Aptitude Test Scenarios

OSCE STATION DESCRIPTOR
1 A: APPLICANT & ASSESSORS

TYPE SCENARIO
SCENARIO Mr Jones is a 72 year old man who was admitted with a diagnosis of pneumonia three
days ago.
He has a history of angina for which he is prescribed glyceryl trinitrate (GTN) if
required (PRN).
He is on antibiotics.
His vital signs are stable.
His dyspnoea is less than when he was admitted; and he is sitting out on a chair
beside the bed. After lunch, he rings his call bell, and states “I have a pain in my
chest.”
A set of vital signs was taken & the result was as follows:
Temperature 37 degrees Celsius
Heart rate 80beats per minute and regular
Respiratory rate 24breaths per minute
Blood Pressure 110/72mmHg.
AIMS OF THE This station is designed to assess how the applicant:
STATION Undertakes a focused patient assessment identifying key priorities
Determines priorities for intervention and implements care
Establishes and maintains a caring therapeutic interpersonal relationship with the
patient
Establishes and maintains accurate and clear patient records
APPLICANT Carry out a focused assessment of the patient’s chest pain
REQUIRED TO Provide appropriate nursing care
Establish and maintain a caring therapeutic interpersonal relationship with
the patient
Document the assessment & care of the patient.
COMPETENCIES Professional and ethical practice
TO BE Holistic approaches to care and the integration of knowledge
ASSESSED Interpersonal relationships
Organisational and management of care.
NOTE TO APPLICANT: ONE OF THE ASSESSORS WILL ACT AS PATIENT MR JONES AGED 72
SITTING ON A CHAIR BY THE BED
© Faculty of Nursing & Midwifery, RCSI September 25th 2015

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1
1 A: ASSESSORS ONLY
KEY POINTS Introduces him/herself to patient
FOR Focused assessment of chest pain:
ASSESSORS Location
WHEN Precipitating factors
ASSESSING Alleviating factors
APPLICANT Associated symptoms
Nature: Radiation, Severity, Time & Duration
Determine pain score
Positioning (may or may not return patient to bed)
Review chart for oxygen
Administer oxygen
Review medication kardex for GNT
Administer GNT
Reassurance throughout
Document: pain score & description
Document GNT
Document O2
Write free narrative notes.
PROMPTS Assessor as Mr Jones: a 72 year old man who was admitted with a diagnosis of
pneumonia three days ago. You have a history of angina for which you are prescribed
GTN PRN. Currently you are on antibiotics, vital signs are stable, dyspnoea is less
pronounced and you are sitting out on a chair beside the bed. After lunch, you ring the
call bell, and state “I have a pain in my chest” A set of vital signs have already been
taken: Temperature 37.C, HR 80bpm and regular, RR 24, and Blood Pressure
110/72mmHg. The chest pain is severe, like a pressure in the chest area, does not
radiate to arms or hands, but is not relieved by changing your position in the chair. You
have had a similar pain on a few occasions over the last year but no chest pain since
you were admitted to hospital. At home you take GTN spray prescribed by your GP for
the pain and it always works. If/When asked to describe the pain on a scale of 0 to 10
state 8.
REQUIREMENTS Bed (dressed)
FOR THE Bed table
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STATION Chair
GTN
Oxygen mask (3)
Pain Score chart x 30 (this is on observation chart so can do pain score here and write
narrative on continuation sheet)
Pen & Pencil
Nurses’ Notes: Continuation Sheets x 30
Alcohol Hand Gel
PRE-PREP Observation chart marked with last set of vital signs
Drug Kardex pre-marked
Patient ID

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1 B: APPLICANT & ASSESSORS
TYPE TECHNICAL SKILL
TECHNICAL Mrs Daly is a 65 year old woman
SKILL She has a chest infection and she is breathless and chesty
She is on oxygen (O2) 40%
In addition to bronchodilators, the Doctor has prescribed saline nebulisers six hourly to
lower the viscosity of the secretions and aid expectoration of her sputum.
STATION Selects and utilizes resources effectively and efficiently
Demonstrates a knowledge base grounded in recent evidence-based nursing research
Demonstrates a level of competence in clinical practice skills essential for safe practice
Establishes and maintains accurate, clear and current patient records within a legal
and ethical framework.
APPLICANT Prepare and administer a saline nebuliser
REQUIRED TO Adhere to universal precautions
Establish and maintain a caring therapeutic interpersonal relationship with the patient.
NOTE TO APPLICANT: A MANNEQUIN WILL BE THE PATIENT
1
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1 B: ASSESSORS ONLY
FOR Prepares the patient for the procedure
ASSESSORS Helps the patient into a comfortable position well supported by pillows Collects and
WHEN prepares the equipment
ASSESSING Checks the drug kardex prescription is legible, signed and dated and prepares the
APPLICANT prescribed nebulizer checking name and expiry date
Washes hands and fills the nebulizer with saline
Takes prepared solution to the bedside and checks patients name and armband
Attaches to piped oxygen supply and observes the fine spray from the nebulizer
Ensures tissues are within reach of patient if needed
When all solution is nebulised places patient back on O2
Documents the nebuliser has been given.
FOR THE Bed table
STATION Chair
Oxygen mask
Pen & Pencil
Alcohol Hand Gel
Mannequin
Box of gloves and aprons
Saline
Drug tray
Oxygen
40% facemask
Nebulizer
Tissues
PRE-PREP Drug Kardex pre-marked
Patient ID

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TYPE SCENARIO
SCENARIO Mr Kelly is a 75 year old man who was admitted to the hospital seven days ago
He has responded well to treatment for a chest infection and has completed his course
of antibiotics
His planned discharge day is tomorrow
He is on an intake & output chart.
You observe that the patient has eaten very little from his breakfast tray and when you
query why, he replies that he feels nauseated and has not felt like food for the last
twelve hours.
STATION Conducts a focused assessment of the patient and prioritise his care needs
Plans care in consultation with the patient
Establishes and maintains a caring therapeutic environment
Contributes to the learning experience of the patient through support and teaching.
APPLICANT Conduct a focused assessment of the patient and prioritise his care needs
REQUIRED TO Communicate and provide education to the patient to maintain and
promote health
Ensure patient understands relevant and current information concerning
health care.
Organisational and management of care
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS PATIENT MR KELLY AGED 75 ON A CHAIR BY THE BED
2
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2 A: GROUND FLOOR DAY SUITE BED 2: ASSESSORS ONLY
FOR Undertakes an assessment of the patient’s problem to include:
ASSESSORS  Has he been eating and drinking normally in the last few days?
 How long has he felt unable to eat?
 Nauseated for how long?
 When did he last eat?
 Whatdid he eat?
Has he been drinking fluids?
When did he last defecate?
Reviews the observation sheet for the last number of days
Reviews the patient’s Intake and Output chart: patient has had decreased intake for
the last two days, less that 600mls orally for the last 24 hours
No bowel movement recorded in last three days
Asks and Checks if abdomen is distended
Communicates with the patient and advises patient of assessment findings (suspected
constipation secondary to reduced fluid intake, possible nature of food intake and
reduced mobility since admission)
Provides reassurance and patient education on the importance of mobility, maintaining
fluid intake and dietary fibre.
PROMPTS Assessor as patient: 75 year old Mr Kelly who was admitted seven days ago for
treatment of a chest infection. You have responded well to antibiotics and your planned
discharge day is tomorrow. Nurse notices that you have eaten very little from your
breakfast tray. When asked why, you reply “I have not felt like food or drink for the last
twelve hours”. If/ when asked admit that you “feel nauseated and do not feel I could eat
or drink”. If/When asked about eating and drinking say “I ate toast for breakfast
yesterday morning but did not feel like that today. At dinner yesterday I had a small
potato but could not eat the meat or vegetables. Today I feel less inclined to eat as I
am nauseated all the time”. If/When asked about your bowel motion say “I passed no
bowel motion in the last three days &I feel it must be the antibiotics as I do not have
bowel problems when I am at home”. If asked about your usual diet admit you eat very
little fibre, fruit or vegetables.
FOR THE Bed table
STATION Chair
Pen & Pencil
Nurses Notes: Continuation Sheets x 30
PRE PREP Intake & Output chart showing low intake of fluids (less than 600 mls in last 24 hours)
and bowel record
Patient ID

