DNE Year 1: Semester 1 Checklists

Diploma in Nursing (Extension) - Year 1: Semester 1 Checklists

Lifting a Patient with Spinal Injury
Changing the Bottle in Under Water Seal Drainage
Ear Syringing
Mental Status Examination

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 115 OSPE

June 2024

Examiners' Checklist

STATION NO: 3

TASK: LIFTING A PATIENT WITH SPINAL INJURY FROM STRETCHER TO BED

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Explains the procedure to the patient	½	x
2	Requests for 2 assistants and instructs them on what to do at each step	1
3	Washes hands and dries them	½	x
4	Positions the stretcher in an ideal situ for easy turning	½	x
5	Together, the 3 nurses take position; • One nurse supports the patient's upper body, shoulder and chest area • The second nurse supports the chest area and abdominal area • The 3^rd nurse supports the legs	1 1 1
6	On completion of placing hands at the right places of support, all the 3 nurses count 3 times and lift the patient systematically to the bed.	3
7	Places patient comfortably on the bed	1
8	Leaves patient comfortable and washes hands	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 115 OSPE

June 2024

Examiners' Checklist

STATION NO: 4

TASK: CHANGING THE BOTTLE IN UNDER WATER SEAL DRAINAGE

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport with patient	½	x
2	Washes hands and puts on gloves	½	x
3	Changes the bottle; • Securely clumps off the drain with two clamps • Disconnects the tubing and puts used apparatus aside • Connects new tubing and bottle • Removes clamps	1 1 1 1
4	Confirms integrity of the UWSD system is intact; • Ensures all connections are secure with no leakage • Checks to see that the patient is not compressing or kicking any part to avoid obstruction • Maintains the bottle below the level of the patient's chest, in a stand	1 1 1
5	Monitors the fluid in tubing to confirm it is moving in rhythm with patients' respiration rate	1
6	Record amount of drainage on the fluid balance chart, noting any abnormalities	1
7	Washes hands and clears away	-
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 115 OSPE

June 2024

Examiners' Checklist

STATION NO: 1

TASK: EAR SYRINGING

Examiner's Name:

Date:

School code:

Candidate's No:

S/N	Key areas to assess	Score	Partially done
1	Creates nurse-patient relationship	-
2	Inspects the auditory canal using autoscope under good light	½	x
3	Prepares the patient; • Requests the patient to sit and tilt the head slightly toward the affected ear • Places mackintosh and towel over the shoulder and upper arm, under the affected ear • Places the curved part of the receiver below the tilted ear • Requests patient to support the receiver under the ear	½ ½ ½ ½	x x x x
4	Cleans auricle and meatus of auditory canal with moistened swabs	1
5	Irrigates the ear; • Fills bulb with irrigating solution • Straightens the auditory canal by pulling the auricle up and back • Inserts the tip of the syringe gently. Directs a steady slow stream of solution onto the auditory canal roof using enough force to remove insect • Observe patient throughout syringing • When irrigation is complete, places a cotton ball loosely in auditory meatus and requests patient to lie on the affected ear on a towel or absorbent pad • Dries the patient's auricle and removes the patient's towel and mackintosh cape	½ ½ 2 ½ 2 1	x x x
6	Clears away	-
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 115 OSPE

June 2024

Examiners' Checklist

STATION NO: 2

TASK: MENTAL STATUS EXAMINATION

Examiner's Name:

Date:

School code:

Candidate's No:

No.	Key areas to assess	Score
1	Explains procedure to the patient	1
2	Examines the following; • Appearance and behavior (dress, hygiene, posture, appearance and response to actions) • Orientation and level of awareness • Thought processes (what patient is thinking and process used in his/her thinking) • Memory (short and long term) • Speech and ability to communicate • Mood and affect (patient's feelings and emotions and outward expression) • Judgment • Perception (experiences of reality)	1 1 1 1 1 2 1 1
Total		10

Examiner's Comments