OSCE 2

Calculation of Body Mass Index (BMI)

a. Objective: This station aims to assess your skills in recording weight (in kgs), height (in cms) and
calculation of Body Mass Index (BMI)
b. Scenario: A 45 year old healthy male sitting in front of you.
c. Task:
i. Measure the weight and explain the procedure
ii. Measure the height & explain the procedure
iii. Calculate BMI & mention the class (as per the Asian classification of BMI)

(D= Appropriately done; PD= Partially done; ND=Not done)

S. No. TASK D PD ND
Preparation
1. Greets the patient
2. Introduces self to the patient/ group using name & designation
3. Explains the purpose & process of examination to the patient 2 1 0
4. Interacts in a professional, respectful & empathic manner

Procedure to record weight

5.  Set the scale at zero reading 2.5 1 0
 Have the patient remove shoes, heavy outer clothing (jacket) and
empty pockets (cell phones, iPods) to the extent possible.
 Ask the patient to step on the scale platform, facing away from the
scale read out, with both feet on the platform, and remain still with
arms hanging naturally at side and looking forward
 Read the weight value to the nearest 0.1 (1/10) Kg
 Record the weight value

Procedure to record Height

6.  Have the patient remove shoes, hat, and hair ornaments /buns 3.0 1.5 0
/braids to the extent possible
 Ask the patient to stand on the footplate or uncarpeted floor with
back against stadiometer rule
 Make sure that the student’s legs are straight, arms are at sides, and
shoulders are relaxed
 Assure the back of the student’s body touches/has contact with the
stadiometer at some point, preferably with heels, buttocks, upper
back and head touching the measuring surface
 Assure that the student’s body is in a straight line (mid-axillary line
parallel to the stadiometer)
 Assure the head is in the appropriate position (Frankfort plane)
 Lower the headpiece until it is touches the crown of the head firmly,
compressing the hair
 Position yourself so that your eyes are parallel with the head piece
and read the measurement to the nearest 0.1 cm
 Record the result

Procedure of calculating BMI

7. After collecting the height & weight of the patient BMI is calculated by BMI = 1 0.5 0
(weight in kilograms) divided by (height in meters X height in meters)
8. Analyse the results for any abnormal values 1 0.5 0
9. Ask the patient to wear his shoes & other accessories if they were removed 0.5 NA 0

10. Ensure that the patient is comfortable & thank him

 OSCE 3

Demonstration of wearing a face mask before entering the COVID-19 ward and doffing
a. Objective: This station aims to assess your skills in wearing a face mask with strings as well as your
communication skills in educating a small group
b. Scenario: Use the face mask (with strings) lying in front of you to educate the office staff of medical
college on how to wear it effectively and its doffing
c. Task:
i. Greet the office staff
ii. Demonstrate procedure of wearing a face mask (with strings) and explain
iii. Close the session appropriately

Checklist:

(D= Appropriately done; PD= Partially done; ND=Not done)

S. No. TASK D PD ND
1. Greets the patient 0.5 NA 0
2. Introduces self to the patient/ group using name & designation
3. Explains the purpose of the health talk 0.5 NA 0
4. Interacts in a professional, respectful & empathic manner
Procedure of wearing a face mask
5.  Clean your hands with soap and water or hand sanitizer before 5 0.5 0
touching the mask
 Make sure there are no obvious tears or holes in either side of
the mask
 Determine which side of the mask is the top. The side of the
mask that has a stiff bendable edge is the top and is meant
to mould to the shape of your nose.
 Determine which side of the mask is the front. The coloured side
of the mask is usually the front and should face away from you,
while the white side touches your face
 Hold the mask in your hand with the nosepiece or top of the
mask at fingertips, allowing the headbands to hang freely below
hands
 Bring the mask to your nose level and pull the top strap over
your head so that it rests over the crown of your head & tie
 Pull the bottom strap over your head so that it rests at the nape
of your neck & tie
 Mould or pinch the stiff edge to the shape of your nose
 Pull the bottom of the mask over your mouth and chin
Procedure of doffing face mask
6.  Clean your hands with soap and water or hand sanitizer before 3 0.5 0
touching the mask.
 Avoid touching the front of the mask. The front of the mask is
contaminated. Only touch the band.
 Untie the bottom bow first
 Then untie the top bow
 Pull the mask away from you as the ties are loosened
 Throw the mask in the trash
 Clean your hands with soap and water or hand sanitizer
7. Ask the group if they have any questions/ clear doubts 0.5 NA 0
8. Greet & end the session 0.5 NA 0
 OSCE 4