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TYPE TECHNICAL SKILL & SCENARIO
SCENARIO Mr Smyth is a 52 year old man with a past history of chronic obstructive pulmonary
disease (COPD), who was admitted two days previously with a diagnosis of an upper
respiratory chest infection; he is on antibiotics; and his vital signs have been stable.
After lunch the nurse comes to do his vital signs and finds him in bed very breathless &
he states that he feels unwell.
STATION Establishes priorities for resolution of identified health needs
and implements planned nursing care to achieve the identified outcome
Effectively manages the nursing care of the patient.
APPLICANT Undertake a patient assessment including vital signs
REQUIRED TO Analyse data provided accurately and comprehensively
Implement priority nursing care that is accurate, safe, comprehensive and
effective
the patient.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE PATIENT MR SMYTH AGED 52, WHO IS IN THE BED.
YOU ARE EXPECTED TO CARRY OUT AND CHART A SET OF VITAL SIGNS ON THE ASSESSOR
WHO IS ACTING AS THE PATIENT.
HOWEVER, FOR THE PURPOSE OF IMPLEMENTING CARE ON MR SMYTH YOU WILL BE GIVEN
ANOTHER SET OF VITAL SIGNS
BP & Pulse & Oxygen Saturation may be obtained using the BP monitor provided
3
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3 A: ASSESSORS ONLY
KEY POINTS Introduces self to patient
FOR Take vital signs & record TPR BP O2 Saturation
ASSESSORS --------------------------------------------------------
Using the pre-recorded set of vital signs
Temperature 37degrees C, Respiratory Rate 28/min, Heart Rate 110 beats per minute
and regular, Blood Pressure 140/75mmHg, Saturation 88%.
Provides the patient with 2L oxygen via nasal prongs
Ensuring the patient is upright and supported by pillows
Continue to communicates with & reassures the patient
Educates the patient on the importance of remaining upright in the bed or sitting out on
a chair.
PROMPTS Assessor as patient: Mr Smyth, a 52 year old man with a past history of COPD, who
was admitted two days previously with a diagnosis of URTI, you are on antibiotics and
your vital signs have been stable. After lunch the nurse comes to do your vital signs
and finds you very breathless. Your vital signs are Temperature 37degrees C, RR
28/min, Heart Rate 110bpm and regular, Blood Pressure 140/75mmHg.You are very
low in the bed and following repositioning and arrangement of pillows and oxygen via
nasal prongs your RR settles, you saturation returns to 90% and you appear more
comfortable.
Please remember that the applicant carries out a set of vital signs on the actor patient
(assessor) but for the purpose of implementing the care for Mr Smyth the applicant
needs to be given a chart with another set of vital signs
FOR THE Bed table
STATION Observation Charts (blank) x 30
Oxygen nasal prongs & tubing (3)
BP Monitor including pulse oximeter & oxygen saturation
Thermometer digital
Wipes for thermometer
Alcohol Hand Gel
Pen & Pencil
PRE PREP Observation Charts (filled in)
Drug Kardex charted for O2
Patient ID

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Technical Skill Mrs White is a 32 year old woman
She was admitted with abdominal pain, with a queried diagnosis of a duodenal ulcer
She is awaiting investigations to confirm diagnosis.
STATION Demonstrates a level of competence in clinical practice skills essential for safe practice
patient
APPLICANT Carry out patient observations using the National Early Warning Score System
REQUIRED TO (NEWS)
Score and document each observation
Carry out pain assessment and write narrative on findings.
the patient.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE PATIENT MRS WHITE AGED 32, WHO IS IN THE BED.
YOU ARE EXPECTED TO CARRY OUT AND CHART A SET OF VITAL SIGNS, USING THE NATIONAL
EARLY WARNING SCORE SYSTEM (NEWS) ON THE ASSESSOR, WHO IS ACTING AS THE PATIENT.
BP & Pulse & Oxygen Saturation may be obtained using the BP monitor provided
3
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3 B: ASSESSORS ONLY
KEY POINTS Wash hands
FOR Introduces him/herself to patient and explains the procedure
ASSESSORS Carry out an accurate set of observations
Scores each parameter
Carry out pain assessment
Documents all findings.
PROMPTS Assessor as patient: Mrs White a 32 year old lady who was admitted with abdominal
pain queried duodenal ulcer You are awaiting investigations. The nurse will carry out a
set of observations using the NEWS chart and a pain assessment When asked about
your pain say 7/10 the pain is not there all the time, but worse if you move and is
aching in nature.
FOR THE Bed table
STATION Observation Charts (blank) x 30 (NEWS)
BP Monitor including pulse oximeter & oxygen saturation
Thermometer digital
Wipes for thermometer
Alcohol Hand Gel
Pen & Pencil
Box of gloves and aprons.
PRE PREP Patient ID

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TYPE SCENARIO
SCENARIO Mr Byrne, a 63 year old man, with a diagnosis of diabetes mellitus, is sitting on a chair
beside his bed.
On arrival at his bed to conduct the morning vital signs, the nurse observes that the
patient is awake, sweaty and pale.
The nurse immediately takes vital signs plus a blood sugar, which is 2.9mmol/L and
vital signs are all stable.
STATION Analyses the patient data
Identify patient problem/need
Implement a plan of care
Interacts, communicates and provides reassurance to the patient in a professional,
caring manner.
APPLICANT Prioritise the patient’s care needs
REQUIRED TO Deliver immediate nursing care that is accurate, safe, comprehensive and
effective
the patient.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE PATIENT MR BYRNE AGED 63
4
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4 A: ASSESSORS ONLY
FOR Undertakes an assessment of the patient
ASSESSORS Communicates with the patient, advising him of findings and reassure him that his BSL
is low and it can be treated and he will feel better
Obtains appropriate glucose drink (lucozade/ milk & biscuits) and administer it
immediately
Returns the patient to bed to maintain patient safety
Reviews Drug Kardex: check dose and administration of Insulin
Plan: Repeats blood sugar & orders food e.g. Tea/Toast from catering.
PROMPTS Assessor as Patient: Mr Byrne a 63 year old man, with a diagnosis of diabetes
mellitus, sitting on a chair beside the bed. You are alert, awake, sweaty and pale. The
nurse has taken a blood sugar & your vital signs, and has told you the vital signs are
all stable and your blood sugar is 2.9 mmol/L.
If asked how you feel say “I feel light headed and nauseated”
If/when asked about eating/breakfast say “I did get my insulin but ate very little
breakfast” If the nurse does not give you glucose you should become drowsier.
If offered food say “I feel better and will eat something small”.
FOR THE Bed table
STATION Chair
Intake & Output chart x 30
Alcohol Hand Gel
Pen & pencil
PRE PREP Observation chart pre-recorded: Vital Signs
Blood Sugar Monitoring Chart pre-recorded
Drug Chart: pre-recorded (insulin)
Tictacs in labelled bottles
Lucozade
Patient ID

