What are the new changes in the OSCE exam?

What are the new changes in the OSCE exam?

What are the new changes in the OSCE exam?

As you may already know, the NMC is changing its registration exams, and this will affect the way you become a registered nurse here in the UK.

Why are these changes happening?

These changes are happening to reflect the ones that are happening in UK nursing practice.

The NMC wants the test to be as close as possible to the reality of the field.

When do they start?

The NMC updates its standards with its clinical editors every year and has agreed to implement changes to the CBT (Test of Competence 1) and OSCE (Test of Competence 2) starting April 2021.

Changes in OSCE

The NMC has increased the total number of exam stations from 6 to 10.
Four stations will continue to be linked together around a scenario: the APIE (assessment, planning, implementation, and evaluation, they will each have a specific station).
Six skill stations will be tested instead of two.

Þ 2 pairs of 2 skills

Þ 1 professional values

Þ 1 critical appraisal

Duration:

	Assessment	Planning	Implementation	Evaluation	Skills
Currently	15 minutes for each station
April 2021	20 minutes	14 minutes	16 minutes	14 minutes	16 minutes

APIE stations

§ Assessment: Full A-E assessment (airway, breathing, circulation, disability, exposure) will be included in clinical assessment.

§ Planning: Stays the same- writing two care plans.

§ Implementation: Stays the same – drug administration.

§ Evaluation: Changes from a written referral to another healthcare professional to a non-assessed written SBAR assessment and an assessed verbal handover to another healthcare professional (the examiner).

New OSCE Patient Scenario for APIE – 2021

Pneumonia
Subdural
Anxiety
UTI
Hernia
Asthma
Chronic Cardiac Failure
Ectopic
Dementia / Confusion
Leg ulcer
Diabetes

SKILL Stations

There will be a total of 15 possible skills tested in the OSCE exam.

Administration of Inhaled Medication
Blood Glucose Monitoring
Catheter Specimen of urine
Fine Bore NG
Fluid Balance (4 different patient variants)
In-hospital Resuscitation (no defib)
Intramuscular injection
IV flush and VIP score
Pain Assessment
Peak Expiratory Flow rate
Pressure Area Assessment
Removal of Urinary Catheter
Subcutaneous injection
Urine Analysis
Wound Assessment and Aseptic non-touch technique (ANTT)

In summary,

	Current	April.2021
Test		Format	Marks	Duration
Format of new test: Nursing
OSCE	6 Stations 4 Stations (APIE) Þ Assessment Þ Planning Þ Implementation Þ Evaluation 2 skill stations	10 Stations 4 Stations (APIE) Þ Assessment Þ Planning Þ Implementation Þ Evaluation § 6 skill stations § 2 pairs or 2 skills § 1 professional values 1 critical appraisal	Variable to station according to task-specific specification	Up to 2hrs 45 minutes APIE Stations: Assessment: 20 minutes Planning: 14 minutes Implementation: 16 minutes Evaluation: 14 minutes Skills Stations, critical appraisal and professional values stations: 16 minutes for each pairing
Format of new test: Midwife
OSCE		10 Stations 4 Stations (APIE) Þ Assessment Þ Planning Þ Implementation Evaluation 4 skills stations consisting of 2 pairs of 2 skills (1 liked skill will always include the systematic examination of the new-born and the postnatal check) 1 professional values station 1 critical appraisal station	Variable to station according to task-specific specification	Up to 2hrs 45 minutes APIE Stations: Assessment: 20 minutes Planning: 14 minutes Implementation: 16 minutes Evaluation: 14 minutes Skills Stations, critical appraisal and professional values stations: 16 minutes for each pairing

To find out more information, please click here and you will be directed to the NMC website.

Will you be doing the 6-station or the 10-station NMC OSCE? Click here to be sure...

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