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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’.