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Technical Skill Mr Roche is a 22 year old male
He was admitted three hours ago for neurological observation following a fall from a
ladder
He sustained concussion but no other injury.
STATION Establishes and maintains accurate, clear and current patient records within a legal
and ethical framework
patient
Demonstrates a level of competence in clinical practice skills essential for safe
practice.
APPLICANT Using the Glasgow Coma Scale (GCS) carry out assessment of eye opening, verbal
REQUIRED TO response and motor response
Document the assessment
Interact and communicate effectively with the patient.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE PATIENT MR ROCHE AGED 22
4
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4 B: ASSESSORS ONLY
KEY POINTS Wash hands
FOR Observes the patient without speech or touch
ASSESSORS Introduces him/herself to patient
Communicates & reassures the patient
Informs and explains the procedure to the patient
Carries out an accurate GCS assessment
Talks to the patient to establish level of consciousness
Orientates the patient
Assesses size shape, equality and reaction of pupils to light
Scores GCS & documents findings.
PROMPTS Assessor as Patient: Mr Roche a 22 year old man, admitted three hours ago for
observation following a fall from a ladder when you sustained a concussion but no
other injury.
You are very drowsy, lying on the bed with your eyes closed
Eye opening is not spontaneous but you open your eyes to speech
In response to direct questions, you are confused, that is, you know who you are but
not where you are or the current day or year.
REQUIREMENTS Dressed Bed
FOR THE Bed table
STATION Chair
Alcohol Hand Gel
Pen & pencil
Glasgow coma scale
ID band
Pen torch

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TYPE Scenario
SCENARIO Mrs Walsh is a 55 year old patient admitted to the ward (St Monica’s ward) from the
Operating Theatre four hours ago following a laparotomy for a bowel obstruction.
An estimated blood loss of 1.2litres is documented on the theatre notes.
The patient is on 2litres of oxygen via nasal prongs, and intravenous fluids of
Hartmann’s Solution at 80mls per hour. There is a urinary catheter in-situ and the
urinary output for the last 2 hours is 15mls and 10mls. Urine is concentrated and
yellow/orange in colour.
Patient is prescribed antibiotics and is receiving analgesia (morphine) via a Patient
Controlled Analgesia (PCA) pump. Morphine use is within normal limits and pain is
controlled.
Bloods were taken for Full Blood Count (FBC), Coagulation Screen (Coag) Urea &
Creatinine (U&E), when the patient returned to the ward. All results are normal.
The vital signs are as follows: Heart Rate 120 beats per minute and regular; Blood
Pressure 95/60mmH; Respiratory rate 25 per minute; Temperature 37.2 degrees
Celsius.
The blood pressure is progressively decreasing and the heart rate is progressively
increasing. On abdominal assessment the wound has a dry dressing, no ooze of
blood, abdomen is soft to touch and not distended. The lady is awake and alert.
STATION Communicate the patient’s condition to the appropriate member of the health care
team
Communicate in a systematic &collaborative way, and if necessary in an assertive
manner, directed toward decision making concerning the patient.
APPLICANT Contact the surgical team (Dr Murphy) to discuss the patient’s
REQUIRED TO deteriorating condition
Communicate clearly, effectively and assertively with the doctor in a
systematic manner
Provide a clear rationale for why the doctor should come to the patient.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS DR MURPHY(THE SURGICAL INTERN)

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5
5 A: ASSESSORS ONLY
KEY POINTS Phone Doctor& Confirms it is Dr Murphy
FOR Identify him/herself: name & location & references patient
ASSESSORS Identifies concern:
vital signs and identify the trends (BP progressively decreasing, HR progressively
increasing.) Identify the trends on the Intake/Output chart, Urinary output
progressively decreasing, and urine concentrated yellow/orange in colour
Abdominal assessment, wound has dry dressing, no ooze or blood, no distension and
is soft to touch
Patient is prescribed antibiotics and is on morphine PCA Morphine use within normal
limits and pain is controlled
States Background: What is the relevant background?
o Immediate History - Returned from Theatre four hours ago following laparotomy for a
bowel obstruction
o Estimated Blood Loss in theatre 1.2 L
Gives Assessment: What the nurse thinks the problem is?
o Patient needs more fluid, may be dehydrated
Makes Recommendation: “Review the patient now”
“Review prescribed fluid”
PROMPTS Assessor as: Dr Murphy the surgical intern. When contacted answer the phone with
“Hello Surgical intern” if asked confirm you are Dr Murphy. The nurse should give you
(if not ask) her name, a brief history of the patient, vital signs, intake and output, blood
results, and state her/his concerns. Reply “I am admitting a patient and will come to the
ward later on when I have finished the admission and examined another patient in St
Paul’s Ward” Pause and give applicant chance to assert her/himself. Then ask is that
ok with you? Only agree to come at once “will come straight away” if the nurse is
assertive and indicates it is urgent. Patient as follows: A 55 year old female patient
Mrs. Walsh admitted to the ward from the Operating Theatre following a laparotomy
four hours previously. An estimated blood loss of 1.2litres is documented on the
theatre notes. The patient is on 2litres of O2 via Nasal prongs, and IV Fluids of
Hartmann’s Solution at 80mls/hour. There is a urinary catheter in situ and the urinary
output for the last two hours is 15mls& 10mls. The patient is receiving analgesia
(Morphine) via a Patient Controlled Analgesia pump. Bloods were taken for Full Blood
Count, Coagulation Screen, Urea & Creatinine when the patient returned to the ward,
(All essentially normal) Now the patient’s vital signs are as follows: Heart Rate 120bpm
and regular, Blood Pressure 95/60mmHg, RR 25/min and regular, temperature 37.2
degrees Celsius. On abdominal assessment the wound has a dry dressing; no ooze of
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blood, abdomen is soft to touch and not distended.
REQUIREMENTS Room with two phones & screen between them & extension number
FOR THE 3 chairs (2 + 1)
STATION ISBAR Tool
Pen & pencil
PRE PREP Observation chart with4 hr vital signs recorded
Intake & Output chart marked up 4 hrs recorded
Drug Kardex marked up

TYPE SCENARIO
SCENARIO Ms Doyle a 35 year old patient has a history of epilepsy, which was well controlled until
recently when she experienced an increase in seizure activity.
She was admitted two days ago for a review .
The nurse goes into the dayroom and finds her slumped on the couch with jerking
body movements.
STATION Provides for the safety, comfort and dignity needs of the patient
Implements nursing care that is accurate, safe, comprehensive and effective
Interacts, communicates and provides reassurance to the patient in a professional,
caring manner.
APPLICANT Maintain a safe and dignified environment for the patient
REQUIRED TO Call for help
(ask the assessor who is not the patient to get help & continue with care)
Undertake an assessment of the patient, observe the seizure
Do state what you are observing patient for
Deliver nursing care during and immediately after the seizure that is
accurate, safe, comprehensive and effective
Communicate effectively with the patient
Document the seizure & care provided.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE PATIENT MS DOYLE AGED 35

