Year 2: Semester 1 Checklists (DNE & DME)

DNE: Assessing Level of Consciousness
DNE: Monitoring a Child with Acute Malnutrition
DNE: Tracheostomy Care
DNE: Management of an Emergency
DNE: Use and Removal of Sanitary Pads
DME: Assessing for Fever
DME: Tepid Sponging
DME: Emergency Management of a Patient in an Eclamptic Fit
DME: Providing Emergency Contraception
DME: Nutritional Assessment

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 1

TASK: ASSESSING LEVEL OF CONSCIOUSNESS

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Assesses for Best eye response. Notes whether eyes • Open spontaneously 4 • Open to verbal command 3 • Open to pain 2 • No eye open 1	½ ½ 1 1
2	Best motor response. Notes whether patient • Obeys commands 6 • Localizes pain 5 • Withdraws from pain 4 • Flexion to pain 3 • Extension to pain 2 • No motor response 1	½ 1 ½ ½ ½ 1
3	Best verbal response. Notes whether • Oriented 5 • Confused 4 • Inappropriate words 3 • Incomprehensible sound 2 • No verbal response 1	½ 1 ½ ½ ½
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 4

TASK: MONITORING A CHILD WITH ACUTE MALNUTRITION

Examiner's Name:

Date:

School code:

Candidate's No:

No.	Areas to be assessed	Score	Partially Done
1	Identifies the mother and child and greets mother	-
2	Explains procedure to mother	½	x
3	Washes hands and warms them	½	x
4	• Undresses the baby and correctly takes height • Correctly weighs baby on appropriate weighing scale • Correctly measures mid upper arm circumference using tape measure • Records findings	2 2 2 ½	x
5	• Informs mother of the findings • Advises mother on what foods to give to the child ie foods containing Proteins, Carbohydrates, Vitamins giving examples of food to be given e.g. milk, eggs, maize, porridge • Advises mother to bring back child for review and monitoring • Thanks mother and leaves baby comfortable	½ 2 - -	x
TOTAL		10

Examiners comment:

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 5

TASK: TRACHEOSTOMY CARE

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Washes hands thoroughly with soap and water	-
2	Puts on gloves	½	x
3	Suctions the tract tube	1
4	Inspects the skin around the stoma	1
5	• Soaks the cotton swabs in solution of half hydrogen peroxide and half water • Cleans the exposed parts of the outer cannula and skin around the stoma • Wets the wash cloth with normal saline or tap water or distilled water to wipe away hydrogen peroxide and cleans the skin • Dries the exposed outer cannula and skin around the stoma with a clean towel • Changes the tracheostomy tube, ties with the appropriate size of the tracheostomy tubeties • Ties the tracheostomy tube correctly	1 1 2 1 2 ½	x
6	Thanks and leaves patient comfortable	-
7	Washes hands and records	-
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 3

TASK: MANAGEMENT OF AN EMERGENCY

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	The in charge stays calm but acts quickly	1
2	Determines casualty's unresponsiveness, checks for breathing and carotid pulse	1
3	Calls for support from colleagues, by activating the code for emergencies	1
4	Gives clear instructions to the junior colleagues after confirming whether they can do CPR	1
5	Co-ordinates with the 2 to lift casualty onto a firm flat surface	½	x
6	Orders the staff to bring the emergency tray	½	x
7	In-charge kneels by the casualty's side, tilts head lifting chin as the colleague inserts airway	2
8	In-charge coordinates with the staff who is conversant with CPR to form a seal over the patient's mouth and nose and inflate, as the in-charge starts on the compressions	2
9	The second colleague re-assesses the casualty for breathing and circulation	½	x
10	In-charge records procedure as the other 2 colleagues are instructed to clear away and leave patient comfortable	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 2

TASK: USE AND REMOVAL OF SANITARY PADS

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport	-
2	Demonstrate use • Washes hands; • Chooses an appropriate pad for the age and flow • Gets the model in position, preferably sitting or standing with panties around the knees • Removes the pad from individual wrapper • Folds all the flaps/wings and removes the adhesive strips on the bottom • Sticks the adhesive part onto the panties, just beneath the vulva • Folds the wings/flaps outside the panties to secure the pad • Pulls up the panties to wear them as usual, ensuring enough of pad either side	½ ½ ½ ½ ½ 1 ½ ½	x x x x x x x
3	Demonstrates removal; • Gets in appropriate position, sitting or standing • Unstraps the flaps/wings • Folds the pad in half or rolls it in itself • Wraps the pad in toilet paper or wrappings of the replacement pad • Places in restroom receptacle • Washes hands thoroughly	½ ½ ½ ½ ½ ½	x x x x x x
4	Educates the adolescent; • Hygiene, personal and hand washing • Frequently change pad, atleast 4-6 hourly • Check pad every 2-3 hours to ensure no leakage • Do not flash down the toilet	½ ½ ½ 1	x x x
5	Leaves pupil comfortable	-
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 5

