Faculty of Nursing

Summative OSCE Level one 1st semester, February /2024

Chocking Conscious infant Checklist

Student Name:………………………… KSIU Id: …………………… please put (√ ) if the

step is correct and put (x) if the step is wrong and give the student feedback.

NO Steps
1 1.5
Put the baby face down on your forearm so the baby's head is lower
than his or her chest.
2 Support the baby's head in your palm, against your thigh. straddle 1.5
infant face down, head lower than trunk,
3 Don't cover the baby's mouth or twist his or her neck. * 1
4 Deliver five back blows, forcefully, with the heel of the hand 2
between the infant's shoulder blades
•
5 Immediately, while supporting the head, sandwich the infant 2
between your hands and turn onto its back, head lower than trunk,
Using 2 fingers, deliver four thrusts in the sternal region.*
6 Repeat both back blows and chest thrusts until foreign body is 2
expelled or the infant becomes unconscious

Instructor Name: …………………… Date: …………

Final Mark10/
 Faculty of Nursing

Summative OSCE Level one 1st semester, February /2024

Chocking Conscious child Checklist

Student Name:………………………… KSIU Id: …………………… please put (√ ) if the

step is correct and put (x) if the step is wrong and give the student feedback.

NO Steps
1 1.5
If choking is suspected, ask the victim can you speak?
2 1.5
If the victim is coughing obstruction manually. don't interfere
3 2
If the child cannot speak or cough Perform sub diaphragmatic
abdominal thrusts (Heimlich maneuver) Until the foreign body is
expelled or the victim becomes unconscious.

5 Stand or kneel behind the person and wrap your arms around his 3
or her waist. If the person is standing, Make a fist with one hand.
Place the thumb side of your fist against the child abdomen, just
above the umbilicus below the xiphoid process*
6 5-Repeat until the blockage is dislodged or the child become 2
unconscious

Instructor Name: …………………… Date: …………

Final Mark10/
 Faculty of Nursing

Summative OSCE Level one 1st semester, February /2024

Naso-Pharyngeal Suction checklist

Student Name: ………………………… KSIU Id: …………………… please put (√ ) if the
step is correct and put (x) if the step is wrong and give the student feedback.
Instructor Name: …………………… Date: …………
NO Steps
Before procedure
1 Assess the child's need for suction by respiratory rate, breath sound 1
and heart rate.
2 Wash hands 1
3 Gather all needed equipment, supplies and devices.( suction 1
catheter- saline solution or sterile water-gloves- syringe- sponge -
mask
4 Explain procedure to the child / parents 1
5 Ventilate the child with oxygen prior to suctioning to prevent 1
hypoxia
During The Procedure

Put on gloves and mask. 1

6 Measure correct size of catheter. • Length can be measured from 1
nares of nose to lobe of ear and then to thyroid cartilage.
7 Lubricate the catheter with distilled water or normal saline. 1
8 Gently insert the catheter without suction applied. 1

9 Turn on the suction to the desired negative pressure*. 1

10 Apply suction by occluding the on/off port. 1

11 Repeat suction as needed. 1

12 Withdraw the catheter gently with a rotating movement and 1

apply suction*

13 Wipe the catheter with sterile gauze and then clean the catheter with 1
irrigating solution
After The Procedure

14 Assess the child's respiratory status 1

15 Return the child to the prescribed oxygen therapy 1
16 Comfort the child after the procedure. 1
17 Auscultate anterior lungs bilaterally. 1
 Faculty of Nursing

18 Document the child's response to suctioning and the type and 1

amount of suctioned secretions.
19 Report any changes in heart rate, respiratory rate and breathing 1
sounds.
20 Sterilize devices and wash hands 1

Instructor Name: …………………… Date: …………

Total Grade
20
20/2=

Final Mark10/
 Faculty of Nursing

Summative OSCE Level one 1st semester, February /2024

Endotracheal Suction checklist

Student Name: ………………………… KSIU Id: …………………… please put (√ ) if the
step is correct and put (x) if the step is wrong and give the student feedback.
Instructor Name: …………………… Date: …………
NO Steps
Before procedure
1 Assess the child's need for suction by respiratory rate, breath sound 1
and heart rate.
2 Wash hands 1
3 Gather all needed equipment, supplies and devices.( suction 1
catheter- saline solution or sterile water-gloves- syringe- sponge -
mask
4 Explain procedure to the child / parents 1
5 Ventilate the child with oxygen prior to suctioning to prevent 1
hypoxia
During The Procedure

Put on gloves and mask. 1

6 Keep your dominant hand sterile and your non dominant 1
hand clean for the procedure. Use only the dominant hand to
manipulate the catheter.

7 3. With your dominant hand, remove the catheter from the paper 1
sheath, keeping it sterile. Place the distal end of the catheter in a cup
of sterile saline to test the suction pressure.

8 If the child is being ventilated, have an assistant disconnect the 1

ventilator and manually oxygenate the child before suctioning. Give
several breaths and then remove the resuscitation bag.*
9 Before inserting the catheter, determine how far the suction catheter 1
can be advanced by making a visual comparison of the catheter and
the ET tube length.

10 With your dominant hand, place the suction catheter into the ET 2
tube, making sure that no suction is being applied at this time.
Advance the catheter no farther than 0.5 cm below the edge of the
ET tube.*

11 When the catheter in place, intermittently cover the suction port and 1
rotate the catheter. To prevent the child from becoming hypoxic, do
not suction for longer than 5 to 10 seconds. *
 Faculty of Nursing

12 Remove the catheter and irrigate it in a cup of sterile saline. Repeat 1

as necessary, oxygenating the child between suctioning.

13 Repeat suction as needed. 1

After The Procedure

14 Return the child to the prescribed oxygen therapy 1

15 Comfort the child after the procedure. 1
16 Document the child's response to suctioning and the type and 1
amount of suctioned secretions.
17 Report any changes in heart rate, respiratory rate and breathing 1
sounds
18 Sterilize devices 1
19 wash hands 1

Instructor Name: …………………… Date: …………

Total Grade
20
20/2=

Final Mark10/