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6 A: ASSESSORS ONLY
KEY POINTS Remind applicant to verbalise his/her actions
FOR Introduces him/herself to patient
ASSESSORS Identifies patient & calls for help
(ask the assessor who is not the patient to get help & continue with care)
Undertakes a prompt assessment of the patient
o Maintains a safe environment for the patient and self
o Observes time& length of seizure; position of head; patient’s airway and colour; lets
the patient’s seizure progress and makes no effort to restrain the seizure
Observes the seizure itself
o Communicates with and reassures the patient
o Protect head with cushion and protects patient’s dignity with throw
Seizure self-limiting and ends within 2 minutes
Completes documentation
PROMPTS Assessor as patient: Ms Doyle a 35 years old patient with a history of epilepsy that was
well controlled until recently when you experienced an increase in seizure activity and
this admission to hospital is for a review of your medication. You are lying on the couch
with jerking body movements. The seizure is self-limiting, ends within 2 minutes. and
you should then fall asleep
REQUIREMENTS Dayroom
FOR THE Couch with cushion & throw
STATION Nurse’s Notes: Continuation Sheet
Pen & pencil
PRE PREP Patient ID

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TYPE SCENARIO
SCENARIO Mrs York a 55-year old woman
She was admitted for back surgery for a prolapsed disc
Her surgery is due tomorrow
The surgeon visits and outlines in detail the surgery needed and the potential
complications Shortly afterwards the nurse enters the sitting-room and finds the patient
anxious, upset and crying.
STATION Provides psychological care
patient
Interacts, communicates and provides reassurance to the patient in a professional and
caring manner.
APPLICANT Provide appropriate psychological care
REQUIRED TO Communicate clearly and effectively with the patient
Document summary of interaction.
COMPETENCIES Holistic approaches to care and the integration of knowledge
TO BE Interpersonal relationships
ASSESSED Organisational and management of care.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE PATIENT MRS YORK AGED 55
6
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6 B: ASSESSORS ONLY
KEY POINTS Greets the patient
FOR Introduces him/herself to the patient
ASSESSORS In a compassionate, caring manner enquires why the patient is upset
Sits down beside patient
Remains calm and professional
Gives reassurance and information
Listens actively to all the patient’s concerns
Probes in an empathetic manner
Provides and clarifies information on the surgery
Gives details of post-operative care to help alleviate concerns
All information given is honest and supportive
Suggests that you may wish to see the surgeon again or possibly the anesthetist
Suggests to contact family member/friend as support
Documents
PROMPTS Assessor is Mrs York a 55-year old female admitted to the ward for back surgery for a
prolapsed disc. Surgery scheduled for tomorrow. The surgeon visits and outlines in
detail the surgery needed and the potential complications. Shortly afterwards the nurse
enters the sitting- room and finds you anxious, upset and crying. You are worried as
you were unaware of all the possible complications and wonder if you will allow the
surgery precede. As the conversation progresses tell the nurse your mother died
undergoing surgery. After some time stop crying & tell the nurse you appreciate
his/her time.
REQUIREMENTS Box of tissues
FOR THE Dayroom
STATION Couch
Nurse’s Notes: Continuation Sheet
Pen & pencil
PRE PREP Patient ID

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TYPE SCENARIO
SCENARIO Mrs Brown is an elderly woman with end stage pancreatic cancer.
She is receiving end-of-life/palliative care.
There is a Do Not Attempt Resuscitate (DNAR) in place.
Her family lives nearby and has just gone home to have lunch but have informed the
nurse they have a strong wish to be beside her when she dies/passes away.
The nurse assured the family that they would be contacted if there was any change in
the lady’s condition.
During the family’s absence, the nurse observes that the patient has deteriorated, her
breathing rate has become less regular.
She now has Cheyne-stokes respirations.
STATION Interacts, communicates and updates a patient’s relative in a professional, systematic,
sensitive, caring and collaborative manner.
APPLICANT Contact the next of kin via telephone and communicate clearly, accurately,
REQUIRED TO and sensitively regarding Mrs Brown’s deteriorating condition
the patient’s relative
Document record of telephone call.
Personal and professional development.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE DAUGHTER/SON OF THE PATIENT
7
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7 A: ASSESSORS ONLY
KEY POINTS Checks patient’s record for telephone number of next of kin(NoK) and DNAR
FOR Introduces him/herself & confirms the identity of the NoK
ASSESSORS With sensitivity and empathy, acknowledges that family has just left for lunch
Informs the NoK that Mrs. Brown has deteriorated
Ensures a gentle manner and a calm tone of voice is used
Advises that the relatives breathing is less regular than previously
Advises them that it may be appropriate to return to the hospital
Reassures the NOK that you will stay with Mrs Brown until arrival of NOK
Documents the call in patient’s notes.
PROMPTS Assessor as daughter/son of patient:
Write in your name & number on the notes & who you are
You are the relative of Mrs Brown an elderly lady with end stage pancreatic cancer,
who is receiving end of life/palliative care. You are aware there is a Do Not Resuscitate
(DNAR) in place. You live near the hospital, and have just gone home to have lunch
but have a strong wish to be beside your mother when she passes away. The nurse
assured you that the staff would contact you if there was any change in your mum’s
condition. During your absence, the nurse observes that the patient has deteriorated,
her breathing rate has become less regular and she has begun Cheyne Stoking.
You will receive a call from the nurse: if she/he does not identify her/himself ask “who
is this?” When she/he identifies it is the hospital/ward calling ask in a panicked voice
“what has happened I am just after leaving the hospital?”
She/he informs you that your mum has deteriorated & breathing is less regular than
previously you should get very upset, through sobs ask “when did this happen?”
If he/she does not advise you that it may be appropriate to return to the hospital ask
“do I need to go back in immediately? I should have stayed” If he/she does not say she
will stay with your mother ask “can you stay with my Mum until I get to her bed side I
will not be long, I do not want her to be alone?”
At the end of your conversation say “thank you”
REQUIREMENTS Two Telephones (separated visually but within hearing) & extension number
FOR THE 3 chairs
STATION Nurses’ Notes: Continuation Sheets x 30
Pen & pencil
PRE PREP File/Documentation containing NOK name & number & DNAR Instruction

