSCE: The Ultimate Prep
Guide in 2021 | BeMo® ([Link]).
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.