DNE Year 1: Semester 1 Checklists

Year 1: Semester 2 Checklists (DNE & DME)

DNE: Kegel Exercise
DNE: Casualty Assesment
DNE: Lifting a Patient with Spinal Injury
DME: Delivery of an Extended Head
DME: Lifting a Patient with Spinal Injury
DME: Internal Bi-Manual Compression
DME: Informed Consent for Research
DME: Administration of IV Oxytocin

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 4

TASK: KEGEL EXERCISE (PELVIC FLOOR EXERCISE)

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Welcomes the patient and offers a sit	½	x
2	Greets the patient	½	x
3	Assesses the general condition of the patient to rule out pain and other discomforts.	½	x
4	Instructs the mother to do the following; • Sit on a chair with legs slightly apart • Tighten the muscles of the urethra as though stopping the flow of urine, without stopping her breath • Then tighten the muscles of the vagina and anal area • Tells her to hold the contraction for ten seconds, then release • The mother is instructed to repeat this for 10 times	1 2 2 2 1
5	Thanks the patient and encourages her to continue doing it at home regularly	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 2

TASK: CASUALTY ASSESMENT

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Done	Partially done
1	Quickly introduces self and asks crowds to step back	½		x
2	Quickly assesses the venue to confirm it is safe for casuality examination	1
3	Proceeds to perform initial assessment; Forms general impression of patient Body position Appearance (colour, haemorrhage, obvious injuries, anxiety etc) Assesses airway and level of consciousness and neurological status Alertness and response to commands/pain Are pupils equal, pinpoint or dilated Assesses breathing; Looks to see if chest rises and falls Listens to hear if casualty is breathing Touches to feel if casualty is breathing Assesses circulation; Checks for pulse and heart beat Assesses hemorrhage by looking at amount of blood gushing out or absorbed in clothes Assesses for shock, pallor, cold extremities, heart rate etc	½ ½ 1 1 ½ ½ ½ 1 1 1	x x x x x
4	Mentions that will mobilize for evacuation and further management depending on findings of the initial assessment	1
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN NURSING (EXTENSION)

Paper code: DNE 125 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 2: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 1

TASK: DELIVERY OF AN EXTENDED HEAD

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score
1	Reassures mother, puts on apron	1
2	Washes hands and puts on gloves	1
3	Delivers the head as follows; • Places the hanging body of the baby astride her left arm • Puts the 1^st finger and thumb of the right hand on the shoulders of the baby and the middle fingers on the occiput traction • Applies trachea in downward and outward direction, bringing the head into the birth canal • Continues to apply traction and delivers the baby towards the mother's abdomen • Clears the airway by sucking the nose and the mouth	1 2 2 1 1
4	Completes the procedure like in normal delivery	1
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 2

TASK: LIFTING A PATIENT WITH SPINAL INJURY

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	Asks for (2 assistants and instructs them on what to do at each step.	½	x
3	Washes hands and dries them.	½	x
4	Positions the bed at a suitable height.	½	x
5	Together, they take positions as follows: • One nurse supports the patients upper body, shoulder and chest area. • 2^nd supports the chest and abdomen. • 3^rd supports the legs of the patient.	1 1 1
6	On completion of placing the hands at the right places of support all the 3 nurses count 3 times.	2
7	All the 3 nurses lift the patient once to the bed.	1
8	Places patient comfortably in bed.	1
9	Thanks the patient and reassures her.	½	x
10	Washes hands and thanks the assistants.	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 4

TASK: INTERNAL BI-MANUAL COMPRESION OF THE UTERUS

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Explains the procedure to the mother	½	x
2	Empties the bladder	½	x
3	Positions the mother in dorsal position	½	x
4	Puts on sterile gloves;	-
5	Performs the bimanual compression; • Places left hand over the fundus • Places right hand into the vagina • Makes a fist with the right hand • Applies a firm steady pressure at the anterior fornix of the vagina and-compress the uterus until it is well contracted • Removes the hand from the vagina when bleeding stops	1 1 ½ 3 ½	x x
6	Cleans the mother	½	x
7	Gives a clean pad to the mother	½	x
8	Clears away	½	x
9	Documents the procedure	½	x
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 5

TASK: INFORMED CONSENT FOR RESEARCH PARTICIPATION

Examiner's Name:

Date:

School code:

Candidate's No:

S/N	Key areas to assess	Score
1	Creates rapport • Welcomes the participant • Introduces self • Requests the participant to do so too • Explains the purpose of the meeting	- - - 1
2	Gives the participant the following information; • Purpose of the research • Procedure that involves filling the questionnaire • Benefits to participant or others, expected from the study • Reasonably foreseeable risks/discomforts • How confidentiality will be maintained • Compensation for any injuries • Who to contact for further answers to questions on study or participant rights • Statement that participation is voluntary, with no penalty in case of withdrawal from study	1 1 1 1 1 1 1 1
3	Offers the participant a piece of paper where he/she is to sign the consent	1
4	Thanks participant and leaves him/her comfortable	-
TOTAL		10

Examiner's Comments

UGANDA NURSES AND MIDWIVES EXAMINATIONS BOARD

YEAR 1: SEMESTER 2: EXAMINATIONS

DIPLOMA IN MIDWIFERY (EXTENSION)

Paper code: DME 125 OSPE

June 2024

Examiners' Checklist

STATION NO: 3

TASK: ADMINISTRATION OF INTRAVENOUS OXYTOCIN

Examiner's Name:

Date:

School code:

Candidate's No:

	Key areas to assess	Score	Partially done
1	Creates rapport and explains the procedure to the mother.	½	x
2	Screens the bed and puts the patient in a comfortable position.	½	x
3	Supports the arm on a pillow covered with a mackintosh.	½	x
4	Puts up the infusion; • Selects the correct infusion fluid preferably normal saline/ringers lactate. • Removes the piercing needle of the giving set into the rubber seal. • Removes air from the giving set by allowing little fluid to flow in the receiver then fills the fluid chamber to half way. • Uses the tourniquet to locate the vein, cleans the area and gently tap the vein with a cannula, then release the tourniquet. • Secures the cannula by applying the strapping correctly. • Connects the giving set into the cannula. • Adds oxytocin 10 iv into the infusion fluid and mixes well. • Regulates the rate of flow as prescribed.	½ ½ ½ 2 1 1 1 1	x x x
5	Leaves the patient comfortable and reassured.	½	x
6	Records the time and date of starting the infusion.	½	x
TOTAL		10

Examiner's Comments