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TYPE SCENARIO
SCENARIO Mrs Daly, a 65 year old lady with a history of chronic renal failure was admitted two
days ago for investigations.
The patient is unresponsive and not breathing normally.
STATION Assesses the patient and determines priorities for care based on need, acuity and
optimal time for intervention
Delivers immediate/emergency nursing care that is accurate, safe, comprehensive and
effective.
APPLICANT Assess the patient and determine the priorities of care based on the need,
REQUIRED TO acuity and optimal time for intervention
Call for help to get the Cardiac Arrest Team & get Cardiac Arrest Trolley
(ask one of the assessors)
Commence adult basic life support on the patient
Continue with cycles of Basic Life Support (BLS)/Cario-Pulmonary
Resuscitation (CPR) until assessor tells you to stop
When assessor tells you to stop, advise Cardiac Arrest Team (the two
assessors) of what happened
NOTE TO APPLICANT:
YOU ARE EXPECTED TO WORK ON THE MANNEQUIN
8
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8 A: ASSESSORS ONLY
FOR Check scene for safety
ASSESSORS Undertakes an immediate assessment of the patient
o Check patient alertness
o Check pulse (carotid)
Listens for breathing (rise & fall of chest)
Identifies cardio-respiratory arrest
Calls for help
Notes time
o Positions patient flat, removes back of bed, repositions patient down into the middle of
bed, checks if air mattress present and release air if required
o Commences CPR
Provides head tilt/chin lift maneuver & rescue breaths via Pocket mask
Ensures adequate ventilation
Delivers compressions 30 to 2 cycle
Re-checks
PROMPTS Assessor as patient: Mrs Daly, a 65 year old lady with a history of chronic renal failure
who was admitted two days previously for investigations.
When the nurse enters the room she finds the woman unresponsive and not breathing
normally.
Applicant calls on you &identifies an arrest & asks you to get CAT & Trolley (but you
do not need to leave room)
Allow applicant to perform two cycles at least & then tell her to stop & brief the Arrest
team (ie the two assessors)
REQUIREMENTS CPR Mannequin on bed, on pillows
FOR THE Pocket Mask
STATION Box of gloves
Alcohol Hand Gel
Pen & Pencil
PRE PREP Patient ID

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8 B APPLICANT & ASSESSORS

STATION NUMBER & TYPE STATION 8 B
Technical Skill TECHNICAL SKILL
AIMS OF THE STATION This station is designed to assess how the applicant:
Demonstrates a knowledge base grounded in recent evidence-based
nursing research
Demonstrates a level of competence in medication management essential
for safe practice
Communicate clearly and effectively with the patient.
APPLICANT REQUIRED TO Establish and maintain accurate, clear and current patient
records within a legal and ethical framework
Demonstrate a level of knowledge essential for safe practice
Demonstrate the safe administration of Furosemide (lasix)
40mgs orally
Communicate and provide education to the patient to maintain
and promote health
Ensure patient understands relevant and current information
concerning medication
Document the administration of the drug
COMPETENCIES TO BE Professional and ethical practice
ASSESSED Holistic approaches to care and the integration of knowledge
Interpersonal relationships
NOTE TO APPLICANTS One of the Assessors will act as the patient to whom you will administer the
oral drug
Furosemide (also known as Frusemide) sold under the brand name Lasix
among others, is a Loop diuretic that works by decreasing the reabsorption
of sodium by the kidneys. It is used to treat fluid build-up.
A MIMS & a BNF is available if required.

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8 B: ASSESSORS ONLY
KEY POINTS FOR ASSESSORS Checks the drug prescription is complete, correct, legible, signed and
dated
Checks patients allergy status, correct patient, drug, dose, date, time &
route of administration
Washes hands and selects correct drug checking name and expiry date
Checks patients fluid balance, blood pressure record and potassium level
Takes drug to the bedside in medicine cup and checks patients name with
patient and armband
Evaluate patients knowledge of the drug: action and side effects
Ensures drug is taken immediately by patient with a glass of water
Documents clear accurate and immediate record of drug delivered
PROMPTS IF APPLICABLE Assessor acts as patient sitting out on a chair. You have been recently
prescribed the drug and have no knowledge of its benefits or side effects
The nurse should check your blood pressure reading and your fluid status If
asked you just know the drug will make you pass more urine and relieve
your congestion The nurse should explain that:
it is best taken at the same time early in the day to avoid disturbing
your sleep
the drug acts within one hour of administration and diuresis is
complete within about six hours
you will need more frequent blood tests to check your potassium
level, your urine output will be measured initially to monitor the
effect of the drug
REQUIREMENTS FOR THE Lasix (tic tac as mock medication) in labelled container
STATION Glass of water
Pen
MIMs
BNF
Hand-gel
PRE PREP ID Band
Intake & output chart filled in
Observation chart with vital signs charted
Urea & electrolyte record
Drug Prescription & Administration chart with drug charted

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Technical Skill The patient is two days post-surgery and requires changing of abdominal wound
dressing.
STATION Incorporates relevant research/evidence-based concepts into nursing practice
Selects and utilises resources effectively and efficiently
practice.
APPLICANT Prepare for wound dressing demonstrating aseptic technique& adhere to
REQUIRED TO universal precautions
Prepare trolley
Remove wound dressing
Clean wound
Apply new wound dressing
Explain what you are doing
Dispose of waste appropriately.
NOTE TO APPLICANT:
9
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9 A: ASSESSORS ONLY
KEY POINTS Explains & discusses the procedure with the patient
FOR Washes hands
ASSESSORS Puts on disposable apron
Cleans trolley
Fills trolley with requirements
Checks pack & dressing is dry, intact and undamaged Places all products for dressing
on bottom shelf of dressing trolley
Removes old dressing while reassuring patient (mannequin)
Carries out wound care & applies dressing asceptically
Clears all away.
REQUIREMENTS Mannequin on dressed couch (half mannequin covered with blanket below waist)
FOR THE Simulated wound with dressing on it
STATION Sink and Solution for Hand Washing
Aprons x 30
Box of gloves
Dressing Trolley: Empty
Cleanser for trolley
Sterile Dressing Pack
Wound Cleansing Solution 0.9% NaCl (sachets)
Alcohol Hand Gel
Pen & Pencil
PRE PREP Patient ID

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TECHNICAL The patient has a peripheral catheter in situ in a vein in the arm
SKILL The dressing on the catheter is not secure & requires changing
STATION Incorporates relevant research/evidence-based concepts into nursing practice
Selects and utilises resources effectively and efficiently
practice.
APPLICANT Prepare for dressing demonstrating aseptic technique
REQUIRED TO Prepare trolley
Remove dressing
Assess for signs of local complications of the catheter site & verbalise your
assessment
Clean the catheter site and change peripheral cannula site dressing
Apply new wound dressing
Adhere to universal precautions throughout
Communicate clearly and effectively with the patient
Document the procedure
Dispose of waste appropriately.
TO Interpersonal relationships
BE ASSESSED Organisational and management of care
NOTE TO APPLICANT:
9
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9 B : ASSESSORS ONLY
KEY POINTS Remind applicant to verbalise his/her assessment of catheter site
FOR Explains & discusses the procedure with the patient
ASSESSORS Washes hands
Puts on disposable apron
Cleans trolley
Fills trolley with requirements
Removes old dressing while reassuring patient (mannequin)
Inspect site: phlebitis/infection/redness/swelling
Applies dressing asceptically
Clears all away
Document the condition of the site and the care given.
REQUIREMENTS Mannequin on dressed couch (half mannequin covered with blanket below waist)
FOR THE In situ catheter with dressing
STATION Sink and Solution for Hand Washing
Aprons x 30
Box of gloves
Dressing Trolley: Empty
Cleanser for trolley
Sterile Dressing Pack
Wound Cleansing Solution 0.9% NaCl (sachets)
Tape
Alcohol Hand Gel
Pen & Pencil
Nurses’ Notes
PRE PREP Patient ID

