A TO E ASSESSMENT| NEW TOC| OSCE 2021| Marking Criteria on the description box below
ฝัง
- เผยแพร่เมื่อ 27 มิ.ย. 2024
- 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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Hello, Emer! I just want to say thank you for your OSCE prep videos, it was really helpful during my preparation for my exam. I just took my OSCE NEW TOC last 22nd of July. I hope you continue to build and help other fellow international nurses in fulfulling their UK RN dreams. All the best to you and your team, you are doing a great job! Cheers! 🥂
Well done and many congratulations 🥳 . I wish you all the best in your career ! Fighting
Its an amazing video! Very helpful for people like me who recently started learning about OSCE! It gave me a full orientation to how A-E assessments can be done! Thanks ☺️ keep creating more. I’ll definitely share to more people.
Much love 💕
❤️❤️❤️❤️
Thank you so much. It was absolutely helpful. I'm taking my Osce in a month time and I will really appreciate more videos on the new osce.
❤️❤️❤️
Wish you a successful osce Njideka
Thanks Emer and team for making great and easily understood videos like this. Keep up the great work! It helped me pass my OSCE. Since I am more of a visual learner, this definitely helped me out! Godspeed guys!
Hey please can you help I am extremely scared of OSCE how did you do it ?
2-day online final coaching www.eventbrite.com/e/2-day-online-osce-final-coaching-tickets-666670638827?aff=oddtdtcreator
PPE's are no longer required.
Update: starting 28th March you will be using an infrared thermometer instead of a tympanic. Good luck nurses!
Shop your OSCE digital Workbook here:
osce-review-experts.myshopify.com/products/osce-review-expert-workbook
Thank you
Hi Emer, in this video, if we have NEWS2 partnered with GCS, when is the right time to test patient for GCS? thank you so much.
Infrared you mean ,is to be used on the patient fore head
@@ifeomaokafor8461 that’s correct
These both ladies performed their role so well. Nice job guys.
😍
This was very informative! Thank you so much
These videos were absolutely AMAZING and really helped me pass my OSCE first time! Thank you so so much I am extremely grateful! Xxx
Awwwwww . Congratulations 🎉 very well done ❤️❤️❤️❤️
Osce UK?
Hi Sofio, congratulations for passing OSCE. We too need some guidance, would be grateful if you could help...waiting for ur reply
Hi Sofio, congratulations for passing OSCE. We too need some guidance, would be grateful if you could help...waiting for ur reply
This perfectly fine video to learn about OSCE i just love it as i am a beginner so i like it
wow this video is so informative and to the point. your video content and quality is getting better and better all the best for your new videos and thank you and your team for such hard work.
Aww thanks Jayman . Best of luck ❤️
Thanks so much, educative and explanatory ❤️
Thanks for making so explanatory
Hi! Thank you so much for all the videos. I just passed my osce yesterday, one sitting. Your vids really helped me a lot esp in skills and assessment. May God bless you all the time. Take care! 🫶🏼
Wowooww many congratulations 🥳 🎉 . All the best on your career ❤️
congratulations,
mine is soon, any advices?
@@amnaabdelgader7275 stick with the criteria 🫶🏼
Thank you so much, I learnt alot from this video, and I passed my osce❤
Thank you. I have cleared my osce. Your osce videos really helped me.
@@susmitaghimire6277 ❤️ ❤️ ❤️
thanks for this.. were already preparing for our osce
Good luck
Thank you for your videos. I passed my osce!
Congratulations 🥳
Thank you so much for your help
Very useful ❤
I noticed you didn't explore much further when she mentioned chest tightness, but I would've had further questions for her. Did you not need to pursue that?
I hope your team can make videos of the new skills added that will take effect this month. 🙏🏼
❤️❤️❤️❤️
Thanks for the video. Please do we still have to wear the PPE before starting the station
Many thanks! Passed my osce, ur videos were of a great help
Awwww. Massive congratulations Hannah ❤️❤️❤️
Hi Emer, I just want to thank you for putting your videos here in youtube. Having to see you explain things like how to approach each of the criteria of the APIE, Skills, PV, and EBP had greatly helped me understand the OSCE exam. I just want to go back to one of your videos to tell you that I passed and I am very grateful. 😊
awww thanks for sharing ❤️❤️❤️ congratulations and I wish you all the best in your career in 🇬🇧
Thank you ♥️
Thank you for this video it is really a big help for us. Looking forward to watch the rest of the APIE video thank you
❤️
Thank you so much for this video! I have an upcoming OSCE and always have a hard time remembering everything needed, but you guys made it so clear and simple. Thanks again!
