Practicals UHPAB Preparation

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1. Resuscitation of a Baby
2. Dehydration
3. Reptile Bite
4. Bandaging
5. Drug Admin (IV Quinine)
6. Oral Drug (Psych)
7. Suicidal Tendency
8. Adult Diarrhoea
9. Oral Care (Unconscious)
10. Admission Bed
11. Orthodox Method
12. IV Therapy
13. Oral Care (Theory)
14. Identification of Instruments
15. Lifting of a Patient
16. Post Operative Bed
17. Semi Prone Position
18. Elements of PHC
19. ECT Trolley
20. ECT Bed
21. Oxygen Administration (Theory)
22. Epilepsy (Health Ed)
23. Catheterization (Female)
24. Pre-Test Counseling
25. Vulval Swabbing
26. Cardiac Bed
27. Bed Bath (Right Foot)
28. Arranging Linen
29. Catheterization (General)
30. Examination (Posterior Chest)
31. Knee Chest Position
32. Importance of Privacy
33. Causes of Unconsciousness
34. Admission Bed (Incontinent)
35. Clinical Placement Areas
36. Health Education (Bed Making)
37. TPR Trolley
38. Administration of Oral Treatment
39. Oxygen Admin (Cylinder)
40. Last Office
41. Urine Testing
42. Examination of Jaundice
43. Admissions
44. Wound Dressing Trolley
45. Administration of Drugs (Ed)
46. Care/Storage of Medicines
47. Breast Examination
48. Obstetric History
49. 1st Antenatal Visit
50. 1st Antenatal Visit (Exam)
51. Making ORS
52. Pediatric Drug Admin
53. General Rules of Nursing
54. Changing Linen (Infectious)
55. Chlorpromazine Admin
56. ECT Health Education
57. Oral Drug (Haloperidol)
58. IV Benzyl Penicillin
59. Drug Admin (IV Cannula)
60. Bandaging (Ankle)
61. Oedema Examination
62. Taking Blood Pressure
63. Neurological Trolley
64. Australian Method Lift
65. Mental State Exam
66. Tepid Sponging
67. Advice on Discharge
68. Change Bottom Sheet
69. NG Tube Feeding Trolley
70. Health Ed (COCs)
71. Positions Used in Nursing
72. Hand Washing
73. Catheterization (Sorting)
74. Female Catheterization
75. Pressure Area Care
76. Vital Observations
77. Balance Diet (Health Ed)
78. Oral Care (Demonstration)
79. Wound Dressing
80. Oxygen Admin (Cylinder)
81. Drug Admin (IV Quinine)
82. TPR Trolley
83. Rules of Bed Making
84. Birth Preparedness Plan
85. Immunization Schedule
86. Pediatric Vital Signs
87. Medical Waste Bins
88. Urinary Tract Infections
89. Reassurance (Needle Stick)
90. Alcohol Abuse Assessment
91. Relapse Prevention
92. Infectious Fevers
93. Child with Fever
94. Ear Problem Assessment
95. Malnutrition & Anaemia
96. Health Ed (Oral Meds)
97. Medical Waste (Practical)
98. Giving a Bed Pan
99. Management 2nd Stage Labour
100. IM Injection (General)
101. Health Ed: HIV Prevention
102. Exam of Pregnant Abdomen
103. Health Ed: Drug Abuse
104. Colostomy Care
105. Examination for Anaemia
106. Care of the Cord
107. Bandaging Right Eye
108. Taking Patient Particulars
109. Tetracycline Eye Ointment
110. HIV+ Pregnant Mother (ARVs)
111. Instrument ID (Obs/Gynae)
112. Active Mgt 3rd Stage Labour
113. Pelvic Brim Boundaries
114. Vaginal Examination
115. Health Ed: Report Writing
116. Arresting Haemorrhage
117. Surgical Hand Washing
118. ID of Bed Appliances
119. Pelvic Bones and Joints
120. Putting on Surgical Gloves
121. Health Ed: Patients Rights

1. Resuscitation of a Baby

Scenario: At this station, there is a New Born Baby with Asphyxia.
Instructions:
I. Demonstrate the Resuscitation of a New Born Baby with Asphyxia
II. Move to the next station when the bell rings

Key Areas to Assess	Score	Done	Not Done
Washes hands	½
Prepares equipment:
• Suction equipment	½
• Bag and musk and oxygen source with flow meter and tubing	1
• Intubation equipment: Laryngoscope with straight blade	½
• Medications	½
• Others: Radiant Warmer, Stethoscope, Syringes, Thermometer, IV Cannula, Gloves, Airway Tube, Umbilical Catheters	1
Receives the Baby in preformed Towels	½
Dry the whole of the baby quickly and remove the wet linen	½
Position the baby in neutral position	½
Do suction starting with the Mouth, Nose to avoid aspiration	1
Insert an ET tube top to ensure open Air way where Necessary	1
Provide tactile stimulation flicking the sole of the feet of the baby or rubbing the baby’s back	1
Using free flow oxygen by blowing over the infants Nose so that the baby breathes oxygen enriched Air	1
Stimulate and maintain the blood circulation by chest compression and or medication
Washes hands	½

Total Score: 10

Examiner's Comments:

2. Dehydration

Scenario: At this station, there is a Mother with a Child complaining of Diarrhoea.
Instructions:
I. Assess the child for the signs dehydration (12 Marks)
II. Health educate the Mother about prevention of Diarrhoea (8 Marks)

Key Areas to Assess	Score	Done	Not Done
Asks how old is the child?	½
Asks how often does the child pass watery stool in a day?	½
Asks how long has the child had Diarrhoea?	½
Ask if the child’s stool contain blood?	½
Asks if the child is vomiting?	½
Asks if the child is able to drink?	½
Asks if the child has been on any treatment recently	½
Observes/Notices if the child is unconscious?	½
Observes/Notices if the child is malnourished?	½
Observes/Notices if the eyes are normal or sunken	½
Observes/Notices if the child is irritable?	½
Offers the child a drink?	½
Asks if the child is able to drink or drinks poorly?	½
Asks if the child is thirsty or drinks eagerly?	½
Pinches the skin of the Abdomen or thigh and observe	½
Observes/Notices if the skin go back quickly?	½
Observes/Notices if the skin go back slowly (longer than 2 sec)?	1
Weighs the Child	½
Asks the Mother the previous weight of the Child?	½
Asks if the Childs complains of fever?	½
Takes the temperature	½
Records and Reports findings	1

Prevention of Diarrhoea: Advise on hand washing, Proper disposal of feces, Food hygiene, Screening food handlers, Exclusive breastfeeding, De-worming.

Total Score: 12

3. Reptile Bite

Scenario: At this station, there is a client bitten by a Reptile (e.g., Snake).
Instructions: Provide First Aid to the client.

Key Areas to Assess	Score	Done	Not Done
Establishes rapport and Greets the Patient	½
Explain the Procedure, Provides privacy & Washes hands	½
Prepares the Necessary Equipments	1
Cleans/Irrigates wound thoroughly with plenty of clean soap and water immediately	1
Removes any dirt or foreign bodies	1
Rinses the wound and allow to dry	1
Applies an Antiseptic (e.g., Hydrogen Peroxide Solution 6%)	1
Covers with eye pads (or dressing)	½
Treats shock if any	½
Gives Analgesics PRN	1
Reassures and immobilizes the patient	1
Thanks the patient & clears away	½
Washes hands	½

Total Score: 10

4. Bandaging

Scenario: At this station there is a patient with a dislocation of the Ankle, Bandages and a chair.
Instructions: Bandage the left Ankle.

Key Areas to Assess	Score	Done	Not Done
Greet and Create Rapport	1
Explains the Procedure	½
Provides Privacy	1
Washes hands	½
Choose correct size of Bandage	½
Positions limb and supports	1
Stands in front of the patient	½
Bandage from inner to outer aspect	1
Observes patients facial expression for any discomfort	1
Anchors bandage with 2 Circular turns	1
Anchors figure of Eight	3
Ends with 2 circular turns	1
Asks the patient for comfort and firmness of the bandage	1
Thanks the patient	½
Washes hands	½

Total Score: 14

5. Drug Administration (Severe Malaria)

Scenario: Patient aged 8 years (20kg). Prescription: IV Quinine in Dextrose 5%.
Task: Administer dose, Mention side effects, List prophylaxis drugs.

Key Areas to Assess	Score	Done	Not Done
Greets patient, introduces self, explains procedure, gets permission	2
Washes hands, Reads/Checks prescription, Picks correct drug	2
Calculates Right Amount: Dose Quinine (10mg/kg x 20kg) = 200mg Dose Dextrose 5% (10ml/kg x 20kg) = 200ml	5
Prepares IV set up & Administers Medication considering all precautions	5
Thanks patient & Records treatment	1
Mentions Side Effects of Quinine: Nausea, Vomiting, Abdominal pain, Hypoglycemia, Headache, Tinnitus, Blurred Vision	3
Common Prophylaxis Drugs: Doxycycline, Fansidar, Mefloquine, Proguanil	2

Total Score: 20

6. Administration of Oral Drug (Psych)

Scenario: Patient with mania waiting for afternoon Haloperidol dose.
Instructions: Prepare medicine tray and administer drug.

