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NMC OSCE 10 Stations: Adult Nursing

nmc osce 10 stations adult nursing

The NMC OSCE (Objective Structured Clinical Examination) is an essential assessment administered by the Nursing and Midwifery Council (NMC) for internationally qualified nurses who wish to register and practice as nurses in the UK. This examination evaluates candidates on their clinical skills and competencies across various nursing scenarios, ensuring they meet the standards required for safe and effective practice in the UK healthcare system.

The OSCE consists of multiple stations where candidates must demonstrate their ability to perform key nursing tasks, apply evidence-based practice, and uphold professional values in real or simulated clinical settings.

NMC OSCE 10 Stations for Adult Nursing

The 10 stations of OSCE for adult nursing are:

Station 1: Assessment Station (20-Minutes )

In the 20-minute Assessment Station of the OSCE, candidates conduct a comprehensive A-E assessment (Airway, Breathing, Circulation, Disability, Exposure) on a real actor patient. This station evaluates time management skills as candidates simulate real-life clinical scenarios and test their communication abilities, vital sign assessment accuracy, and evidence-based interventions. Sticking with NMC guidelines for patient documentation, this station reflects the critical competencies assessed across all 10 OSCE stations.

Station 2: Planning (14-minutes)

In the 14-minute silent written station of the OSCE, candidates are tasked with developing two nursing care plans that address the specific needs of the patient. This involves assessing priority issues based on the given scenario, reflecting skills evaluated in other OSCE stations. Each care plan must include specific, evidence-based interventions and adhere to NMC documentation standards, emphasizing the importance of accuracy and patient-centered care, which are core principles throughout the 10 OSCE stations.

Station 3: Implementation (15-minutes )

In the Implementation Station, candidates have 15 minutes to verbally demonstrate their skills. They must carefully review the written medication chart to ensure accuracy in the patient’s medication regimen. Following this, candidates outline the steps for dispensing the required medications, including proper dosage, administration routes, and potential side effects. This station tests essential skills related to medication management and patient safety, integral to the overall assessment in the 10 stations of the OSCE.

Station 4: Evaluation (8-minutes )

In the Evaluation Station, candidates engage in both written and verbal tasks for over 8 minutes. They provide a patient handover using the SBAR protocol: Situation, Background, Assessment, and Recommendation. This structured communication ensures clarity and continuity of care. Candidates must effectively summarize critical information while demonstrating their ability to communicate essential patient details, which is crucial for safe practice, reflecting the competencies evaluated across the 10 stations of the OSCE.

Station 5 & 6: Clinical skills

In the Clinical Skills station of the OSCE, candidates are assessed on their ability to correctly demonstrate two paired clinical skills from a set list provided by the test center for preparation. The time limit depends upon the skills, which varies depending on the complexity of the skill. This requires candidates to be both proficient in performing each skill accurately and effective in managing their time during the assessment.

Station 7 & 8: Clinical skills

In the Clinical Skills station of the OSCE, candidates are assessed to correctly demonstrate two paired clinical skills from a set list provided by the center for preparation, candidates need to follow proper infection control practices, including the disposal of clinical waste, to ensure compliance with safety standards during the assessment.

Station 9: Professional values (10-minutes)

In the Professional Values station of the OSCE, you will participate in a 10-minute silent written exam where you study 15 sub-topics, from which one will be assessed. During this station, you are expected to demonstrate professionalism according to NMC standards. You will need to respond to a given situation by writing down your actions using phrases such as “I will do,” “I will advise,” or “I will acknowledge.” This format emphasizes your understanding of ethical principles, communication skills, and your ability to act in a manner that prioritizes patient care and adheres to professional standards.

Station 10: Evidence-based practice (10-Minutes)

In the Evidence-Based Practice station of the OSCE, you will have a 10-minute written silent exam in which you will study a research article, one of which will be selected for assessment. In this station, you will be presented with a scenario based on a short research abstract. Your task will be to analyze the abstract and formulate your approach, demonstrating your understanding of the research’s relevance, its implications for clinical practice, and how you would apply the findings in a patient-centered manner. This requires not only a solid grasp of the subtopics but also the ability to critically evaluate and synthesize information within the given time frame.

NMC OSCE Latest Updates August 2024

OSCE Exam Fee: £794. Reduced resit fee is £397 (if you need to resit 7 or fewer stations)

These are the 10 stations of the OSCE. By successfully completing the OSCE, candidates demonstrate their readiness to deliver high-quality patient care in accordance with UK nursing standards, thereby contributing to the safety and well-being of patients.

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