Diploma in Nursing (Direct) Checklists

Diploma in Nursing (Direct) - Checklists

Conducting 2nd Stage of Labour
Administration of Subcutaneous Injection
Assessment of Cognitive Sphere
Treatment of Pressure Areas
Assisting Patient to Perform Deep Breathing Exercises

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (DIRECT)

Paper code: DND 215 OSPE

June 2024

Examiners' Checklist

STATION NO: 4

TASK: CONDUCTING 2ND STAGE OF LABOUR

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Ensures privacy and explains to the mother that she is ready to push	1
2	Ensures that her bladder is empty	1
3	Brings trolley to the bed-side	-
4	Positions mother in dorsal position and confirms 2nd stage of labour	½	x
5	Follows the following steps to deliver the mother; • Washes hands and puts on sterile gloves • Swabs vulva and drapes the mother • Encourages the mother to push with each contraction, maintains flexion of the head, at crowning perform episiotomy if necessary • Delivers the head by extension and cleans airway • Feels for the cord around the neck, if loose slips it over the head, if tight clamps and cuts • Delivers the anterior shoulder, posterior shoulder and body by lateral flexion • Notes the time, scores the baby and congratulates the mother • Clamps and cuts the cord • Wraps the baby on the mother's breast	1 1 1 1 1 1 ½ ½ ½	x ✓ x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (DIRECT)

Paper code: DND 215 OSPE

June 2024

Examiners' Checklist

STATION NO: 3

TASK: ADMINISTRATION OF SUBCUTANEOUS INJECTION

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Reads the patient's chart to check the drug and dose with the qualified nurse	½	x
2	Explains the procedure to the patient and provides privacy	½	x
3	Assists the patient into a comfortable position for the injection	½	x
4	Chooses a suitable needle gauge 1 ml or 2 ml syringe	1
5	Washes hands and draws the dose correctly, expelling air	1
6	Selects the right site and cleans it methodically	1
7	Grasps or pinches the patient's skin gently between finger and thumb of the non-dominant hand	1
8	Administers the injection: • Holds the syringe at a 45° to the skin and inserts the needle into the site quickly and firmly • Withdraws the piston a little to make sure it is not in the blood vessel and then injects slowly while reassuring the patient • Places a swab over the needle, removes the needle quickly and applies little pressure but not massaging • Thanks the patient and clears away	1 1 1 ½	x
9	Washes hands and record in the patients treatment sheet correctly	1
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (DIRECT)

Paper code: DND 215 OSPE

June 2024

Examiners' Checklist

STATION NO: 2

TASK: ASSESSMENT OF COGNITIVE SPHERE

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Create rapport.	-
2	Assesses the cognitive sphere: • Orientation on; - Place - Person - Time • Attention and concentration. • Level of judgment. • Level of consciousness. • Memory; - Recent, intermediate and long term. - Intermediate - Longterm • Intelligence. • Abstract thinking. • Insight.	½ ½ ½ 2 1 1 ½ ½ ½ 1 1 1	x x x x x x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (DIRECT)

Paper code: DND 215 OSPE

June 2024

Examiners' Checklist

STATION NO: 1

TASK: TREATMENT OF PRESSURE AREAS

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport	½	x
2	Washes hands	½	x
3	Positions the patient	½	x
4	Pours water into the basin and mix it (cold and hot)	1
5	Places the mackintosh and towel under the areas to be treated	1
6	Put on protective wear	½	x
7	Treats pressure areas; • With a soapy hand massages each area in a circular motion for at least one minute to stimulate blood flow • Rinses each part with a wet flannel and dry with a towel and dry it • Applies Vaseline on the area and in incontinent patient, apply a barrier cream	2 1 2
8	Changes or straightens the bed clothes	½	x
9	Makes the bed and leaves the patient comfortable	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (DIRECT)

Paper code: DND 215 OSPE

June 2024

Examiners' Checklist

STATION NO: 5

TASK: ASSISTING PATIENT TO PERFORM DEEP BREATHING EXERCISES

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Explains the task to the patient	1
2	Places patient into an upright position.	1
3	Instructs patient to place palms of both hands along the lower anterior rib cage	1
4	Instructs the patient to exhale air gently and completely	1
5	Instructs the patient to breath in through the nose deeply and hold the breath for 3 seconds	2
6	Instructs the patient to exhale through the mouth, pursing the lips like when whistling	2
7	Instructs the patient to do demonstration again	1
8	Thanks patient and leaves her comfortable	1
TOTAL		10

Examiner's Comments