Key Areas to Assess	Score	Done	Not Done
Establishes rapport and greets the patient	½
Explain the procedure & Provides privacy	1
Washes hands	½
Reads prescription from the patient’s file	1
Confirms with the right patient by name	1
Identifies the drug and reads the label	1
Puts the drug on a spoon	½
Administer the drug	1
Gives the patient instructions	1
Ensures patient swallows the drug, records and thanks the patient	2
Washes hands	½

Total Score: 10

7. Suicidal Tendency Assessment

Scenario: Suicidal patient assessment.

Key Areas to Assess	Score	Done	Not Done
Greets the Client and introduces him/her self	1
Asks the client if he intends to kill himself/herself	1
Asks the client if he has decided on the means, Which one?	1
Asks the client if he has made a will	1
Asks if he/she has given away some of his/her property	1
Inquires if he has ever attempted committing suicide	1
Asks about history of suicide in the family	1
Asks if he takes Alcohol / Other things	1
Asks whether married or not	1
Reassures the client and report findings	1

Total Score: 10

8. Assessment of Adult with Diarrhoea

Scenario: Client aged 24 complaining of passing watery stool.

Key Areas to Assess	Score	Done	Not Done
Greets and introduces self	½
Asks: How long? Blood/Mucus? Smell? Fever? Vomiting? Others affected? Previous treatment?	7
Assesses the degree of Dehydration	1
Thanks client, Records/Reports	½
Management: Give ORS + Zinc (Mild)	1
Give Cotrimoxazole 960mg BD for 5/7	1
Give Metro 400mg TDS 5/7	1

Total Score: 14

9. Oral Care (Unconscious Patient)

Scenario: Prepare Equipments for oral care for an unconscious patient.

Key Areas to Assess	Score	Done	Not Done
Wash hands	1
Prepares clean tray	1
3 Galipots for: Sodium Bicarbonate/Saline, Glycerin Borax, Gauze Swab	3
1 Kidney dish containing: 2 Pairs Non Toothed Dissecting Forceps, 2 Pairs Artery Forceps	2
1 Kidney dish containing: Mouth Gag, Tongue Depressor, Airway Tube	1½
Kidney Dishes for used swabs/instruments	1
Gloves, Towel, Apron	1½

Total Score: 10

10. Admission Bed

Scenario: Prepare the Equipments for making an Admission Bed.

Key Areas to Assess	Score	Done	Not Done
Wash hands	½
Cleans the trolley	½
Puts the ground mackintosh	1
Puts the bottom sheet	1
Puts the draw sheet	1
Puts the admission sheet/blankets	1
Puts the top bed sheet	1
Puts the blanket	1
Puts the counter pane	1
Puts the pillow case & pillow on bottom shelf	1
Washes hands	1

Total Score: 10

11. Orthodox Method

Scenario: Lifting a patient using orthodox method with an assistant.
Instructions: Lift the patient. Move to the next station when the bell rings.

Task	Score	Done	Not Done
Washes hands	1
Greets patient and introduces self	1
Explains the procedure to the patient and assistant	1
Tells or extends patient at the edge of the chair	1
Removes patient’s shoes	1
Asks patient to fold arms across the chest and bend the head forward	1
Bends the patient’s knees a little and instructs the assistant to grasp	1
Lift the patient onto the Bed	1
Ensures patient ‘s comfort and thanks the patient	1
Washes hands	1

Total Score: 10

12. IV Therapy

Scenario: Severely dehydrated patient. Tray with I.V fluid and giving set drip stand.
Instructions: Identify suitable fluids, Connect giving set, Expel air.

Task	Score	Done	Not Done
Brings I.V stands besides the bed table	1
Washes hands	1
Picks ringers lactate solution	1
Check expiry date	1
Removes the bottle seal	1
Removes giving set from pack	1
Squeezes drip chamber	1
Expels Air	1
Closes the I.V set	1
Hangs it up	1

Total Score: 10

13. Oral Care (Theory Station)

Scenario: Write down the equipment found on the oral care trolley for unconscious patient.

Task	Score	Done	Not Done
Top Shelf / Tray:
Artery Forceps	1
Mouth Gag	1
Air way tube	1
Tongue Clip	1
Non Toothed Dissecting forceps	1
Galipots of Gauze swabs	1
Galipot for moistener	1
Bottom Shelf:
Emesis Bowl for water	1
Bucket for infectious waste or receiver	1
Nurse’s apron, Disposable gloves, Water Proof Towel	1

Total Score: 10

14. Identification of Instruments

Instructions: Pick one instrument at a time and mention its name and use.

Task	Score	Done	Not Done
Mouth Gag: Used for opening the patient’s mouth wide during oral care or to keep the airway clear	2
Toothed Directing Forceps: Used for Picking swabs and wound dressing	2
Airway Tube: Used To keep the Airway Clear	2
Patella Hammer: Used to test the knee reflex, Barbinki’s Sign	2
Cheatle Forceps: Used for picking sterile light instruments or sterile swabs from the drum	2

Total Score: 10

15. Lifting of a Patient

Scenario: Lift the Patient from the Chair to the bed.

Task	Score	Done	Not Done
Greets the patient and introduces self	1
Explains the procedure to the patient	1
Obtains patient permission & Asks for Assistance	1
Provides privacy	1
Instructs patient & assistant on what to do	2
Puts patient’s head across the chest & Bends patient’s head forward	2
Passes hands under patients thighs and holds the assistant ‘s hand firmly	1
Puts the other hand behind the patient’s back	1
Lift the patient in the comfortable position	1
Covers, Thanks patient, Washes hands	2

Total Score: 12

16. Post Operative Bed

Scenario: Prepare a Post Operative Bed using bed trolley with linen.

Task	Score	Done	Not Done
Washes hands & Checks the bed springs	1
Straightens the mattress cover	1
Puts on ground sheet or straightens it	1
Puts the bottom sheet and evenly distributes and turns it	1
Places the draw mackintosh and draw sheet across the bed	1
Places the small mackintosh and towel a cross top of the bed and evenly distributes	1
Puts and evenly distributes the top sheet leaving it hanging	1
Puts the blanket leaving it hanging	1
Puts the counter pane leaving it hanging	1
Makes a pack	1

Total Score: 10

17. Semi Prone Position

Scenario: Turn the unconscious patient in the most suitable position (Semi Prone).

Task	Score	Done	Not Done
Identifies semi prone position	1
Ensure privacy	1
Removes pillow(s)	1
Extends the head to clear the Air way	1
Flexes one arm over the chest	1
Straightens the other arm to lie vertical on the bed and pushed under the buttocks	1
Flexes one leg leaving the other lying straight on bed or flexes one leg over the other	1
Holds the shoulders girdle and hip and then turns the patient	1
Pulls out the arm and straightens it to lie vertical on the bed	1
Washes hands	1

Total Score: 10

18. Elements of PHC

Scenario: List 10 Elements of Primary Health Care.

Element	Score	Done
Health education	1
Control of locally endemic diseases	1
Nutrition and food supply	1
Water and environmental sanitation	1
Maternal /child health and family planning	1
Immunization	1
Treatment of common minor illnesses and injuries	1
Supply of essential drugs	1
Mental health	1
Oral and dental health (or Rehabilitative/Income gen)	1

Total Score: 10

19. ECT Trolley

Scenario: Prepare the top shelf of ECT Trolley.

Task	Score	Done	Not Done
Cleans the top shelf & Washes hands	2
Puts the ECT machine	1
Puts the head piece in a bowl with Electrolyte	1
Puts the mouth rubber piece	1
Puts cotton swabs in a bowl	1
Trays for oral care with: Mouth Gag, Sponge holding forceps, Tongue clip, Tongue depressor	3
A bowl of dentures	1

Total Score: 10

20. ECT Bed

Scenario: Make an ECT Bed using trolley set.

Task	Score	Done	Not Done
Student washes hands	½
Arranges linen on two chairs	1
Checks the strength of the bed	½
Turns the mattress and straightens it	1
Puts the bottom sheet from bottom to top and miters the corner on his/her side	1
Places the draw mackintosh and draw sheet in position	1
Puts the top sheet and works from bottom to top	1
Puts the blanket & counter pane	2
Holds the top linen to make an angle of 45 degrees	1
Places small mackintosh and towel in the position for a pillow	1

Total Score: 10

21. Oxygen Administration (Theory)

Scenario: List methods and indications for oxygen administration.

Task	Score	Done	Not Done
Methods (Any 4): Catheter, BLB Mask, Polythene mask, Oxygen Funnel, Tudor Edward’s Spectacles
4 correct methods	4
Indications (1 mark each):
Cardiac failure	1
Severe anemia	1
Severe hemorrhage	1
Shock and collapse	1
Pneumonia disease of the respiratory tract	1
Bronchitis	1
Status Epilepticus	1
In high Altitude	1

Total Score: 13

22. Epilepsy (Theory/Health Ed)

Scenario: Health Education about the causes of Epilepsy.