Paediatric counselling on immunization

Q-Amother with 4 month old infant comes to immunization clinic, after enquiring she reveals that
the child has taken vaccination upto 10 weeks (after birth). Counsel the mother for rest of
immunization schedule that needs to be followed and any AEFIs associated with those vaccines.

Checklist-

(D= Appropriately done; PD= Partially done; ND= Not done)

S.NO. TASK D PD ND
1 Initiate the session 1.5 NA 0
a) Introduce yourself and greet the mother
b) Confirm name & age of the child
c) Interact in professional,respectful & empathetic
manner
2 Gather information 2 1 0
a) Seek card details & maintenance
b) Take history of previous immunization and check with
immunization card (if available)
3 Information regarding vaccination schedule 5 2 0
a) Explain which vaccines are to be given now
b) Explain the rest of immunization schedule that needs
to be followed upto 5 years
c) Explain AEFIs
d) Give injections that is due today as per schedule
e) Prescribe Paracetamol
f) Inform mother about the next date of vaccination
g) Document above information and vaccination detail
on immunization card
4 Close the session- 1.5 0.5 0
a) Provide safety netting (when to contact in
emergency)
b) Ask the mother if she has any question/ clear doubts
c) Greet & end the session
 OSCE 5

Demonstration of preparation of ORS

a) Objective: This station aims to assess your skills in preparing ORS and educating the
attendant of dehydrated patient.
b) Scenario: A mother has come to you with her infant having more than3 watery stools in the
past 24 hours.
c) Task:
i) Demonstrate procedure to make ORS
ii) Educate the mother about diarrhoea danger signs and alternative to ORS
Checklist-

(D= Appropriately done; PD= Partially done; ND= Not done)

S.NO. TASK D PD ND
1 Greets the patient 0.5 NA 0
2 Introduces self to the patient (name and designation)
3 Explains the purpose of the task 0.5 NA 0
4 Interacts in a professional, respectful &empathic manner.
5 Assess the level of dehydration 2 1 0
i. Is the infant lethargic or unconscious
ii. Restless or irritable
iii. Sunken eyes
iv. Skin pinch (2seconds)
6 Recommendation of Plan (A/B/C) 0.5 NA 0
Procedure of ORS preparation
7 A) By looking at sachet 0.5 NA 0
i) Is it torn/dirty?
ii) Expiry date
B) How to prepare/ use 3 1.5 0
i) Wash your hands with soap and water
ii) Take a clean utensil
iii) Take 1 litre of pure water
iv) Boil it(rolling boil)
v) Cool it & pour it in clean bottle
vi) Pour 1 complete sachet into it and mix
vii) Consume with in 24 hrs
C) When to return 2 1 0
i) Patients appearance
ii) Lethargic
iii) Reduced breast feed
iv) Decreased urine flow
v) Skin elasticity
vi) Sunken anterior fontanelle
vii) Dry tongue
8 Ask the mother if she has any questions/ clear doubts 0.5 NA 0
9 Greet & end the session 0.5 NA 0
 OSCE 6

Demonstration of vaccine carrier packing

a) Objective:- The station aims to assess your skill in packing vaccine carrier as well as your
communication skill in educating a small group
b) Scenario:- use vaccine carrier lying in front of you to to educate MPHW(F) on how to pack
vaccine carrier
TASK- A) Greet the staff

B) Demonstrate procedure to pack vaccine carrier

C) Close the session appropriately

Checklist:

(D= Appropriately done ; PD= Partially done ; ND= Not done )Q. How to pack a vaccine carrier?