*****UPDATE*****
I got 94/100 for my osce! Thank you so much again for this video, honestly I don’t think I would of known how simple and straight forward it is without your help.
You’ve got this! Good luck and deep breaths
Is there a way to know your score
Thnx👏 learning
I sponsored myself to take the OSCE. This video helped me in my assessment. I passed! Thank you
congratulations 🥳 ❤️
May I ask you does the video similar to the real exam?
@eyesofyoureyes1287 Yes it is. This was the video I used as a guide for my assessment station
Please do we still have to use PPE before starting the station?
@oluyedeeunice6940 no more ppe required (this was filmed during covid) goodluck ❤️
Hi, nice video. My osce is in next two months, do u organize any tuition for candidates?
13:00 after finishing the assessment, do we need to remove apron gloves for hand hygiene?? And do we need to put on gown and gloves again for documentation and going to the patient? Anyway thank you for your video.it’s really good.
Hi Kabita, some test centres are no longer requiring wearing of PPEs on both assessment and implementation stations. But you still need to wear a mask.
@@EmerDiego thank you Emer.
Thanks for the sharing! It's informative and helpful. But is it really allowed to have hand hygiene with the gloves on? It's known that's not a common practice.
due to cvd you have to wear ppe all throughout the station until the actor is gone . The assessor will you ask you to demonstrate how would you normally perform hand hygiene but with gloves on for that reason. good luck
Hi! Thank u for informative video. Do we have to don gloves and mask throughout evaluation because of covid? And also will they provide green blue black pen? or should we take our own?
You only need to wear ppe for assessment and implementation because there will be actors . Planning and implementation no need.
Pens and fob watch are provided during the exams. Good luck
Thank you for this informative video! Appreciate it! Just needed a clarification, will our assessment sheets be handed to us while we are doing planning station? So we can refer to it and plan?
Yes , you have all assessment documents with you during planning and also during evaluation .Good luck
@@EmerDiego Thank you so much! God Bless!
Is this video according to the NMC guidelines in the UK?
Just curious about the BP cuff. I was always taught to palpate the pulse on the ACF and align the arrow on the cuff to where the pulse is.
you will do that for manual BP- you will use a stethoscope to auscultate for the korotkoff sound. During the OSCE you will use a machine.
emer, i have another question., if the rythm of breathing is either regular or irregular
how do u describe the depth of breathing.,.
is it normal/ abnormal? or would u say its shallow? deep? or fast?
Shallow, tready or pounding
Hello if a patient has pneumonia and is having difficulty in breathing and using accessory muscles to breathe what respiratory noise is that called and is that unqual air entry ? My exam is tomorrow please reply 🙏
Hi Emer! Is this the Assessment format na 20 minutes for the new osce? Ok lang pala na gawin na agad ang A-E, it will save so much time. Yung mga nagturo kasi sa amin, ang tinuro is get your obs muna then write them down then balik na nanaman kay patient para explain yung A-E ng buo.
Follow whatever works for you best but if you ask me doing the obs first then the rest is not an a to e assessment , you are basically doing the old exam .Good luck!
Pls add paediatric osce session too.
Hi! Since she already did the hand washing after donning the PPE, does she needs to do it again after providing the privacy?
Yup before patient contact. Don’t forget your 5 moments of hand hygiene. Good luck
Is it okay of we put dot than the number eg. 24 on the side of the dot while plotting on the news chart
hlo sir.. is these preparational videos also valid for australia OSCE exam preparation.. i have no idean i to prepare, where to seek help.. plz guide me.. i am persuing for australia OSCE exam
Is this OSCE standards for Australia? Thabks in advance
Thank you for the video, is this assessment only for for NEWS-2 chart? And does it mean that the new OSCE is only having NEWS-2 assessment, no PHQ-9, MUST or GCS? Because this is the only assessment format on marking criteria.
Thank you
We still have Phq9 ,GCS and MUST
Question please,
If the patient blood glucose hasn’t been checked previously, do you have to check it?
ask the assessor
I checked some of the comments and is terrifying. Am I the only one who is concern about not checking the pulse, rhythm, lack of 12-lead ECG with ongoing chest pain!? To all watching, please escalate! Golden standard is 12-lead ECG!