Task	Score	Done	Not Done
Greets and introduces self	½
Arranges the members for the session	1
Explains the purpose of the session	½
Introduce topic & Assess knowledge	2
Mention causes of Epilepsy (5 marks): Head Injury, Hereditary, Infection, Drug abuse, Accidents, Poisoning
Correct Causes	5
Evaluate the session	1
Summarizes the session	½
Thanks the participants	½

Total Score: 11

23. Catheterization (Female)

Scenario: Prepare a trolley for female catheterization.

Task	Score	Done	Not Done
Disinfect the trolley & Washes hands	1
Bottom Shelf / Tray:
Sterile gloves, 2 catheters, Syringe, Specimen bottles, Lab form, KY Jelly, Water for injection, Torch, Receivers	7
Top Shelf:
Puts sterile trolley covers	1
Cotton swabs, Gauze swab, Sterile towel, Spigot, Towel clips	2½
2 Gallipots (antiseptic/lubricant)	1
Sterile kidney dish	1
Covers top shelf	1

Total Score: 15

24. Pre–Test Counseling (Theory)

Scenario: Do the pre-test counseling for a client for voluntary counseling test.

Task	Score	Done	Not Done
Create rapport	1
Make client comfortable	1
Assure client of confidentiality	2
Get brief history	2
Talk about the benefit of testing	3
Thank the client	1

Total Score: 10

25. Vulval Swabbing

Scenario: Patient draped in screens. Perform Vulval swabbing & Insert cuscus speculum.

Task	Score	Done	Not Done
Greets/Rapport, Explains, Washes hands, Gloves	2
Places receivers against the perineum	½
Moistens swabs (5 in Number)	½
Cleans Labia Majora & Minora	1
Observes patient reaction & Sits on stool	1
Checks speculum blades & Asks for light	1
Introduces speculum obliquely & Rotates counter clock wise	1
Insert it down wards & Rotate blades horizontally	1
Open blades slowly to visualize	½
Removes gloves & Washes hands	1

Total Score: 10

26. Cardiac Bed

Scenario: Identify missing equipment and complete bed for patient with dyspnoea.

Task	Score	Done	Not Done
Washes hands	½
Identifies missing: Cardiac table, Back rest, Air ring, Pillows, Foot rest, Extra blanket	3
Places back rest on top of the bed and adjust it	½
Assembles the first two pillows across the back rest	1
Puts 3rd/4th pillows vertical and 5th across	2
Leaves small space between pillows for patient comfort	1
Puts the ring & extra blanket on top of pillows	2

Total Score: 10

27. Bed Bath (Right Foot)

Scenario: Prepare and wash the right foot.

Task	Score	Done	Not Done
Check if patient is in bed	1
Creates rapport (Greets & Intro)	1
Explains procedure, Assesses need, Washes hands	2
Prepares equipment: Soap, Basin, Sponge, Gloves, Mackintosh, Towels, Nail brush	3½
Provides privacy & Reminds patient	2
Reduces beddings, Exposes right foot, Avoids exposing rest	2
Makes use of assistant	1
Places mackintosh/towel, Basin, Soaks sponge	2
Applies soap, Places foot in basin, Cleans foot	2½
Checks foot (toes/nails), Dries foot	2
Thanks patient, Washes hands	1

Total Score: 20

28. Arranging Linen (Burns Bed)

Scenario: Arrange linen for a bed for burns.

Task	Score	Done	Not Done
Washes hands	1
Cleans the trolley	1
Places the ground mackintosh on trolley	1
Puts the bottom sheet	1
Puts the draw mackintosh	1
Puts the draw sheet	1
Puts two extra old sheets (or on top of counter pane)	1
Places the top sheet	1
Puts the blanket	1
Puts the counter pane	1

Total Score: 10

29. Catheterization (General)

Scenario: Prepare Equipment for Catheterization.

Task	Score	Done	Not Done
Mops Trolley & Washes hands	1
Prepares bottom shelf (2 Receivers)	3
Tray With: Syringe (10ml), Gloves, 2 Catheters, Urine bag, Lab form, Bottles, KY Jelly, Hibitane, Pen torch, Cheatle forceps	8
Top Shelf: Trolley cover, Sterile swabs, Spigots, Towel, Clips, Gallipots (antiseptic/lubricant), 2 Dissecting forceps, Sterile receiver, Cover	8

Total Score: 20

30. Examination (Posterior Chest)

Scenario: Male patient seated. Inspect and palpate posterior chest.

Task	Score	Done	Not Done
Creates rapport, Explains, Washes hands	3
Removes gown, Exposes part, Drapes shoulders/abdomen	3
Examines: Shape, Chest contour, Abnormalities	3
Respiration: Rate, Rhythm	2
Palpates: Lower palm over intercostals, "Say 99", Top to bottom	4
Reports findings, Thanks patient, Washes hands	3

Total Score: 20

31. Knee Chest Position & Recumbent

Scenario: Position a patient in knee chest position and after recumbent position.

Task	Score	Done	Not Done
Intro, Rapport, Privacy, Wash hands	3
Knee Chest: Position with head lower than pelvis	3
Mentions uses: Pregnancy, Rectal exam	2
Dorsal Recumbent: Lying on back knee and flat on bed	3
Mentions uses: Abdominal exam, Virginal exam, Rectal exam, Child birth	4

Total Score: 15

32. Importance of Maintaining Privacy (Theory)

Scenario: Mention 10 importance of maintaining patient‘s privacy.

Point	Score	Done
It’s a human right	1
Maintains the person’s dignity	1
Prevents embarrassment	1
Improves compliance to care or treatment	1
Builds patients confidence in the health care provider	1
Improves interpersonal relationship	1
Helps in transparency	1
Relives worries and fears of being exposed	1
It makes the services user friendly	1
Avoids unnecessary exposure of the patient	1

Total Score: 10

33. Causes of Unconsciousness (Theory)

Scenario: List down 10 causes of unconsciousness.

Cause	Score	Done
Head Trauma	1
Hemorrhage	1
Shock	1
Epilepsy	1
Fainting	1
Drowning	1
Cerebral vascular accidents / Stroke	2
Infections	1
Asphyxia	1
Poisoning (Chemical / Drugs)	1

Total Score: 11 (Max 10)

34. Admission Bed (Incontinent Patient)

Scenario: Arrange the necessary requirement for making an admission bed for incontinent patient.

Task	Score	Done	Not Done
Washes hands	½
Cleans trolley & identifies requirements	½
Places ground mackintosh	½
Puts bottom sheet	½
Puts draw mackintosh	½
Puts draw sheet	½
Puts 2 extra sheets or bath blanket	2
Places top sheet, blanket, counter pane	1½
Explains importance of each	4

Total Score: 10

35. Clinical Placement Areas (Theory)

Scenario: Write down the wards in your Training Hospital.

No. / Names / Ward	Score	Done
I.	1
II.	1
III.	1
IV.	1
V.	1
VI.	1
VII.	1
VIII.	1
IX.	1
X.	1

Total Score: 10

36. Health Education (Bed Making)

Scenario: Educate a group of new students on any 8 rules of bed making.

Task	Score	Done	Not Done
Welcomes and greets the learners	½
Organizes and introduces the topic	½
Thorough hand washing	1
Preparation of all the necessary equipment	1
Ensures patient‘s comfort by use of bed accessories	1
Observes infections control measures	1
Maintains privacy	1
Miters hospital corners	1
Working in harmony	1
Avoids bed creases	1
Avoids unnecessary movements	½
Thanks the participants	½

Total Score: 10

37. TPR Trolley

Scenario: Take temperature, pulse and respiration. Convert Temp to Fahrenheit.

Task	Score	Done	Not Done
Introduces self and explains procedure	1
Washes hands & Ensures privacy	1½
Checks thermometer and shakes mercury below 35°C	1
Rinses thermometer in cold water and dries	1
Exposes patient’s Axilla and dries it	1
Insert thermometer between skin folds, cross arm over chest	1
Takes pulse for half a minute	1
Takes respiration for 1 minute	1
Records findings, Thanks patient, Clears away	1
Washes hands	½

Total Score: 10

38. Administration of Oral Treatment

Scenario: Patient waiting to receive treatment. Administer prescribed treatment.

Task	Score	Done	Not Done
Greets patient, Creates rapport, Introduces self	1
Explains procedure & Obtains permission	2
Washes hands	1
Reads prescription	1
Picks correct drug & Checks prescription again	2
Picks right amount of tablets, puts on plate/saucer	1
Gives drug to patient, checks if taken	1
Thanks patient & Records treatment	1

Total Score: 10

39. Oxygen Administration (Cylinder)

Scenario: Name labeled parts of the cylinder and give 5 indications.

Key Areas / Indications	Score	Done	Not Done
Parts:
Flow meter	1
Pressure gauge	1
Valve socket	1
Wing bolt	1
Regulator (Fine Adjustment Valve)	1
Indications:
Severe Anemia, Pulmonary Injury, Pulmonary Oedema, Shock	4
Respiratory failure/depression, Cardiac failure	2
Post anesthetic patients, Pneumonia/TB	2
High altitude, Subcutaneous Emphysema, Caisson disease	3
Asthma (status), Status Epilepticus	2

Total Score: 18

40. Last Office

Scenario: Prepare a trolley for last offices.