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TECHNICAL The patient is dehydrated and is prescribed an intravenous infusion via a peripheral
SKILL cannula, which has been inserted by the doctor.
STATION Practices in accordance with legislation affecting nursing practice
Demonstrates a knowledge base in line with evidence-based universal precautions
practice.
APPLICANT Prepare Normal Saline (NaCl 0.9%) for gravity infusion, priming the
REQUIRED TO intravenous administration set with infusion fluid, connect to an
intravenous cannula (but do not start the infusion)
Adhere to universal precautions
Verbalise your actions throughout the procedure.
NOTE TO APPLICANT:
YOU ARE REQUIRED TO USE THE MANNEQUIN’S ARM
10
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10 A: ASSESSORS ONLY
KEY POINTS Before administration, reviews the patient’s prescription and checks the patient’s
FOR name, name of prescribed infusion, date for administration, signature of prescriber,&
ASSESSORS the prescription is legible
Infection Control: Washes hands with bactericidal soap and water or bactericidal
alcohol hand rub
Selects bag of Nacl 0.9% Checks its colour, consistency of solution in bag and expiry
date. Selects intravenous administration set, checks expiry date, primes the
intravenous administration set with infusion fluid and hangs it on the IV Drip stand
Checks identity of patient& connects IV fluid to IV catheter.
Ensures cannula and giving set is secure.
REQUIREMENTS Bed
FOR THE Mannequin’s Arm with IV access
STATION Bag of Nacl 0.9%
Scissors
Giving set
Drip stand
Sharps disposable container
Waste disposable bag
Box of gloves
Sink and Solution for Hand Washing
Alcohol Hand Gel
Pen & Pencil
PRE PREP Prescription for the fluid
Patient ID

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TYPE SCENARIO
SCENARIO Mr Murphy a 75 year old man was admitted ten days ago and has been treated
successfully for pneumonia with antibiotics. His sputum culture and sensitivity is now
clear. He has reported one episode of chest pain and following a review (including an
unremarkable ECG) continues on the same treatment (glyceryl trinitrate (GTN) if
required (PRN) for his angina. No further episodes of chest pain were reported during
his admission. The patient was also treated for constipation and education was
provided on the importance of maintaining fluid intake, &dietary fibre. The dietician has
met the patient and given further advice on diet to avoid constipation. He is a heavy
smoker and lives alone. A meeting with smoking cessation counselor has been offered
but was declined by the patient The social worker has visited the patient and a review
of his entitlements was undertaken. His planned discharge date is tomorrow. The
Medical Consultant has verified patient is ready for discharge. Appropriate
communication is prepared to update Public Health Nurse and GP. The patient informs
the nurse that his family is aware he is for discharge and can collect him before 12md.
The patient was advised to take flu vaccine.
The Clinical Nurse Manager requests a full report on this patient’s readiness for
discharge.
STATION Provides a detailed report on the patient to the Clinical Nurse Manager
APPLICANT Discusses & communicates the plan for this patient’s discharge and
REQUIRED TO follow-up care clearly and accurately to the Clinical Nurse Manager.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS THE CLINICAL NURSE MANAGER (CNM)
11
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KEY POINTS Presents a comprehensive summary, identifying the key nursing care interventions and
FOR outcomes which were experienced by the patient during the admission: Pneumonia
ASSESSORS treated with antibiotics, episode of chest pain, managed with GTN and no changes to
treatment regime. Constipation, secondary to reduced fluid and diet. Patient education
given on the importance of diet, exercise, smoking cessation and advised to take flu
vaccine
 Medical Consultant has verified patient is ready for discharge
 Dietician has met patient and given further advise on diet to avoid constipation Meeting
with smoking cessation counsellor has been offered to the patient but declined Social
worker, has visited patient and a review of his entitlements was undertaken
 Confirms appropriate communication is prepared to update Public Health Nurse and
GP. Family are aware that patient is for discharge in the am and can collect him before
12md.
PROMPTS Assessor as CNM who has requested a full report from the nurse on the following
patient’s readiness for discharge.
Mr Murphy a 75 year old man was admitted ten days ago and has been treated
successfully for pneumonia with IV and later PO antibiotics. His sputum culture and
sensitivity is now clear. He has reported one episode of chest pain and following a
review continues on the same treatment for his angina. No further episodes of chest
pain were reported during his admission. The patient was also treated for constipation
and education was provided on the importance of maintaining fluid intake and dietary
fibre. He is a heavy smoker and lives alone. He has been seen by the Dietician
regarding his diet to avoid further episodes of constipation, the Social Worker has
reviewed his entitlements and he has declined an offer to see the smoke cessation
counsellor. The nurse has completed the documentation for the Public health nurse
and the doctor has written a summary of his admission for his GP. His planned
discharge date is tomorrow and the consultant has confirmed the patient is ready for
discharge. The patient has informed the nurse that he has spoken to his family and
they will be able to collect him before 12md.
If not referred to ask about pneumonia, Episode of chest pain,
constipation, patient education given on importance of diet, exercise, smoking
cessation and was advise given to take flu vaccine?
Has Consultant agreed patient is ready for discharge?
Dietician has met patient and given further advice on diet to avoid constipation
Smoking cessation counselor has been offered to the patient but declined. The Social
worker has met patient, as he lives alone and a review of his entitlements was
undertaken
Appropriate communication prepared to update Public Health Nurse and General
Practitioner. Find out if family is aware that patient is for discharge in the am?
REQUIREMENTS Exam table & 3
FOR THE Nurses’ Notes: Continuation Sheets x 30
STATION Screen around to conceal
Pen & Pencil
PRE PREP

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Page 42 of 58
TYPE SCENARIO
SCENARIO Mrs McHugh is an 82 year old frail woman
She is below average in build, has very poor appetite, her skin is very dry, she has
restricted mobility and has occasional incontinence
She has a history of diabetes mellitus and cardiac failure, both conditions are well
controlled
Her Waterlow score is 20+ and she is considered a very high risk of pressure ulcer
She was admitted for review of her current medication for Parkinson’s disease.
STATION Demonstrates a knowledge base grounded in recent evidence-based research
Indicates the health care personnel needed in care planning for the patient
APPLICANT Based on the Waterlow Score Assessment and specific to the Pressure Area Care of
REQUIRED TO this patient:
Write a narrative indicating what members of the interdisciplinary team need to be
involved in this patient’s care, giving a reason for the choices made, to ensure care is
appropriate and effective
Communicate clearly and accurately in writing.
ASSESSED Organisational and management of care.
NOTE TO APPLICANT:
This is a documentation exercise & there is not a patient at the station.
11
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11 B: ASSESSORS ONLY
KEY POINTS Applicant may include the following members of MDT
FOR CNM to order pressure relieving mattress for bed & pressure relieving cushion for chair
ASSESSORS Tissue viability nurse specialist to advise on pressure area care
Physiotherapist re active & passive exercise
Occupational therapist re equipment
Dietician re nutrition, nutritional screening & nutritional supplements requirements
Medical team re hydration
Care assistant re giving assistance with eating and drinking.
REQUIREMENTS Table & 3 Chairs
FOR THE Nurses’ Notes: Continuation Sheets x 30
STATION Screen around to conceal
Pen & Pencil
PRE PREP Pre-recorded Waterlow Assessment Score Sheet