TASK: ASSESSING FOR FEVER

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport with mother and baby if awake	½	x
2	Explains procedure to the mother	½	x
3	Washes hands	½	x
4	Positions the child in a comfortable position for assessment	½	x
5	Assesses for general danger sign; • Refusal to feed • Vomiting everything • Convulsions (-now or history of-) • Unconsciousness or lethargy	½ ½ ½ ½	x x x x
6	Assesses for cough or difficult breathing: • Ask for the following; - Does the child have fever? - For how long? If more than 7 days, is fever present every day? • Has the child had measles within the last 3 months • Looks/feels for - Stiff neck by observing how the baby bends the neck - Signs suggestive of measles, generalized rash, cough, runny nose or red eyes	1 1 1 1 1
7	Records findings, gives a feed back and thanks the mother	1
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 4

TASK: TEPID SPONGING

Examiner's Name:

Date:

School code:

Candidate's No:

S/N	Key Areas to Assess	Score	Partially done
1	Creates rapport	½	x
2	Provides privacy	½	x
3	Washes hands	½	x
4	Strips the bed and leaves the top sheet on	½	x
5	Removes the patients gown	½	x
6	Performs tepid sponging; • Uses tepid water or mixes hot and cold water • Sponges the face and applies cold compress on the forehead • Places flannels in the axillae and groin • Exposes arms, sponges using long slow sweeping movements using both hands and pours water over the fingers • Sponges chest and abdomen with long slow sweeping movements and changes water • Sponges legs, pouring water over the feet • Turns patient over, sponges back and drives it	1 1 1 1 1 1 1
7	Makes the patient comfortable	½	x
TOTAL		10

Examiner's comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 2

TASK: EMERGENCY MANAGEMENT OF A PATIENT IN AN ECLAMPTIC FIT

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	The in-charge stays calm but acts quickly. Calls for help and does not leave woman alone	1	x
2	Clearly instructs one of the staffs to help her position the patient as follows; • Helps her to lie on left lateral position • Extends her neck and keeps head in lateral • Keeps airway clear but does not attempt to apply mouth gag during the convulsion	½ ½ ½	x x x
3	Drug administration • Requests assistant to bring pre-assembled emergency trolley and supplies her with drugs • Administers prescribed magnesium sulphate or diazepam • Administers hydralazine as prescribed • Administers normal saline or ringers lactate through an already established IV line	1 ½ ½ ½	x x x
4	Instructs junior staff to monitors vital signs; • Takes blood pressure • Checks on urine output • In-charge checks on frequency and intensity of fits	½ ½ ½	x x x
5	Reassures family members	½	x
6	Documents the occurrence	½	x
7	Assigns one assistant responsibility to stay with patient	1
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 214 OSPE

June 2024

Examiners' Checklist

STATION NO: 3

TASK: PROVIDING EMERGENCY CONTRACEPTION

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport with the client and ensures privacy.	½	x
2	Shows empathy and concern for the client's ordeal.	½	x
3	Commends her for the decision to seek care.	½	x
4	Takes a brief history of the sexual assault to confirm penetration and whether it was the first time she has had this experience.	½	x
5	Explains to her how ECPs work to prevent pregnancy.	1
6	Provides ECPs - Example Postinor (Levonegesterol) 2 pills or 8 pills of COCs and explains how to take them. If possible offers the first dose of Directly Observed Treatment (DOT) before she leaves the clinic.	2
7	Counsels her on other treatments like Post Exposure Prophylaxis to prevent against HIV infection and also other STIs.	1
8	Counsels her on possible side effects of ECPs.	1
9	Asks her to consider involving the police.	1
10	Refers her to a professional counselor.	½	x
11	Advises her to come back after 4 weeks to rule out pregnancy and schedules return date.	1
12	Documents the findings.	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 2: SEMESTER 1: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 214 OSPE

June 2024

Examiner's Checklist

STATION NO: 1

TASK: NUTRITIONAL ASSESSMENT

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport	-
2	Explains procedure to the mother	½	x
3	Takes MUAC measurements; • Check the scale to confirm that its working well • Use tape to measure the arm circumference • Positions the hand and locates the tip of the shoulder and elbow • Determines the midpoint of the upper arm by folding the tape in half from 0 to the measured length. Mark the midpoint • Straightens the arm, places the MUAC tape flat at midpoint. Places the MUAC tape through the window and pulls • Read the measurements	½ 1 ½ 1 2 ½	x x x
4	Weighs the baby; • Checks to confirm that scale is functional • Undresses the baby and puts on the scale • Protects the baby from falling • Reads the findings and records them on the child health card	- 1 ½ 1	x
5	Interprets the results and give a feedback to the mother	1
TOTAL		10

Examiner's Comments