Task	Score	Done	Not Done
Washes hands & Mops trolley	1
Top Shelf: Jug of warm water	1½
3 Bowls (White wool, Brown wool, Gauze swabs)	1½
Receiver/Bowl with 2 flannel	1
Basin, Soap in soap dish	2
Receiver with scissors and ribbon, 2 Name tags	2
Tray with sinus forceps & dissecting forceps	1
Bottom Shelf: Mortuary gown, sheet, 2 Towels, Gloves	3½
2 Receivers (Used instruments, Infectious waste)	1
Antiseptic, Plaster/Bandage tray, Buckets	1½

Total Score: 16

41. Urine Testing

Scenario: Test for Protein and Glucose.

Task	Score	Done	Not Done
Reads instructions	1
Washes hands	1
Puts on disposable gloves	1
Picks Uristics and dip into urine	1
Removes Uristics and allows urine to drip into container	1
Waits for one minute then compares with scale	1
Reports findings to Examiner	1
Cleans away and removes gloves	1
Washes hands	1
Total	10

Total Score: 10

42. Examination of Jaundice

Scenario: Examination for Jaundice.

Task	Score	Done	Not Done
Greets and introduces self	1
Explains purpose of visit & Provides privacy	2
Washes hands	1
Examines sclera by holding upper and lower lids apart	1
Checks mucous membrane of the lips	1
Checks the skin and palms	1
Reports findings to Mother	1
Washes hands	1
Thanks Mother, Records/Reports	1

Total Score: 10

43. Admissions

Scenario: Admission of a patient with fever.

Task	Score	Done	Not Done
Greets patient and relatives & Provides seats	2
Reads written admission forms	1
Interprets admission instructions to patient	1
Confirms history	1
Fills admission book/charts with details	1
Explains hospital protocols to relatives/patient	1
Direct the patient to the bed	1
Arranges plans for further management	1

Total Score: 10

44. Wound Dressing Trolley

Scenario: Prepare a dressing trolley for a clean wound.

Task	Score	Done	Not Done
Disinfect/mops trolley & Washes hands	1
Prepares bottom shelf first	½
Tray containing: Sterile gloves, Bandage, Plaster, Lotion, Scissors	3½
3 Receivers (Swabs, Instruments, Soiled dressing)	1½
Apron & Drum with sterile swabs	1
Top Shelf: Cheatle forceps, Sterile cover, Swabs	2½
2 Non-toothed dissecting forceps, Artery forceps, Sterile scissor	3
Dressing towel, 2 Gallipots (Antiseptic/Spirit)	1½
Covers top shelf	½

Total Score: 15

45. Administration of Drugs (Education)

Scenario: Educate PTS Student Nurses about rules of drug administration.

Task	Score	Done	Not Done
Greets learners, Organizes topic, Assesses knowledge	3
Explains purpose of session	2
Consult senior if doubt regarding prescription	2
Know drug use, action, dosage, side effects	2
Don’t use drug without proper label	2
Reject drug which has changed colour	2
Never transfer drug in container with old label	2
Shake liquid formulation for distribution	1
Use clean spoon/container for oral liquid	1
Evaluates/Summarizes	1

Total Score: 20

46. Care/Storage of Medicines

Scenario: Tell Examiner how to Care for Medicines from store to Ward.

Task	Score	Done	Not Done
Greets learners, Organizes/Introduces topic	1
Assess knowledge, Explains purpose	1
First stock in, First stock out	1
Check ‘Official or Brand’ Name	1
Takes note of expiry date, colour, Shape, odour	1
Groups drugs according to Classes/Schedule	1
Drug labels should be read carefully	1
All drugs should be kept under lock	1
Evaluates/Summarizes	1

Total Score: 10

47. Breast Examination

Scenario: Perform breast examination on a mother complaining of breast pain.

Task	Score	Done	Not Done
Intro, Explanation, Consent	1
Prepare Equipment: Tray, Swabs, Gloves, Screen, Sheets, Towel, Soap/Water	2
Privacy, Inquiry about history, Position patient	3
Hand hygiene, Position arms	2
Records findings: Size/Color/Shape, Signs of pregnancy, Nipple prominence, Move anteriorly, Cleanness	5
Stands on right, cleans/dries arm pit	2
Palpates axilla glands (supporting breast)	1
Check Nipple (Pull forward), Compress breast tissue	2
Repeats for right breast	1
Records, Clears away	1

Total Score: 20

48. Obstetric & Gynaecological History

Scenario: Young lady for Antenatal Care. Assess Obstetric/Gyn History.

Task	Score	Done	Not Done
Creates Rapport	1
Asks: No. of Pregnancies, Deliveries, Living Children, Miscarriages, Still Births, Premature, C-Section, Operations	4
History about: Vacuum/Forceps, Retained Placenta, PPH, Cervical Shrodhkar	2
Interval from Last Pregnancy	1
Who assisted previous delivery	1
Records and Reports findings	1

Total Score: 10

49. First Antenatal Visit (General Status)

Scenario: Gravid for first time ANC. Assess General Antenatal status.

Task	Score	Done	Not Done
Welcomes Client, Seat, Screens	1½
Asks: Bio Data, Medical/Social Hx, Family Hx, Obs/Gyn Hx, Surgical Hx	2½
Asks about HIV status	1
Examines BP, HB, Urine	1
Measures Height	1
Asks for Contraception used before	1
Appointment & Records	2

Total Score: 10

50. First Antenatal Visit (Examination)

Scenario: Prime Gravid. Carry out thorough examination.

Task	Score	Done	Not Done
Welcomes Client, Seat, Screens	1
Assesses symptoms (Fever, Cough, etc.)	1
Checks: Temp, Pulse, BP, Weight, HB, Proteinuria	6
Checks: Gestation Period, Fundal Height, Fetal Position, Heart Beat	4
Asks for signs of Illness, Vaginal Exam, HIV+Cd4 check	3
Advices on risk, Appt, Refer if needed	3

Total Score: 18 (Adjusted from sheet max 10)

Note: The original PDF lists Total Score as 10, but there are roughly 18 checkable items worth 1 mark each.

51. Making Oral Dehydration Salt (ORS)

Scenario: Prepare homemade ORS for mother with baby.

Task	Score	Done	Not Done
Create rapport & Wash hands	1
Measures 1000mls boiled water	1
Adds one leveled tea spoon of salt	1
Adds eight leveled tea spoons of sugar	1
Mixes until fully dissolved	1
Instructs mother (give in 24hrs, keep safely)	2
Allows questions	2
Thanks mother	1

Total Score: 10

52. Pediatric Drug Administration

Scenario: Baby Girl prescribed 5ml of cough linctus.

Task	Score	Done	Not Done
Reads order, checks label	½
Shakes bottle vigorously	1
Holds bottle, removes cover (upside down/finger)	1
Pours at eye level, label uppermost	1
Wipes rim, replaces cork, reads label again	2
Goes to patient, Checks name/list	2
Gives medicine, Ensures taken	1
Washes cup, returns, Signs list, Thanks	1½

Total Score: 10

53. General Rules of Nursing Procedures

Scenario: Educate new students on 8 general rules.

Task	Score	Done	Not Done
Welcomes, Arranges, Introduces	2½
Collects equipment/prepares tray	1
Explains procedure	1
Provides privacy	½
Positions patient	½
Wash hands	½
Carry out procedure, leave comfortable	1
Thank patient, Tidy, Questions, Summary	3

Total Score: 10

54. Changing Linen (Infectious Patient)

Scenario: Change linen for a bed ridden infectious patient.

Task	Score	Done	Not Done
Greets/Intro, Explains, Asks Assistant	1
Ensures privacy & Infection Control	3
Rolls sheet lengthwise, places on chair	1
Assistant holds patient, turn patient	1
Removes dirty sheet -> dirty linen container	1
Straightens mattress, mackintosh, draw sheet	2
Thanks patient/assistant, Clears, Washes hands	1

Total Score: 10

55. Chlorpromazine Administration

Scenario: Administer prescribed tablet chlorpromazine. Speak loudly.

Task	Score	Done	Not Done
Creates Rapport	1
Reads order, checks medicine list/label	2
Reads label 3 times: Removing from shelf, Removing medicine, Returning bottle	2
Ensures: Right medicine, Right person, Right dose	1
Explains when/how to take drug	1
Asks patient to repeat	1
Gives info on minor side effects	2

Total Score: 10

56. Electro-Convulsive Therapy (Health Ed)

Scenario: Health Educate a group of students about ECT (excluding nursing care).

Task	Score	Done	Not Done
Greets the students & Introduces self	1
Arranges the participants	1
Introduces the participants & topic	1½
Define ECT	1
Mentions the dose	1
Mention how ECT works	1
Mention the indications	1
Mentions the complications	1
Summarises the topic	1
Close the talk and thanks the patients	1

Total Score: 10

57. Administration of Oral Drugs (Haloperidol)

Scenario: Patient with mania waiting for afternoon haloperidol dose.