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TECHNICAL Drug medication chart review and drug calculations
SKILL
STATION Demonstrates a knowledge base grounded in recent evidence-based nursing research
Demonstrates a level of competence in clinical practice skills essential for safe practice.
APPLICANT Review the prescription
REQUIRED TO Review a Drug Administration Chart
Record any prescribing or administration errors on the answer sheet
provided
Undertake four drug calculations as per the answer sheet provided.
ASSESSED Organisational and management of care
12
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KEY POINTS ERRORS:
FOR Prescription sheet with errors: No signature by the prescriber for one drug; another
ASSESSORS drug with no route identified
Drug Administration Chart: Antibiotic ceased two days ago but charted as given today.
CALCULATIONS:
30mg of Furosemide IV has been prescribed for the patient
Furosemide Injection 10mg/ml is available in a 2ml ampule
Calculate how many mls of the drug are required? (3mls)
7.5mg of Morphine IV has been prescribed for a patient
Morphine Sulphate 10mg/ml is available in a 1ml ampule
Calculate how many mls of the drug are required? (0.75mls)
400mg of an oral drug has been prescribed for a patient.
The drug is available as a syrup containing 500mg in 5mls
Calculate how many mls of syrup should be administered to the patient? (4mls)
75mgs of pethidine has been prescribed for a patient
Pethidine is available as 100mg in a 2ml ampule
Calculate how many mls of the drug are required? (1.5mls)
REQUIREMENTS Calculator
FOR THE Pen & Pencil
STATION Table & 3 chairs
Continuation Sheets
PRE PREP Drug sheet with history of drugs & errors
Pre designed answer sheet

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TECHNICAL Drug medication chart review and drug calculations
SKILL
STATION Demonstrates a knowledge base grounded in recent evidence-based nursing research
Demonstrates a level of competence in clinical practice skills essential for safe practice.
APPLICANT Review the prescription
REQUIRED TO Review a Drug Administration Chart
Record any prescribing or administration errors on the answer sheet
provided
Undertake four drug calculations as per the answer sheet provided.
ASSESSED Organisational and management of care
12
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KEY POINTS ERRORS:
FOR Applicant reviews the drug kardex to identify:
ASSESSORS a prescription where a drug is not charted in BLOCK LETTERS
a prescription where the administration record has the words “not taken” in place of R
for refused
a prescription that has a drug prescribed and the signature is not legible
CALCULATIONS:
Amoxicillin 150mgs has been prescribed IV for the patient
The drug is available as 250mgs in a 10ml ampule
Calculate how many mls of the solution are required? (6mls)
Gentamicin 360mgs has been prescribed IV for a patient
The drug is available as 80mg in a 2ml ampule.
Calculate how many mls of the solution are required? (9mls)
The patient has been prescribed Aspirin 250mgs orally.
The tablets available are 500mgs/tablet.
How many tablets should be administered to the patient? (Half a tablet)
The patient has been prescribed 9,000 iu of heparin
The drug is available as 10,000iu per ml
Calculate how many ml of heparin are required? (0.9ml)
REQUIREMENTS Calculator
STATION Table & 3 chairs
Continuation Sheets
PRE PREP Drug sheet with history of drugs & errors
Pre designed answer sheet

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TYPE SCENARIO
SCENARIO The ward is short-staffed.
One of the patients, an elderly lady, has severe rheumatoid arthritis and is unable to
feed herself.
Her daughter/son stops the nurse in the corridor; she is very angry and states “I came
to visit my mother.
The dinner tray was being removed untouched, and my mother’s soup, dinner and
dessert are now gone back to the kitchen, and she has not received any dinner”.
STATION Acts to enhance the dignity and integrity of patient and family
Listens, interacts, communicates and updates the patient’s daughter/son in a
professional, systematic, empathetic and caring and collaborative manner
Offers solutions that address the needs of the patient and her daughter/son.
APPLICANT Empathetically listen to the patient’s daughter/son
REQUIRED TO Communicate clearly and accurately with the patient’s daughter/son
the patient’s relative
Respond appropriately using a range of communication techniques to
resolve the conflict.
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL ACT AS DAUGHTER/SON OF PATIENT
13
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Page 50 of 58
KEY POINTS Assume applicant & relative’s daughter son are in office
FOR Confirms the identity of who you are speaking with Introduces his/ herself to the
ASSESSORS relative
Listens actively to the complaint
Shows respect, courtesy & understanding of the relative’s perspective
Identifies that what happened is unacceptable
Offers an apology
Identifies what will be done to correct it immediately eg ring kitchen /obtain new tray/
ensure hot food
Reassures the relative that every effort will be made that this will not happen again
Suggests get an assistant (such as HCA) to feed in future or perhaps a relative might
help
Advises the relative that she/he can speak to the Clinical Nurse Manager
Informs relative re complaints procedure within the hospital
Documents incident in patient’s notes.
PROMPTS You are the patient’s relative: the daughter/son of an elderly woman who has severe
rheumatoid arthritis and is unable to feed herself.
You are very angry as you came to visit my mother to find the dinner tray was being
removed untouched, and your mother’s soup, dinner and dessert are now gone back
to the kitchen, and she has not received any food.
The scenario takes place in the office.
You angrily say “I came to visit my mother. The dinner tray was being removed
untouched, and my mother’s soup, dinner and dessert are now gone back to the
kitchen, and she has not received any dinner”.
You do not sit down unless it is suggested by the applicant.
Be angry and upset and keep repeating “this is not good enough, my poor mum”
If an apology is not offered say “I demand an apology”
If food for your mum is not suggested say “my mum needs her dinner, can you do
something about that? I can feed her.”
If she/he suggests you speak to somebody else say “I need to do so” If she/he does
not suggest you could speak to somebody else say “I need to go further with this”
At the end of your conversation say “thank you “
REQUIREMENTS Table & 3 chairs
STATION Screen to screen off mannequin

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TYPE SCENARIO
SCENARIO The nurse is working with a second year student nurse and will be caring for a patient
who is on bed-rest following lumbar surgery.
STATION Acts to support the personal and professional development of others
Based on evidence communicates & updates colleague in a professional, systematic
and collaborative manner.
APPLICANT Identify and discuss with the student: chest infections and pressure sores
REQUIRED TO as two potential complications associated with bed-rest
Communicate in a clear and accurate manner
Ascertain that student has understood the key points
Personal and professional development
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL BE ACTING AS A SECOND YEAR GENERAL STUDENT NURSE
14
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KEY POINTS Introduces him/herself to the student and chooses a quiet area to teach the student
FOR Discusses comprehensively the nursing care interventions associated with Chest
ASSESSORS Infection & Pressure Sores, two potential complication of bed rest
Encourages the student to ask questions throughout and encourages participation in
discussion
Development of Chest Infection
 Incentive spirometry, deep breathing exercises, coughing,&
 positioning
Pressure Sore Development and Reduced Skin Integrity
 Appropriate bed equipment
 Regular assessment of skin
 Risk Assessment Documentation
Enquires if student has any questions and advises him/her to read up on issues
discussed
Evaluates students learning at the end of the session.
PROMPTS Assessor as a second year student nurse, allocated to work with the qualified nurse
(applicant) caring for a patient on complete bed-rest following lumbar surgery. The
nurse has been asked to discuss the following with you: prevention of chest infections
and pressure sores both potential complications associated with bed-rest.
If asked you have not covered either topic in the classroom or clinical area
If she/he mentions Incentive spirometry ask “what is that” If she asks what you know
about eg deep breathing exercises, coughing, positioning and chest problems say “I
don’t know any of that as we will only cover that in our next semester”
If she/he enquires have you any questions say “no”
If he/she evaluates your learning at the end of the session only give back material she
has covered with you.
FOR THE Waterlow score
STATION Pen & Pencil
Incentive spirometer
Screen to screen off mannequin