S.NO. TASK D PD ND
1 Greet the staff 1 NA 0
2 Introduces self to the patient / group using name & designation
3 Explains the purpose of the health talk
4 Interacts in professional, respectful & empathetic manner
5 Ensure that the vaccine carrier is clean and dry 5 2 0
6 Confirm that there are no cracks in the walls and lid of the vaccine
carrier
7 Ensure that the strap of vaccine carrier is intact
8 Take out the required number of frozen ice packs from the deep
freezer and wipe them dry
9 Place the frozen ice packs outside for conditioning before placing into
carrier
10 Check if ice packs has been conditioned by shaking it and listening for
water
11 Wipe the conditioned four ice packs and place then along the sides of
vaccine carrier
12 i. Wrap the vaccine vials, diluents in the thick paper before 3 1 0
putting in the thick paper in polythene bag so as to prevent
them from touching ice packs
ii. Place the plastic bag in the centre away from the ice packs
iii. Place from pad on the top of ice packs
iv. close the lid tightly and securely

13 Ask the group if they have any questions/ clear doubts 0.5 NA 0
14 Greet & end the session 0.5 NA 0
 OSCE 7

Demonstration of steps of hand washing using alcohol based sanitiser

a. Objective: This station aims to assess your skills in hand washing using alcohol based sanitiser as well as your
communication skills in educating a small group
b. Scenario: Use the alcohol based sanitiser to sanitise your hands stepwise and educate the group of 10 staff nurses
c. Task:
a. Greet the staff nurses
b. Demonstrate procedure of sanitising your hands and explain
c. Close the session appropriately

Checklist:

(D= Appropriately done; PD= Partially done; ND=Not done)

S. No. TASK D PD ND
1. Greets the patient 0.5 NA 0
2. Introduces self to the patient/ group using name & designation
3. Explains the purpose of the health talk 0.5 NA 0
4. Interacts in a professional, respectful & empathic manner
Procedure
5. Remove jewelleries and move sleeves up over the wrist 1 0.5 0
6. Apply 2-4 ml of alcohol based sanitiser & rub your hands 1 0.5 0
7. Rub hands palm to palm 1 0.5 0
8. Rub right palm over left dorsum with interlaced fingers & vice versa 1 0.5 0
9. Palm to palm with finger interlaced 1 0.5 0
10. Back of fingers to opposing palms with fingers interlocked 1 0.5 0
11. Rotational rubbing of right thumb in clasped fingers of left palm & vice 1 0.5 0
versa
12. Rotational rubbing backwards & forwards with clasped fingers of 1 0.5 0
righthand over palm & vice versa
13. Ask the group if they have any questions/ clear doubts 0.5 NA 0
14. Greet & end the session 0.5 NA 0
 OSCE 8

Demonstration of measuring Mid Upper Arm Circumference (MUAC)

a. Objective: This station aims to assess your skills in measuring MUAC of an adult male/ female
b. Scenario: Use the measuring tape to measure the MUAC (in cms) of an adult
c. Task:
i. Make the appropriate surface markings
ii. Demonstrate procedure of accurately measuring the MUAC and explain

(D= Appropriately done; PD= Partially done; ND=Not done)

S. No. TASK D PD ND
Preparation
1. Greets the patient 0.5 NA 0
2. Introduces self to the patient/ group using name & designation
3. Explains the purpose & process of examination to the patient 0.5 NA 0
4. Interacts in a professional, respectful & empathic manner
Procedure to record MUAC
5. Bend the left arm at a 90 degree angle. 4 2 0
6. Find the top of the shoulder and the tip of the elbow
7. Keep the tape at eye level and place it at the top of the shoulder. Put your
right thumb on the tape where it meets the tip of the elbow (endpoint)
8. Find the middle of the upper arm by carefully folding the endpoint to the
top edge of the tape. Place your left thumb on the point where the tape
folds (midpoint). Mark the midpoint with a finger or pen.
9. Straighten the arm and wrap the tape around the arm at the midpoint 4 2 0
10. Place the tape through the window and correct the tape tension 0
11. Read the measurement in centimetres (cm) in the window where the 0
arrows point inward.
12. Record the measurement to the nearest 0.1 cm and record the colour 0
13. Ask the patient to wear his clothes if they were removed 1 0.5 0
14. Ensure that the patient is comfortable & thank him
15. Answer any questions or concerns he/she may have