Task	Score	Done	Not Done
Establishes rapport, greets patient, explains procedure	1
Provides privacy & Washes hands	1
Reads prescription from file	1
Confirms right patient by name	1
Identifies drug and reads label	1
Puts drug on spoon	½
Administers the drug	1
Gives patient instructions	1
Ensures swallowing, records, thanks patient	2
Washes hands	½

Total Score: 10

58. Drug Administration (IV Benzyl Penicillin)

Scenario: Prepare a tray for injection of benzyl penicillin 2mega units intravenously.

Task	Score	Done	Not Done
Washes hands	½
Sterile Tray Contents:
2 Gallipots (swabs/antiseptic)	2
2 Receivers (drug transport/used swabs)	2
One big receiver with: 2 vials Benzyl Penicillin (X-pen) Water for Injection/Diluent Syringe and needle in cover Bottle of antiseptic	4
Tourniquet, BP machine	1
Patients treatment chart	1
Patients towel or a Drapper	½
Safety box	½

Total Score: 12

59. Drug Administration (IV Cannula)

Scenario: Patient with difficulty breathing and cannula insitu. Administer drug.

Task	Score	Done	Not Done
Greets/Intro/Explains/Privacy/Washes hands	2½
Arranges equipments & Picks vial of X-pen	1
Cleans vial top, opens seal	½
Withdraws water (2mls) and reconstitutes drug	1
Shakes vigorously & Draws all medication	1
Disconnects syringe/needle, places on sterile receiver	1
Opens Cannula, connects syringe, injects drug	1
Discard Syringe into Safety Box	2

Total Score: 10

60. Bandaging (Ankle)

Scenario: Patient with dislocation of the ankle. Bandage the left ankle.

Task	Score	Done	Not Done
Greets/Rapport/Explains/Privacy/Washes hands	2
Chooses size, Positions limb/support	1
Stands in front, Bandages inner to outer	1
Observes facial expression	½
Anchors (2 circular turns)	½
Applies figure of eight	3
Ends with 2 circular turns	½
Asks for comfort/firmness	½
Thanks patient/Washes hands	1

Total Score: 10

61. Examination of Patient with Oedema

Scenario: Patient with dementia and generalized oedema. Examine lower limbs.

Task	Score	Done	Not Done
Rapport, Explains, Privacy, Washes hands	2
Positions patient and exposes lower limb	1
Systematically examines for oedema	½
Stand at foot of bed, Puts legs together	1
Observes legs (swelling, pigmentation)	½
Presses thumbs on tibia (lower aspect)	½
Observes depression at sites	½
Presses inner ankles & outer tibia aspects	2
Observes facial expression for pain	½
Communicates/Thanks/Comfort/Wash hands	1½

Total Score: 10

62. Taking Blood Pressure

Instructions: Take the patient’s blood pressure.

Task	Score	Done	Not Done
Greets and creates rapport	1
Explains procedure	1
Obtains permission and position	1
Washes hands & Exposes site	2
Applies the cuff correctly	1
Locate the Bronchial pulse	1
Inflates the cuff	1
Presses stethoscope over Bronchial artery, deflates watching manometer	1
Removes cuff, thanks patient, records findings	1

Total Score: 10

63. Neurological Trolley

Scenario: Prepare a Neurological Trolley; Identify Patella Hammer and Tuning Fork.

Task	Score	Done	Not Done
Mops trolley & Washes hands	1
Top Shelf: Ophthalmoscope, Patella hammer, Torch, Tuning fork	3½
Tray with: Hot/cold bottles, Salt/Sugar bottles, Coffee/Eucalyptus, Cotton swabs, Pins, Chalk, Coin/Peas, Tape measure, Tongue depressor	4½
Bottom Shelf: Snellen’s chart, Gown, Slippers	1½
Identification: Patella hammer (reflexes)	2
Identification: Tuning fork (hearing/bone connectivity)	2

Total Score: 15

64. Australian Method (Lifting)

Scenario: Lift patient from Station to Laboratory using Australian method.

Task	Score	Done	Not Done
Greets/Intro/Request Assistance/Wash hands	3
Explains procedure & Instructs patient	2
Faces the head of the bed	1
Bends down, places shoulders under patient’s axilla	1
Places hands of same arm under thighs and grip	1
Places hands flat behind patient’s back	1
Lift patient down to chair	1
Thanks patient & Washes hands	1

Total Score: 10

65. Mental State Examination

Scenario: Carry out a Mental State Assessment.

Task	Score	Done	Not Done
Greets/Intro/Name/Explains/Consent	2
Assesses Mood	1½
Orientation: Immediately, Place, Person	1½
Memory: Immediately, Short term, Long term	1½
Patient’s perception	1
Patient’s thought process	1
Patient’s judgment	1
Thanks/Leaves comfortable	1

Total Score: 10

66. Tepid Sponging

Scenario: Patient with Hyperpyrexia of 40°C.

Task	Score	Done	Not Done
Explains procedure & Provides privacy	1½
Undresses patient, covers with top sheet	1
Sponges face/dries. Cold compress forehead. Wet cloth axilla/groin	1
Exposes arms, sponges (long sweeping movements)	1
Exposes chest/abdomen, sponges (long slow movements)	1
Covers with top sheet	½
Changes water, sponges legs, pours water over feet	½
Turns patient on side, sponges back (2 towels, sweeping)	2
Gives cold drink, Makes comfortable, Thanks	1½

Total Score: 10

67. Advice on Discharge

Scenario: Relative and patient granted discharge (Mental Health context).

Task	Score	Done	Not Done
Greet and introduces self	1
Makes client comfortable	1
Explain importance of continuing treatment & side effects	2
Early signs of relapse	1
When to come back for review	1
Tell patient about nearest Mental Health Clinic/Assistance	2
Allow client to ask questions	1
Thanks the client	1

Total Score: 10

68. Change of the Bottom Sheet (Cardiac)

Scenario: Cardiac patient in bed. Change bottom sheet.

Task	Score	Done	Not Done
Creates rapport & Explains procedure	1
Ensures privacy & Asks for assistant	2
Removes bed clothes, puts on chairs	1
Position arm, lift him to edge of bed	2
Roll bottom sheet from top to bottom	1
Replaces with rolled clean sheet before lifting patient	1
Replaces top bed clothes	1
Thank patient, leave comfortable	1

Total Score: 10

69. Nasal Gastric Tube Feeding Trolley

Scenario: Prepare NG Tube Feeding Trolley for conscious patient.

Task	Score	Done	Not Done
Mops trolley & Washes hands	1½
Top Shelf Tray: Gastric tube, Lubricant (KY), Syringe, Receivers, Spigot, Adhesive plaster, Galipot swabs, Gauze	4
Bottom Shelf: Towel/Mackintosh, Face towel, Litmus paper, Receiver, Gloves	4
Wheels Trolley to Examiner	½

Total Score: 10

70. Health Education on Combined Oral Contraceptives

Scenario: Counsel group of mothers on how to use COCs.

Task	Score	Done	Not Done
Greets, organizes seats, informs clients	1
Picks two packets of COCs, gives one to client	1
Checks expiry date and intactness	1
Inform when to start (1-5 days menstruation)	1
Follows arrows, take at same time daily	2
What to do if forgets pill (1 or 2+ pills)	2
Consistent use of brown pills	1
Warning signs/Side effects	1
Importance of completing packet	1
When to come back/refill	1

Total Score: 12

71. Positions Used in Nursing

Scenario: Write the positions used in nursing and mention one indication for each.

Position / Indication	Score	Done	Not Done
Recumbent / Supine: Complete bed, Examination of Trunk, Surgical/Medical conditions	2
Semi Recumbent: Patients recovering from illness or wish to read in bed	2
Prone: Sores or burns on the back	2
Lateral: Enema, Rectal examination	2
Sitting Up / Upright: Dyspnoea, Heart diseases	2
Semi Prone / Recovery: Unconsciousness	2

Total Score: 10 (Max)

72. Hand Washing

Scenario: Wash your hands as the examiner scores you.

Task	Score	Done	Not Done
Check to see whether there is water in the can	½
Turns on water and wets hands	½
Lathers hands and wrist with enough soap	1
Rubs hands vigorously at least five times follows	½
Palm to palm	1
Right palm over left dorsum and left palm over right dorsum	1
Palm to palm finger interlaced	1
Back of fingers to opposing palm with fingers interlaced	1
Rotational rubbing of right thumb clasped in left palm and vice-versa	1
Rinses hands/wrists thoroughly under running water, hands down, elbows up	1
Turn off water tap with elbow	½
Dries hands with disposable towel (fingers to wrists)	1
Discard used towel appropriately	1

Total Score: 10

73. Catheterization (Sorting)

Scenario: Sort out equipments used during Catheterization and write them down.

Item	Score	Done	Not Done
Top Shelf: Trolley	½
2 catheters in a bowl and spigot	½
Small bowl for hibitane	½
Bowl containing preparation package and extra sterile towel	1
Galipot for antiseptic and galipot for lubricant (KY jelly)	½
A kidney dish & An introducer	1
Bottom Shelf:	½
2 kidney dishes (Used swabs, Used instruments)	2
Tray with: Sterile Gloves, Sterile bottles, Laboratory forms, Bottle of sterile lubricant	2
Bed side: Screen, Emergency tray	1

Total Score: 10

74. Female Catheterization

Scenario: Prepare a trolley for female catheterization.