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TYPE SCENARIO
SCENARIO The nurse is working with a second year student nurse and will be caring for a patient who has
a nasogastric tube in situ and is due for transfer from another ward.
Discuss with the student how to secure and check the position of the tube.
STATION Acts to enhance the personal and professional development of others
Incorporates relevant research findings into nursing practice
Interacts, communicates and updates a colleague in a professional, systematic and
collaborative manner.
APPLICANT Discuss with the student: how to secure and check the position of a nasogastric tube
REQUIRED TO Communicate in a clear and accurate manner
Ascertain that student has understood the key points.
Personal and professional development
NOTE TO APPLICANT:
ONE OF THE ASSESSORS WILL BE ACTING AS A SECOND YEAR GENERAL STUDENT NURSE
14
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KEY POINTS Introduces him/herself to the student and chooses a quiet area to teach the student
FOR Using appropriate equipment, demonstrates and discusses comprehensively with the
ASSESSORS student nurse how to secure and check the position of a nasogastric tube
Encourages the student to ask questions throughout and encourages participation in
discussion
 Allows the student time to respond to the information given
Enquires if student has any questions and advises him/her to read up on issues
discussed
Reinforces key points
Evaluates students learning at the end of the session.
PROMPTS Assessor as a second year student nurse, allocated to work with the qualified nurse
(applicant) caring for a patient with a naso-gastric tube in-situ for enteral feeding
The nurse has been asked to explain how to secure and check the position of a
nasogastric tube.
If asked you have not covered either topic in the classroom or clinical area
If she/he asks what you know about any aspect say “I don’t know any of that but we will cover
that in our next semester.”
If she/he enquires have you any questions say “no”
If he/she evaluates your learning at the end of the session only give back material she
has covered with you and be vague about some aspects covered as if you cannot remember
all the issues discussed.
FOR THE Screen
STATION Nasogastic tube
50ml feeding syringe
Ph strips
Kidney dish
Pen & Pencil

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STATION USAGE
Test Dec Dec 15 Jan 16 Jan 16 Feb 16 Feb 16 Mar 16 Mar 16 Apr 16 Apr 16
Station 15 repeat repeat repeat repeat repeat
1A YES YES YES YES YES YES YES YES
2A YES YES YES YES YES
3A YES YES YES YES YES YES YES
6A YES YES YES YES YES YES
8A YES YES YES YES
8B YES YES YES
10 A YES YES YES YES YES YES YES YES
11 A YES YES YES YES YES
12 A YES YES YES YES
12 B YES YES YES
13 A YES YES YES YES YES YES
14 A YES YES YES YES YES YES
STATION LOCATION
1A GROUND FLOOR DAY SUITE BED 1
5A GROUND FLOOR NURSES’ OFFICE
6A GROUND FLOOR WAITING-ROOM
7A GROUND FLOOR DON’S OFFICE
8A&B FIRST FLOOR CLINICAL SKILLS ROOM BAY 1
9A FIRST FLOOR CLINICAL SKILLS ROOM BAY 2
10 A FIRST FLOOR CLINICAL SKILLS BAY 3
11 A FIRST FLOOR CLINICAL SKILLS BAY 4
12 A & B FIRST FLOOR TR3
13 A FIRST FLOOR CRISIS MANAGEMENT 1
14 A FIRST FLOOR 14TH STATION FIRST FLOOR CRISIS MANAGEMENT ROOM 2
To date we had 14 stations: 10 scenarios and 4 technical skills

We now have 23 stations: 15 scenarios and 8 technical skills
We have communication, psychological care, teaching staff & patients, universal precautions, infection
control, dealing with crisis, delivering bad news, assertiveness, medication management, drug
calculations, drug administration, prescribing errors, peripheral cannula assessment & care, iv fluid
administration, discharge planning, COAD, diabetes, chest infection, hypoglycaemia, oxygen
administration, complications of bed rest, naso gastric tube, interdisciplinary team, BLS/CPR, seizure
management, chest pain, breathlessness, prevention of pressure ulcers,
Page 56 of 58
Introduce NEW Stations as follows:
March: 8B & 12B
May:

Page 57 of 58
OVERVIEW OF STATIONS
1A: Scenario 72 year-old man with chest pain. Focused Assessment. GTN
1B: Technical Skill 65 year-old woman with chest infection. Administration of Nebuliser.
2: Scenario 75 year- old man with constipation. Holistic Assessment. Patient education
3A: Scenario 52 year- old man with chronic obstructive pulmonary disease (COPD) & upper respiratory tract
infection (URTI) Breathless. Vital signs, repositioning & oxygen therapy.
3B: Scenario 32 year-old woman with abdominal pain. Pain assessment. Observations using national early
warning signs (NEWS).
4A: Scenario 63 year-old man with diabetes mellitus. Hypoglycemia. Recognition and treatment of low blood
sugar level.
4B: Scenario 22 year-old man with head injury. Neurological assessment using Glasgow Coma Scale (GCS).
5: Scenario 55 year-old woman post abdominal surgery. Communicating patients deteriorating condition using
ISBAR. Assertiveness.
6A: Scenario 35 year- old woman with a history of epilepsy. Patient safety. Nursing management of Seizure.
6B: Scenario 55 year-old woman awaiting back surgery. Communication. Psychological Care.
7: Scenario Elderly woman receiving end-of-life/palliative care. Do Not Attempt Resuscitate (DNAR) in place.
Communicating deterioration in condition to next of kin (NOK).
8A: Technical Skill 65 year-old woman with chronic renal failure. Unresponsive and not breathing normally.
Emergency care. CPR/BLS
8B: Technical Skill Medication management. Administration of oral medication. Patient education.
9A: Technical Skill Abdominal Wound Dressing. Aseptic Technique. Universal precautions
9B: Technical Skill Peripheral vein cannula care. Assessment of peripheral vein cannula site and changing of
dressing. Universal precautions.
10: Technical Skill Fluid admistration via peripheral IV cannula. Preparation of solution for gravity infusion.
Universal Precautions.
11A: Scenario 75 year old man for discharge home. Communication. Handover of discharge plan to clinical
nurse manager (CNM).
11B: Scenario 82 year-old frail woman with Parkinsons Disease. High risk of pressure ulcer. Written narrative
on which members of multiple disciplinary team (MDT) & the rationale for each involvement in the care.
12A: Technical Skill Medication Management. Review of drug prescription & Administration Chart.
Drug Calculation. Identification of drug prescribing and administration errors.
12B: Technical Skill Medication Management. Review of drug prescription & Administration Chart.
Drug Calculation. Identification of drug prescribing and administration errors.
13: Scenario Elderly lady who has not received her meal and relative is irate and angry. Communication &
Crisis management.
14A: Scenario Potential complications of bed rest. Teaching student nurse. Chest infection prevention and
pressure ulcer prevention education.
14B: Scenario How to secure and check the position of a naso gastric tube. Teaching student nurse.

Page 58 of 58

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OSCE STATION DESCRIPTOR

1 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

2 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

3 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

4 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

4 B: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

5 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

6 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

6 B: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

7 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

8 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

8 B APPLICANT & ASSESSORS

A MIMS & a BNF is available if required.

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

9 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

9 B: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

10 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

11 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

12 B: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

13 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

14 A: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

14 B: APPLICANT & ASSESSORS

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

To date we had 14 stations: 10 scenarios and 4 technical skills

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

© Faculty of Nursing & Midwifery, RCSI September 25th 2015

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