Hi Van! During the Assessment station, you only have 20 minutes to finish your A to E, compute the NEWS chart and ask for any concerns.
The next station will be PLANNING, wherein they can write two problems/care plans for the patient and write everything that you have mentioned in your comment.
Lastly, the nurse mentioned she would escalate the patient to the doctor.
Good luck with your OSCE 🙏🏻
Can you do an A TO E assessment on an unconscious patient
Any osce training video for nursing associates , cause there is literally no training videos for Nursing associates
Please what of the other A-E assessment chat that has the following headings:
Physical
Psychosocial
Spiritual
Sexual
What do we fill in it, or is it not given to candidates during OSCE
watch out for our webinar and I will be answering these questions.
Don't forget to subscribe!
i really appreciate your video which is very clear to undersatnd .However , is frequency of handwashing enough throughout A-E assessment ??,please clarify.
Hi renu, how many times would you suggest?
In the current marking criteria, hand hygiene is only mentioned twice. Of course, you need to follow the five moments of hand hygiene. Attend the webinars so you will find out. Best of luck ❤️
@@EmerDiegoI agree with five moments of hand washing but I don’t see any hand washing in your video especially after touching the patient .We were taught to perform hand washing in our class so just want to clarify as I find your videos very informative and educative.Thank you for your response 🙏🙏
Is this applicable for OSCE AUSTRALIA?
Oxygen saturation is perfect,what is the normal range:thank you?
Hello. For someone without respiratory problems like COPD it should be between 96% and 100%.
Hello may i ask, when im counting the pulse can i count it for 30sec and times it by 2 instead of counting for 60sec?? Is it advisible to do that? Bcos it took less time
Please count the pulse for 60 seconds.
@@EmerDiego alright sir. Ouhh one more question, when im taking the bp my teacher said dont do it on the arm with branula. But can we do it on the on that arm with branula, but the branula is not attached to the tube thing? Just in case if the other arm is not available for me to take bp..Im soo curious and scared for my upcoming first clinical practice
@@lostkitty4583 Hi yes, if you can avoid the site with cannula
Hi, i wanna ask , i had seen some of OSCE student holds kind of book which they refers to check about medicine side-effects and all so do they provide that kind of book during OSCE exam?
Hi during implementation station the test centre will provide a tablet/Ipad which contains an app similar to a bnf. If you are unfamiliar with any medication on the drug chart, you can always access it. Best of luck
Thanks this is informative. But i thought accdg to oxford we r not expected to expose the pt? Also we were advised to make the conversation natural
Thank you for the feedback Edry ❤️
We do apologise for a not so well written script as we filmed the video impromptu and with very little time, but I wanted to commend our small team (Jamie and Coco) for making the video possible and for helping other international nurses❤️
Yup no need to expose the patient, that is correct ( see the video again for more details). Most of the actors are sitting on the exam and with their legs already exposed. We just forgot to remove the blanket at the very beginning 🤦♂️. That's why.
Good luck every one, hope you find our videos helpful ❤️. Btw, I will post Osce tips on my tiktok!
are we allowed to document directly on the observations chart throughout?
its up to you
Was the patient known infectious or on isolation room ?Bp cuff placement was too low Just saying-
May I know why there's a clip in between the video doing hand washing with and without the gloves?
Hi Mel, we are just showing the proper way hand hygiene.
do we have to do news 2 for all pts and d rest accr to need ?
Either a NEWS chart or a gcs chart depending on the scenario. With the addition of MUST for malnutrition/diabetes scenario and PHQ-9 for depression. Good luck
I got my OSCE tomorrow morning 😃
Best of luck! Relax and no more studying tonight. You’ve got this!
@@EmerDiego well, just to update this... I passed. Thank you 🤗
@@oohtreasureneche9527 wowoww congratulations 🥳 ❤️❤️❤️❤️
Is adult and pedia osce the same? Will you do one for pediatrics? Thqnk you.
hi sir emer, what if the patient is not diabetic do we still need to include asking blood sugar for the assessment? and also can we ask the pain before going to A to E assessment????