Task	Score	Done	Not Done
Disinfect the Trolley & Washes hands	1½
Tray with: Sterile gloves, 2 catheters, Specimen bottles, Lab forms, KY jelly, Water for injection, Torch, Receiver	4
Top Shelf: Sterile covers, Cotton swabs, Sterile towel, Towel clips, 2 galipots, Sterile kidney dish	3½
Covers the top shelf	1

Total Score: 10

75. Pressure Area Care

Scenario: Demonstrate Care for the Pressure Area (Left Ankle).

Task	Score	Done	Not Done
Washes hands	½
Introduces self & Explains procedure	1
Ensures privacy	1
Identifies and exposes the left Ankle	1
Protects the bed with a Mackintosh and Towel	1
Washes Area with soap and water and cleans with wet flannel	1
Rubs the Ankle with wet palm circular movements	1
Dries the site with a dry towel	1
Massages with Vaseline (Circular), applies powder	1
Thanks/Leaves comfortable	1
Clears away	½

Total Score: 11

76. Vital Observations

Scenario: Demonstrate how you would do vitals (Temp, Pulse, Resp) for patient.

Task	Score	Done	Not Done
Introduces self and explains the procedure	1
Washes hands & Screens off the patient	1½
Checks thermometer and shakes the mercury	1
Rinses thermometer in cold water and dries it	1
Exposes patients axilla and dries it	1
Inserts thermometer and crosses arm over the chest	1
Take pulse	2
Take respiration	2
Records findings, thank the patient	1
Washes hands	½

Total Score: 12

77. Balance Diet (Health Ed)

Scenario: Educate a women group on a balance diet.

Task	Score	Done	Not Done
Welcomes and greets	1
Organizes group, Intro self, Intro topic	1½
Displays his/her teaching aid	1
Asks questions	1
Defines balance diet	1
Mentions the classes of a balance diet	1
Mentions examples of foods. Evaluates participants	1
Concludes the topic	1
Thanks the group	½

Total Score: 10

78. Oral Care (Demonstration)

Scenario: Demonstrate Oral Care procedure for Unconscious Patient.

Task	Score	Done	Not Done
Identifies patient / Privacy / Washes hands	1½
Prepares Equipments	2½
Moves tray to bedside / Positions patient	1½
Puts protective mackintosh and towel	½
Pours saline/solution into galipot	½
Applies mouth gag	½
Using forceps, picks gauze, dips in solution, removes excess	1½
Systematically cleans mouth from within outwards	½
Discards swabs appropriately	½
Dries lips / Applies moisturizers	1
Clears away / Patient comfortable	½

Total Score: 10

79. Wound Dressing

Scenario: Prepare a dressing trolley for a clean wound.

Task	Score	Done	Not Done
Disinfects trolley / Washes hands	1
Bottom Shelf: Gloves, Bandage, Plaster, Lotion, Scissors, Receivers (3), Apron, Drum	5½
Top Shelf: Trolley cover, Cheatle forceps, Cotton swabs, Dissecting forceps (2), Artery forceps, Sterile scissor, Towel, Galipots (2)	8
Covers the top shelf	½

Total Score: 15

80. Oxygen Administration (Cylinder)

Scenario: Name labeled parts and give 5 indications.

Task	Score	Done	Not Done
Parts: Flow meter, Pressure gauge, Valve socket, Wing bolt, Regulator	5
Indications: Anaemia, Pulmonary Injury/Oedema, Shock, Resp Failure, Cardiac Failure, Pneumonia/TB, Asthma, Epilepsy	13

Total Score: 18

81. Drug Administration (IV Quinine)

Scenario: 8 year old, Severe Malaria. IV Quinine in Dextrose 5%.

Task	Score	Done	Not Done
Greeting/Intro/Consent/Wash hands/Checks	3
Calculations: Quinine (200mg) & Dextrose (200ml)	5
Prepares IV and Administers with precautions	5
Records/Thanks	1
Side Effects: Nausea, Tinnitus, Hypoglycemia, etc.	3
Prophylaxis Drugs: Doxycycline, Fansidar, etc.	3

Total Score: 20

82. TPR Trolley

Scenario: Take Temp, Pulse, Respiration.

Task	Score	Done	Not Done
Intro / Wash hands / Privacy	3
Thermometer checks (Shake, Rinse, Dry)	2
Placement (Axilla, Arm over chest)	2
Pulse (1/2 min) & Respiration (1 min)	2
Records / Washes hands	1

Total Score: 10

83. Rules of Bed Making (Health Ed)

Scenario: Educate new students on 8 rules.

Task	Score	Done	Not Done
Welcomes / Organizes	1½
Rules: Hand washing, Equipment prep, Comfort, Explain, Infection control, Privacy, Corners, Harmony, Creases, Movements	10
Thanks	½

Total Score: 12

84. Birth Preparedness Plan

Scenario: Assess birth preparedness and educate on New Born Care.

Task	Score	Done	Not Done
Greets participants	1
Assessment: Live with? Delivery place? Companion? Stay with? HIV tests? Supplies? Danger signs?	8
New Born Care: Wrapping dry, Skin-to-skin, Delay bath, Breastfeed immediately, Cord care (dry/open), Positioning, Hand washing, Seek medical attention	8

Total Score: 20 (Max 12 in instructions)

85. Immunization Schedule

Scenario: Fill missing spaces in schedule & list general danger signs.

Age / Vaccine / Route	Score	Done	Not Done
At Birth: Polio 0 (Mouth), BCG (Right Upper Arm)	1½
6 Weeks: Polio 1, DPT-HebB+Hib 1 (Left Thigh), Pneumococcal 1 (Right Thigh)	2
10 Weeks: Polio 2, DPT-HebB+Hib 2, Pneumococcal 2	2
14 Weeks: Polio 3, DPT-HebB+Hib 3, Pneumococcal 3	1½
9 Months: Measles (Left Upper Arm)	1
General Danger Signs: Convulsions, Chest In-Drawing, Unconscious, Not feeding, Skin pustules, Infected cord, Cough, Diarrhoea, Fever, Running nose
10 Danger Signs (1 mark each)	10

Total Score: 18

86. Pediatric Vital Signs

Scenario: Fill in the missing Normal values in the table.

Age / Pulse / BP / Resp / Blood Vol	Score	Done	Not Done
< 1 Year: 120-60 / 70-90 / 30-40 / 85-90	2
1-5 Years: 100-120 / 80-90 / 25-30 / 80	3
6-12 Years: 80-100 / 90-100 / 20-25 / 80	2
> 12 Years: 60-100 / 100-120 / 15-20 / 70	3

Total Score: 10

87. Medical Waste Disposal Bins (Theory)

Scenario: Fill missing codes and mention management of medical wastes.

Task	Score	Done	Not Done
Household Refuse: Black / Plastic Bags	2
Sharps: Yellow or White / Sharps Container	2
Infectious/Anatomical: Yellow or Red / Plastic Bag (Autoclavable)	4
Chemical/Pharm: Brown or White / Plastic Bag or Container	2
Management Steps (1 mark each):
Minimization, Segregation, Close when 3/4 full, Collect regularly	4
Infectious waste security, PPE (Gloves), Replace bags immediately, Treat before disposal	4

Total Score: 18

88. Urinary Tract Infections (UTIs)

Scenario: Student complaining of difficulty urinating. Assess for UTI.

Task	Score	Done	Not Done
Creates rapport	1
Asks about: Urgent need (few drops), Burning feeling	2
Aching/Pressure in lower abdomen	1
Cloudy/Blood-tinged urine, Strong odor	2
Pain in lower back	1
Fever, Chills, Nausea, Vomiting	1
Recommends Urinalysis	1
Reports and records findings	1

Total Score: 10

89. Reassurance (Needle Stick Injury)

Scenario: Student had a needle stick injury from HIV+ patient. Reassure her.

Task	Score	Done	Not Done
Greets student & Explains purpose	1
Gets closer (if silent) & Listens without judgment	2
Advises to go for medical check up (PEP)	1
Doesn’t argue/contradict	1
Accepts student's feelings	1
Opens up, expects no return, Shows interest	2
Avoids offending statements	1
Maintains Nurse-Client relationship & Thanks student	1

Total Score: 10

90. Assessment for Alcohol Abuse

Scenario: Assess client for alcohol abuse and mention psychiatric complications.

Task	Score	Done	Not Done
Greets client	½
Asks: Tried to cut down? Annoyed by criticism?	4
Asks: Guilty feelings? Drink first thing in morning (Eye opener)?	4
Gives appointment / Thanks	½
Psychiatric Complications:
Acute Intoxication, Delirium Tremens, Hallucinations	3
Pathological Jealousy, Paranoia, Ammonic Syndrome	3

Total Score: 16

91. Relapse Prevention

Scenario: Educate patients/relatives on causes and minimization of relapse.

