00:00 - 01:11 - Candidate Briefing
01:11 - 01:41 - PPE
01:42 - 03:49 - Intro
03:50 - 04:24 - Airway
04:25 - 06:18 - Breathing
06:19 - 09:19 - Circulation
09:00 - 11:22 - Disability
11:23 - 12:31 - Exposure
12:32 - 13:31- Documentation
13:32 - 14:34 - Close
14:35 - 16:34 - Red Flag



You will take the new Test of Competence 2021 if:

- you start a new application on or after 2 August 2021
- you already started an application, but haven't sat an attempt at either the CBT or the OSCE before 2 August 2021.

Source: nmc.org.uk

For more info:

Twitter: @emerdiegoRN
Ig: @emerdiego
Fb: OSCE for international nurses

Assessment marking criteria: all APIEs

Assessment criteria

1 Assesses the safety of the scene and the privacy and dignity of the patient.
2 Cleans hands with alcohol hand rub, or washes with soap and water and dries with paper
towels, following World Health (WHO) guidelines.
3 Introduces self to person.
4 Checks identity (ID) with the person (the person’s name is essential, and either their date
of birth or hospital number) verbally, against wristband (where appropriate) and
documentation.
5 Checks for allergies verbally and on wrist band (where appropriate).
6 Gains consent and explains reason for the assessment.
7 Uses a calm voice, speech is clear, body language is open, personal space is
appropriate.
8a Airway: Clear; no visual obstructions.
8b Breathing: Respiratory rate; rhythm; depth; oxygen saturation level; respiratory noises
(rattle wheeze, stridor, coughing); unequal air entry; visual signs of respiratory distress
(use of accessory respiratory muscles, sweating, cyanosis, ‘see-saw’ breathing).
8c Circulation: Heart rate; rhythm; strength; blood pressure; capillary refill; pallor and
perfusion.
8d Disability: conscious level using ACVPU (alert, confusion, voice, pain, unresponsive);
presence of pain; urine output; blood glucose.
8e Exposure: Takes and records temperature; asks for the presence of bleeds, rashes,
injuries and/or bruises; obtains a medical history.
9 Accurately measures and documents the patient’s vital signs and specific assessment
tools.
10 Calculates National Early Warning Score (NEWS) or Glasgow coma scale accurately.
11 Accurately completes document: signs, adds date and time on assessment charts.
12 Conducts a holistic assessment relevant to the patient’s scenario.
13 Disposes of equipment appropriately – verbalisation accepted.
14 Cleans hands with alcohol hand rub, or washes with soap and water and dries with paper
towels, following WHO guidelines – verbalisation accepted.
15 Acts professionally throughout the procedure in accordance with NMC (2018) ‘The Code:
Professional standards of practice and behaviour for nurses, midwives and nursing
associates’.

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