UK NMC Test of Competence Part 2
OSCE – The Objective Structured Clinical Examination
OSCE - The Objective Structured Clinical Examination is a multipurpose evaluative tool build to assess healthcare professionals in a clinical environment. It evaluates competency, based on objective testing through direct observation for a wide range of clinical skills. The OSCE assesses the performance of most critical areas of health care professionals that is communication skills and ability to handle unpredictable patient behavior.
BRIEF ON NMC OSCE
Note: The intention of the page is to provide an overview of the OSCE. It is not meant for learning OSCE. In order to pass the OSCE, you should attend training workshops. Click here to book OSCE Training
The UK NMC OSCE is structured to examine the pre-registered nurse’s ability to apply the professional nursing or midwifery skills and knowledge in the UK. The OSCE is based on UK pre-registered nurses standard and is a scenario-based approach. The NMC OSCE is made up of 6 stations, each lasting 15 minutes with an additional 5 minutes preparation time.
The first 4 stations are designed to test the candidate’s knowledge and understanding which includes the following:
A - Patient Centred Assessment
P - Planning Care
I - Implementation
E - Evaluation
Last 2 stations will be testing practical clinical skills.
NMC UK OSCE Test Centers
The overseas pre-registered nurses can opt one of the three NMC OSCE test centers in the UK. These are:
- University of Northampton
- Oxford Brookes University (Oxford campus and Swindon campus)
- Ulster University (Northern Ireland)
Fees for NMC OSCE
Fees for part 2 test of competence - OSCE for the nurses trained outsuide the EU/EEA:
Register for OSCE first take cost £992
Partial resit costs £496 and full resit costs £992
Rescheduling – at least 72 hours before the test date
The 6 C's of Nursing
The four scenario based nursing stations - A P I E:
- Assessment (A): Nurses verbal and non-verbal communication will be assessed. The ability of a nurse to establish a rapport based on the 6Cs with their patient is assessed during the assessment station. First 5 minutes will be given to read the pre-filled admission form which helps to have a structure and systematic approach. Observations of the patient should be noted and record them on an observation chart (NEWS, Glasgow Coma Score etc) before completing the assessment station. Also, verbalize the score to the assessor within the station.
Note: Activities of Daily Living within the station should be noted, this information will help with the ongoing stations.
- Planning Care (P): This is a writing session monitored by the invigilator. Pre-registered nurses have 15 minutes to write 2 care plan with the information gathered from the Assessment done first. Planning should include associated/relevant self-care. Sample of the care plan is mentioned below;
Name: Patient Initials: Room Number: Dates:
(nursing care needed)
(documentation of care)
(status of goal)
Ask yourself, "What is the problem?"
NURSING PLAN FOR PROBLEM
Ask yourself, "What can I
STATUS OF THE GOAL
Ask yourself, "Did I accomplish my goal?"
- Implementation (I) : Pre-registered nurses will be tested with implementing care such as drug administration or other nursing implementation in this bay. Time to complete the station is 15 minutes. Nurses have to interact with a mannequin and the assessor will be responding as the patient from a script. Candidates will be assessed on their knowledge and skills about medications and dispensing them safely.
Note: Remember, the verbal and non-verbal communication will be assessed throughout the station. Treat mannequin as a real patient and communicate with it not the assessor who narrates.
- Evaluation (E): This station is a writing session monitored by the invigilator. The time limit is 15 minutes. Write a transfer or other form of nursing evaluation related to the previous stations. Candidates will have access to all the previous written notes and filled up forms to refer in this station.
Note: Avoid using unfamiliar abbreviations that are not universally recognized.
Typical skills which may be tested in station 2 includes:
- Vital signs
- Calculating drug dosages
- Subcutaneous & Intramuscular injections
- Basic Life Support - cardio-pulmonary resuscitation (adult, child, baby)
- Safe disposal of sharps
- Medication administration
- Peak Expiration Flow Rate (PEFR)
- Wound care
- All aspects of Urinary catheterization & care
- Hand hygiene
- Palpation (Midwifery)
- Auscultation of fetal heart (Midwifery)
- Newly born examination (Midwifery)
More contents coming soon...