Task	Score	Done	Not Done
Greets & Explains purpose	1
Causes (1 mark each): Lack of trial leave, No transfer to convalescent, No review, No visits, Stress, Poor relationship, Drug non-compliance, Stigma, etc.	13
Minimization (1 mark each): Routine, Identify signs, Learn about disorder, Deal with symptoms, Recognize triggers, Take meds	6

Total Score: 20

92. Infectious Fevers

Scenario: Health talk with VHTs about infectious fevers.

Task	Score	Done	Not Done
Salutes VHTs, Asks prior knowledge	1
Examples (½ mark each): Anthrax, Brucellosis, Cellulitis, Chicken Pox, Cold, Dysentery, Herpes, Influenza, Marburg, Measles, Meningitis, Mumps, Polio, Tetanus, Typhoid, Typhus, Hepatitis, Whooping cough, Yellow fever	9½
Characteristics: Acute onset, Infectious, Definite course, Anorexia, Epidemic, Poor prognosis	3

Total Score: 16 (approx)

93. Assessment of a Child with Fever

Scenario: 1½ year old child and mother. Assess if child has fever.

Task	Score	Done	Not Done
Greets Client & Takes history	1½
Checks Temp & Asks duration	1½
Asks about Measles (last 3 months)	1
Looks/Feels for Stiff Neck	1
Looks for signs of Measles (Rash)	1
If Measles: Mouth Ulcers, Pus in Eyes, Clouding Cornea	3
Asks if vomiting	½
Reports/Records/Thanks	½

Total Score: 10

94. Assessment for an Ear Problem

Scenario: Student complaining of swollen Ear.

Task	Score	Done	Not Done
Greets Client	1
Asks: Pain? Foreign body? Discharge?	3
If discharge, how long?	1
Looks for draining pus	1
Feels for tender swelling behind Ear	1
Looks at colour of Ear region	1
Reports/Records/Thanks	1
Refers for further management	1

Total Score: 10

95. Assessment for Malnutrition & Anaemia

Scenario: Child referred by VHT. Assess for malnutrition/anaemia.

Task	Score	Done	Not Done
Greets Client	1
History: Usual feeding? Changes? Breastfeeding frequency? Other foods?	5
Asks: Available foods? Servings? Who feeds?	3
Physical: Severe wasting, Palmar pallor, Oedema	1
Determines weight for Age	1
Looks at tongue/eyes colour	1
Checks capillary refill	1

Total Score: 17

96. Health Ed: Administration of Oral Medicine

Scenario: Educate mothers on giving oral medicines.

Task	Score	Done	Not Done
Greets & Introduces topic/purpose	2
Assess knowledge & Explain reason for meds	2
Demonstrates measuring dose & Let mother practice	2
Asks mother to give 1st dose	1
Explains Dose, Frequency, Duration	1
Stress completing full course	1
Collect/Pack/Label	1
Checks understanding & Summaries	2

Total Score: 15

97. Medical Wastes Disposal (Practical)

Scenario: Dispose various items into Black, Red, Yellow, Safety Box, Brown Bins.

Bin / Items	Score	Done	Not Done
Washes hands & PPE	3
Black Bin: Peelings, Bottles/Cans, Packing, Paper	2
Yellow Bin: Gloves, Blood sets, IV lines, Soiled gauze	2
Sharp/Safety Box: Glass, Blades, Needles, Syringes	3
Red Bin: Anatomical waste, Teeth, Test tubes, Sputum container	2
Brown Bin: Pharmaceutical Wastes	½
Washes hands & Records	½

Total Score: 13

98. Giving a Bed Pan

Scenario: Bed ridden patient needs to empty bowel.

Task	Score	Done	Not Done
Explains procedure & Screens bed	2
Warms bed pan with warm water	½
Gently slips pan under buttocks (with help)	2
Give toilet paper or help clean	1½
Carefully remove pan and cover it	1½
Offer water to wash hands	1
Leave patient comfortable	½
Clear trolley and sluice bed pan	1

Total Score: 10

99. Management of Second Stage of Labour

Scenario: Mother in 2nd stage. Conduct delivery.

Task	Score	Done	Not Done
Privacy, Empty bladder, Position mother (Dorsal)	3
Check fetal heart, Wash hands, Sterile gloves	2
Drape mother, Encourage pushing with contraction	2
Maintain flexion of head, Episiotomy (if needed)	2
Deliver head (extension), Clear airway	2
Check cord (neck), Deliver shoulders (Ant/Post)	3
Deliver body, Note time, Score baby, Clamp/Cut cord	2
Show baby to mother, Wrap/Breastfeed, ID Band	3
Put cord end in receiver	1

Total Score: 20

100. Administration of Drug by I.M

Scenario: Patient on P.P.F 0.8mg o.d. Administer injection.

Task	Score	Done	Not Done
Follow rules, Wash hands, Read/Check prescription	3
Assemble syringe/needle, Check expiry	2
Open vial, Reconstitute drug, Draw dose	5
Expel air	1
Choose site, Clean skin, Inject at 90°	2
Withdraw piston (Check blood), Continue if none	4
Withdraw needle, press with swab (No massage)	1
Thank patient, Record, Clear away	2

Total Score: 20

101. Health Ed: Prevention of HIV/AIDS

Scenario: Group of mothers at ANC.

Task	Score	Done	Not Done
Arranges room/charts, Intro self/topic	1½
Checks participants' knowledge	½
Explains: Definition, Causes, Voluntary Testing	2
Preventive Measures: No sharing sharps, Abstinence, Faithfulness, Screened blood, PMTCT	2½
Asks for questions, Checks understanding	1
Summarizes, Thanks mothers, Next appointment	1½

Total Score: 10

102. Examination of a Pregnant Abdomen

Scenario: Pregnant mother at ANC.

Task	Score	Done	Not Done
General rules, Position (Recumbent), Expose abdomen	4
Observe: Size/Shape, Striae, Movements, Linea nigra	2
Palpation: Light (tenderness) & Deep (organs)	2
Fundal height estimation	2
Deep Pelvic Palpation: Presentation/Size	2
Fundal Palpation: Lie/Fundus check	2
Lateral Palpation: Back/Limbs	4
Auscultation (Listen), Share findings	2

Total Score: 20

103. Health Ed: Dangers of Drug Abuse

Scenario: Community members gathered for Health Ed.

Task	Score	Done	Not Done
Follow general rules, Intro self/topic	5
Define drug abuse	1
State Dangers: Loss of respect, Loss of job, Theft, Suicide, Crime	4
Ask for questions / Answer questions	4
Evaluate understanding, Summary, Thank members	6

Total Score: 20

104. Colostomy Care

Scenario: Patient in bed requiring colostomy care.

Task	Score	Done	Not Done
Explain procedure, Privacy, Position/Expose	4
Wash hands, put on gloves	1
Remove soiled bag gently	3
Wash area around stoma (soapy water), Dry	3
Apply barrier cream	1
Measure stoma, cut correct circle size	3
Apply clean bag	3
Clear away, Comfort, Wash hands	2

Total Score: 20

105. Examination for Anaemia

Scenario: Patient in bed. Examine for anaemia.

Task	Score	Done	Not Done
Explain, Privacy, Position, Wash hands	3
Eyes: Conjunctiva paleness	2
Mouth: Tongue and Gums	4
Arms: Palmer pallor, Capillary refill	3
Legs: Sole pallor, Capillary refill (toes)	3
Vagina: Check mucus membranes (if female)	2
Feedback, Advise, Document	3

Total Score: 20

106. Care of the Cord

Scenario: Zero day post-delivery mother. Demonstrate cord cleaning.

Task	Score	Done	Not Done
Explain to mother, Position baby (flat)	1
Put on sterile gloves	½
Inspect cord (infection/bleeding)	1
Clean Base: Single circular movement (swab)	2½
Clean Cord: Base upward, one swipe, dry	1
Leave dry, Show mother care	2
Give baby to mother, Document	2

Total Score: 10

107. Bandaging the Right Eye

Scenario: Patient with injury on right eye.

Task	Score	Done	Not Done
Explain, Privacy, Position facing patient	2
Fixing Turn: Right side, across forehead, around head	2
Eye Cover: Back of head, under ear, across eye, over nasal side	2
Final Turn: Under ear, overlap, round to front	1
Pin in centre of forehead	1
Thanks, Records, Replaces sheet	2

Total Score: 10

108. Taking Patient’s Particulars

Scenario: Out-patient registration.

Task	Score	Done	Not Done
Rapport, Explain, Comfort	1½
Ask & Record: Name, Age, Address, Tribe, Religion, Occupation (½ each)	3
Next of Kin, Relation with Kin	2
Marital Status	½
Presenting complaints	1
Record info, Thank patient, Direct patient	2

Total Score: 10

109. Application of Tetracycline Eye Ointment

Scenario: Out-patient with eye problem.

Task	Score	Done	Not Done
Explain, Privacy, Prepare tray, Position (Sitting)	3
Wash hands, Gloves, Folded swab on lower lid	2
Draw up upper lid	1
Place nozzle 1cm away from lower lid	1
Press ointment horizontally (inner to outer)	1
Wipe surplus gently	½
Thank, Clear, Record	1½

Total Score: 10

110. Counseling HIV+ Pregnant Mother (ARVs)

Scenario: First ANC visit, HIV Test positive. Initiate ARVs.

