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What are the new changes in the OSCE exam?



What are the new changes in the OSCE exam?

- By Benjamin (8 articles)


 

What are the new changes in the OSCE exam?

 

As you may already know, the NMC is changing its registration exams, and this will affect the way you become a registered nurse here in the UK.

 

Why are these changes happening?

These changes are happening to reflect the ones that are happening in UK nursing practice.

The NMC wants the test to be as close as possible to the reality of the field.

 

When do they start?

The NMC updates its standards with its clinical editors every year and has agreed to implement changes to the CBT (Test of Competence 1) and OSCE (Test of Competence 2) starting April 2021.

 

Changes in OSCE

 

    • The NMC has increased the total number of exam stations from 6 to 10.
    • Four stations will continue to be linked together around a scenario: the APIE (assessment, planning, implementation, and evaluation, they will each have a specific station).
    • Six skill stations will be tested instead of two.

Þ    2 pairs of 2 skills

Þ    1 professional values

Þ    1 critical appraisal

 

Duration:

 

 

Assessment

Planning

Implementation

Evaluation

Skills

Currently

15 minutes for each station

April 2021

20 minutes

14 minutes

16 minutes

14 minutes

16 minutes

 

APIE stations

§  Assessment: Full A-E assessment (airway, breathing, circulation, disability, exposure) will be included in clinical assessment.

§  Planning: Stays the same- writing two care plans.

§  Implementation: Stays the same – drug administration.

§  Evaluation: Changes from a written referral to another healthcare professional to a non-assessed written SBAR assessment and an assessed verbal handover to another healthcare professional (the examiner).


New OSCE Patient Scenario for APIE – 2021

    • Pneumonia
    • Subdural
    • Anxiety
    • UTI
    • Hernia
    • Asthma
    • Chronic Cardiac Failure
    • Ectopic
    • Dementia / Confusion
    • Leg ulcer
    • Diabetes

 

SKILL Stations

There will be a total of 15 possible skills tested in the OSCE exam.

 

    • Administration of Inhaled Medication
    • Blood Glucose Monitoring
    • Catheter Specimen of urine
    • Fine Bore NG
    •  Fluid Balance (4 different patient variants)
    •  In-hospital Resuscitation (no defib)
    •  Intramuscular injection
    •  IV flush and VIP score
    •  Pain Assessment
    •  Peak Expiratory Flow rate
    •  Pressure Area Assessment
    •  Removal of Urinary Catheter
    •  Subcutaneous injection
    •  Urine Analysis
    •  Wound Assessment and Aseptic non-touch technique (ANTT)

 

 

In summary,

 

 

Current

April.2021

Test

 

Format

Marks

Duration

Format of new test: Nursing

OSCE

6 Stations

 

4 Stations (APIE)

Þ    Assessment

Þ    Planning

Þ    Implementation

Þ    Evaluation

 

2 skill stations

 

10 Stations

 

4 Stations (APIE)

Þ    Assessment

Þ    Planning

Þ    Implementation

Þ    Evaluation

 

§  6 skill stations

§  2 pairs or 2 skills

§  1 professional values

1 critical appraisal

Variable to station according to task-specific specification

Up to 2hrs 45 minutes

 

APIE Stations:

Assessment: 20 minutes

Planning: 14 minutes

Implementation: 16 minutes

Evaluation: 14 minutes

 

Skills Stations, critical appraisal and professional values stations: 16 minutes for each pairing

Format of new test: Midwife

OSCE

 

10 Stations

 

4 Stations (APIE)

Þ    Assessment

Þ    Planning

Þ    Implementation

Evaluation

 

4 skills stations consisting of 2 pairs of 2 skills

(1 liked skill will always include the systematic examination of the new-born and the postnatal check)

 

1 professional values station

1 critical appraisal station

Variable to station according to task-specific specification

Up to 2hrs 45 minutes

 

APIE Stations:

Assessment: 20 minutes

Planning: 14 minutes

Implementation: 16 minutes

Evaluation: 14 minutes

 

Skills Stations, critical appraisal and professional values stations: 16 minutes for each pairing

 

 

To find out more information, please click here and you will be directed to the NMC website.

 

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