Whether the patient has diabetes or not, checking the BM is always part of the AE assessment. It is better to ask for pain during Disability but of course if the patient complains about pain at the very beginning you have to intervene. Just verbalise your findings when you reach disability. Best of luck
Do a video on SBAR of post op ectopic pregnancy
Please I need mental health osce videos pls upload
What about psychosocial, physical, spiritual and sexual assessment which needs to be done in assessment station...🤔
Hi Jim, it will be integrated on the scenario and conversation that you will be having with your patient. On the brief, it says there that you might focus on one aspect of care more than the other. The A to E assessment is the physical part of it, you might encounter a patient who is afraid of dying which might initiate a conversation about spirituality . You also might also get the scenario with anxiety and you will be focusing more on the patient’s psychological and social needs. Hope that helps and good luck
Ok.... Thank you.....
How do I subscribed for yellow channel how much is the fee
Does anyone know if it is still a requirement to don PPE prior to APIE station with actor as Covid restrictions have now been lifted? Thanks!
no need
To be pedantic, hand washing but still using the same pen? Without removing gloves?
Your teching is good to some extent. However, you don’t apply sanitiser on gloves for hand washing . You either take it off and use your bear hands, tell the examiner why you have not use gloves . No direct contact with bodily fluids.
Hi Matvick, as you can see, this video was uploaded at the height of the pandemic. Regulations for OSCE are to wear PPE whilst doing the assessment station and perform hand hygiene while wearing gloves - and candidates/nurses are instructed to assume that they are sanitising their hands without the gloves. I hope this helps! Good luck with your exam 🙏🏻
Is this videos for 10 station OSCE?
I thought we are not supposed to touch or expose our patient. She did that by checking equal bilateral airway
You can and should touch your patient when assesing.
Is there any osce book ?
I will be giving my OSCE in month feb 2024 is all this videos still ok to follow as or there is any changes now
always check the nmc/tesr centre websites for any changes. use this as a guide, goodluck
what will be the best way to ask the reason for the assessment??after asking for consent please
hi, the reason for assessment is written on the scenario. If you are referring to when to inform the patient about the reason of assessment it will best before you ask the consent . good luck
Thank you so much ....I am just starting to read so ,got many confusions😊
Hello can anyone tell me please that whenever we book the exam they will give us review as well or for review we need to pay ?
Hi Kiran, go to the test centre's website. All review materials are available there
Where is the holistic assessment?
Hi Emer. Do you mind to tell more about Cohort? RN in pinas but came here in UK as Support Worker. Interested to go back to Nursing but has limited info on how NHS can fund/support my OSCE. Would appreciate if you can shed light on this possibility. TIA
Great video BTW.
Where are you based?
You could apply here:
www.jobs.nhs.uk/xi/direct_apply/?vac_ref=917138004
Thanks for the prompt reply Emer. Greatly appreciated.
Can we do one on seizures please what we do step by step
I will discuss it on the webinar next week Wednesday 1800 BST. Link on my profile
Updated parin po ba ito?
A temperature of 37*C is not high.
She said it’s fine
do they still use the tempanic in taking temperature??? i thought they said this will be changed
Now infrared scanner
Could you help me with nclex Australia
Do you have OSCE video on Stoma bag change and Insertion of catheter
It’s not part of the exam yet
Hi po sir do you have for children osce sir?
Can u pls do PHQ 9 and MUST also…it’s really beneficial for us who is need to appear new osce
livestream soon ❤️
Hi emer Can you pls make a neuro obs video?
You will see the video once you join the channel
OSCE is not as calm like this, 😅
I have PCOS and I remember how l felt when the doctor toid me it would be hard for me to conceive I now have 4 children very successful pregnancies God blessed me with use of herbs!
Qq
May I know what herbs did you use? I also have pcos
Boss mahirap ba ang osce
Oet is harder 😉
@@EmerDiego Oww. thanks sir, nakaka kaba din kaze
Am
Is this for the new OSCE only?
Hi, yes. You will find the assessment video of the old Osce in my channel. Just scroll down. Good luck
To
Your training is fantastic but you are misleading student by applying sanitizers to your
hand gloves during hand washing. It has been confirmed at my university and even NICE guidelines.
Hi Matvick. This video was filmed during the height of the pandemic. During that time, the international nurses taking the OSCE were instructed to wear PPEs to protect themselves, the assessor and the actor during the assessment station. If you look closely, the video also shows how it is correctly done, without gloves. PPE is no longer required during this station and is now just optional. I understand that you are a nursing student, and I hope this video helped you understand the A to E assessment ❤️