Task	Score	Done	Not Done
Rapport, Confidentiality, Reassurance	2
Discuss partner testing	½
Inform about ART clinic, Counsel to start	2
Start TDF+3TC+EFV (First line)	1
Select fixed time (e.g., 8pm), Adherence	1½
Disclosure importance, Positive living	1½
Reduce heavy work, Nutrition, Appointments	1½

Total Score: 10

111. ID of Instruments (Obs/Gynae)

Scenario: Identify and state use.

Instrument	Use	Score
Episiotomy scissor	Performing episiotomy	1
Straight long artery forcep	Clamping cord	1
Cord scissor	Cutting cord	1
Uterine sound	Measuring uterus length	1
Sponge holding forcep	Holding swabs	1
Protoscope	Examining rectum	1
Suture	Stitching	1
Skin retractor	Retracting skin	1
Cervical dilator	Dilating cervix	1
Uterine curette	Evacuation	1

Total Score: 10

112. Active Management of 3rd Stage Labour

Scenario: Deliver placenta using controlled cord traction.

Task	Score	Done	Not Done
Define 3rd stage, Palpate (exclude twin)	1
Give Oxytocin 10 IU IM	½
Extend cord clamp to vulva	½
Change gloves/rinse	1
Left hand on fundus (Counter traction)	1½
Right hand grasps clamp, downward/outward traction	1
Roll membranes (up/down movement)	½
Rub fundus (contraction)	½
Check completeness, Clean vulva (Inspect tears)	1½
Apply pad, Comfort mother, Clear/Document	1½

Total Score: 10

113. ID Boundaries of Pelvic Brim & Diameters

Scenario: Identify boundaries and diameters on model.

Task	Score	Done	Not Done
Wash hands, Define pelvis	1
Boundaries (in order): Sacral promontory, Ala, Sacroiliac joint, Iliopectineal line, Eminence, Sup. ramus, Body of pubic bone, Symphysis pubis	6
Transverse Diameter: Widest part (13cm)	1
Oblique Diameter: Eminence to Joint (12cm)	1
Conjugate Diameter: Promontory to Pubis (11cm)	1

Total Score: 10

114. Vaginal Examination

Scenario: Mother in 1st stage labour. Confirm cervical dilatation.

Task	Score	Done	Not Done
Rapport, Explain, Empty bladder	1
Privacy, Equipment, Wash hands/Gloves	1½
Vulva Swabbing: Labia Majora, Minora, Vestibule	1½
Inspect Vulva: Discharge, Scar, Oedema, Varicose, Sores	2½
Insert 2 Fingers & Report: Vagina (moist/dry), Cervix (thin/soft), Dilatation, Membranes, Moulding/Caput	2½
Feedback, Thanks, Record	1

Total Score: 10

115. Health Education on Report Writing

Scenario: Educate junior students on ward report writing.

Key Points to Include	Score	Done	Not Done
Total number of patients, New admissions, Escapees	2
Post operative patients (Conditions/Treatments)	2
Very ill patients and doctor's prescription individually	2
Pre-operative patients and time of operation	2
Number of deaths (Report individually if >1)	2

Total Score: 10

116. Arresting Haemorrhage

Scenario: Severe bleeding on left lower limb from cut.

Task	Score	Done	Not Done
Prepare tray (Tourniquet, Gauze, Bandage)	3
Reassure patient, Position limb	1
Apply pressure with thumb above site	1
Apply tourniquet (seconds) and release	1
Apply gauze pad and bandage	1
Elevate limb (pillow)	1
Check comfort/Tightness	1
Thanks, Document	1

Total Score: 10

117. Surgical Hand Washing

Scenario: Carry out surgical hand washing methodically.

Task	Score	Done	Not Done
Wet hands, Apply soap, Foam	1
Scrub Left palm over Right (Down-Up 5x)	1
Scrub Left dorsum over Right palm & Vice versa	1
Scrub dorsum with fingers interlocked	1
Scrub palm to palm (fingers interlaced)	1
Rotational rubbing of thumbs	1
Scrub tips of fingers on palms	1
Rinse thoroughly (below elbow)	1
Turn off tap using ELBOW	1
Dry methodically (sterile towel), Keep hands UP	1

Total Score: 10

118. Identification of Bed Appliances

Scenario: Identify appliances and uses.

Item	Use	Score
Long mackintosh	Protect mattress	1
Bed cradle	Lifting linen over wound	1
Cardiac table	Leaning forward/Feeding	1
Back rest	Support sitting position	1
Foot rest	Prevent foot drop	1
Fracture board	Firm mattress support	1
Bed blocks	Elevate bed (top/bottom)	1
Air ring	Reduce pressure (sacrum)	1
Hot water bottle	Provide warmth	1
Sand bags	Prevent limb movement	1

Total Score: 10

119. Naming Pelvic Bones and Joints

Scenario: Model of pelvis provided. Name bones/joints.

Task	Score	Done	Not Done
Moves trolley & Washes hands	1
Holds pelvis properly, defines it	1
Innominate Bones (2): Ilium, Ischium, Pubic	2
Sacrum: 5 fused bones	1
Coccyx: 4 fused bones	1
Joints: 2 Sacro-iliac	1
1 Sacro-coccygeal	1
Symphysis pubis	1
Washes hands	1

Total Score: 10

120. Putting on Surgical Gloves

Scenario: Put on gloves observing sterility.

Task	Score	Done	Not Done
Wash hands	½
ID correct size, Open on sterile surface	1
Surgical hand wash	2
Open inner pack, Pick inner surface (Left hand -> Right)	2
Dress Left hand (touching sterile surface only)	2
Fix gloves to fit fingers	½
Keep hands above waist	½
Remove methodically, Discard, Wash hands	1½

Total Score: 10

121. Health Education on Patients Rights

Scenario: Educate OPD patients on their rights.

Task	Score	Done	Not Done
Requests attention, Intro self/topic	1
Assess understanding	½
Rights: Participation in decision	1
Respect and non-discrimination	1
Choice of providers/plans	1
Complaints and appeals	1
Hospital policy & Info disclosure	1
Confidentiality	1
Acknowledge understanding, Q&A	1
Summary, Next topic, Thanks	1½

Total Score: 10

Top 120 OSCE/OSPE UHPAB

Table of Contents

1. Resuscitation of a Baby

2. Dehydration

3. Reptile Bite

4. Bandaging

5. Drug Administration (Severe Malaria)

6. Administration of Oral Drug (Psych)

7. Suicidal Tendency Assessment

8. Assessment of Adult with Diarrhoea

9. Oral Care (Unconscious Patient)

10. Admission Bed

11. Orthodox Method

12. IV Therapy

13. Oral Care (Theory Station)

14. Identification of Instruments

15. Lifting of a Patient

16. Post Operative Bed

17. Semi Prone Position

18. Elements of PHC

19. ECT Trolley

20. ECT Bed

21. Oxygen Administration (Theory)

22. Epilepsy (Theory/Health Ed)

23. Catheterization (Female)

24. Pre–Test Counseling (Theory)

25. Vulval Swabbing

26. Cardiac Bed

27. Bed Bath (Right Foot)

28. Arranging Linen (Burns Bed)

29. Catheterization (General)

30. Examination (Posterior Chest)

31. Knee Chest Position & Recumbent

32. Importance of Maintaining Privacy (Theory)

33. Causes of Unconsciousness (Theory)

34. Admission Bed (Incontinent Patient)

35. Clinical Placement Areas (Theory)

36. Health Education (Bed Making)

37. TPR Trolley

38. Administration of Oral Treatment

39. Oxygen Administration (Cylinder)

40. Last Office

41. Urine Testing

42. Examination of Jaundice

43. Admissions

44. Wound Dressing Trolley

45. Administration of Drugs (Education)

46. Care/Storage of Medicines

47. Breast Examination

48. Obstetric & Gynaecological History

49. First Antenatal Visit (General Status)

50. First Antenatal Visit (Examination)

51. Making Oral Dehydration Salt (ORS)

52. Pediatric Drug Administration

53. General Rules of Nursing Procedures

54. Changing Linen (Infectious Patient)

55. Chlorpromazine Administration

56. Electro-Convulsive Therapy (Health Ed)

57. Administration of Oral Drugs (Haloperidol)

58. Drug Administration (IV Benzyl Penicillin)

59. Drug Administration (IV Cannula)

60. Bandaging (Ankle)

61. Examination of Patient with Oedema

62. Taking Blood Pressure

63. Neurological Trolley

64. Australian Method (Lifting)

65. Mental State Examination

66. Tepid Sponging

67. Advice on Discharge

68. Change of the Bottom Sheet (Cardiac)

69. Nasal Gastric Tube Feeding Trolley

70. Health Education on Combined Oral Contraceptives

71. Positions Used in Nursing

72. Hand Washing

73. Catheterization (Sorting)

74. Female Catheterization

75. Pressure Area Care

76. Vital Observations

77. Balance Diet (Health Ed)

78. Oral Care (Demonstration)