B.Sc / M.

Sc NURSING PROGRAMME

CHILD HEALTH NURSING

OSCE / OSPE STATION BANK

INT - 1 of 8
 OSCE /OSPE BANK COMPILATION
INDEX

S.NO CONTENTS PAGE NO.

1 PREFACE FROM TNMMC REGISTRAR 3

2 SNIPPET ON OSCE/OSPE 4 to 6

3 OSCE CIRCUIT GUIDE 7

4 CONTRIBUTOR’S LIST 8
OSCE / OSPE STATION BANK
5
SECTION A: NURSING FOUNDATION NF - 1-180
Circuit - 1 NF – 1-61
Circuit – 2 NF – 62-120
Circuit - 3 NF – 121-180
SECTION B: MEDICAL SURGICAL NURSING MSN- 1- 163
Circuit - 1 MSN-1-66
Circuit – 2 MSN – 67-131
M.Sc (Nursing) Circuit – 3 MSN-PG-132-163
SECTION C: CHILD HEALTH NURSING CHN – 1-234
Circuit - 1 CHN – 1-61
Circuit – 2 CHN – 62 – 123
Circuit – 3 CHN – 123-183
M.Sc (Nursing ) Circuit – 4 CHN-PG-184-234
SECTION D: OBSTRETICS AND GYNAECOLOGY NURSING OBG – 1-147
Circuit - 1 OBG – 1-60
Circuit – 2 OBG – 61 – 120
M.Sc (Nursing ) Circuit – 3 OBG-PG-121-147
SECTION E: COMMUNITY HEALTH NURSING CHN-1-153
Circuit - 1 CHN – 1-62
Circuit – 2 CHN – 63-125
M.Sc (Nursing) Circuit – 3 CHN – PG-126 -153
SECTION F: MENTAL HEALTH NURSING MHN – 1-190
Circuit - 1 MHN – 1 – 65
Circuit – 2 MHN – 66-134
M.Sc (Nursing) Circuit – 3 MHN-PG-135-190
6 REFERENCE

INT - 2 of 8
INT - 3 of 8
 2. SNIPPET ON OBJECTIVE STRUCTURED CLINICAL EVALUATION
Objective Structured clinical evaluation is a modern type of clinical/ performance based examination often used in health sciences. It is executed in a planned & structured way with
much attention on maintaining the objectivity of the examination.

FACTORS INFLUENCING OSCE:

1) FEATURES OF OSCE WHAT IS ASSESSED IN AN OSCE? Learning outcomes and competencies EXAMINER No of Examiner
Clinical Skills Single examiner/station
 Stations are short Practical procedures No of examiner Who are the Examiners
Patient Management Purpose of exam Tutor/clinical instructor/Lectures
 Highly focused
Health promotion The breath of focus of the examination Asst professor/clinical perception
 Present structured mark scheme
Disease prevention The learning out comes to be Assessed ( Physical Examination/ interpersonal skills)
Associate Professor/Professor
 Reduced examiner discretion The resources available (Examiners, real patients/simulated patients/ simulators. After the Examination:
Professionalism
 Emphasizes on clinical competence The options with regard to the venue
System based practice 1.Marking written question stations. 2.Deciding the outcome for each examinee.
than knowledge The stage in training or seniority of the examinee
Personal development Providing feedback to examinees individually or in a group. 4.Evaluation the stations
 Test the application of knowledge than recalling No of stations
Communication skills Role of examiner
 8p features Information Handling Length of time allotted for each station Before the OSCE
 Performance Assessment Understanding of Basic & clinical sciences Number of circuits Prepare OSCE blueprint
 Process and product Attitude & Ethics Use of procedure and question station Design individual stations
 Profile of Learner Decision making Use of double and linked stations Adapting standard procedures
 Progress of Learner Clinical reasoning Organization of the station in a circuit and Briefing candidates, examiners and simulated points
 Public Assessment International relationship skills During OSCE:
 Participation of staff Team work investigations Check resources at the stations
Greeting the examiner / check the examiner register No.
Observe the Examiners, observe and complete the checklist / rating scale.
Provide comments on the scoring sheet regarding the performance.
OSCE THE GOLD STANDARD FOR PERFORMANCE: Confirmation that a SP at the station portrays the clinical condition approximately.
Valid Ensures that the station keeps to time and examiners moves to the next station on the t
Reliable Keeps a record of any problems that arise in the examination
SETTING FOR AN OSCE :
Feasible After the OSCE
Flexible As a part of group exercise
Fair Choosing a Location Feedback without scoring sheets
Acceptable 5) THE MAJOR COMPONENTS ARE: Reasonable Proximal Feedback with individual score sheet
Provision of feed back The (examination) coordinating committee Linear Arrangements Multi site OSCE Viewing a personal video recording
Educational impact The examination coordinator 1. Selecting multi leaching hospitals/ colleges simultaneously Meeting with individual examiners
Cost effective Lists of skills, behaviors and attitudes to be assessed Feedback to the Students in difficulty: Approaches of OSCE feedback
Criteria for scoring the assessment (marking scheme of checklist) Audio feedback
The examinees Personalized feedback
The examiners Group feedback
Examination site Video feedback
Examination stations Using annotated examiners score sheet
SIGNIFICANCE OF OSCE IN NURSING EDUCATION PRIMARY SIGNIFICANCE Time and time allocation between stations Formative and summative feedback
Summative Assessment – Certifying compliance Anatomic models for repetitive examinations (Breast,
Formative Assessment – Provision of feed back Pelvic/Rectum)
Assessment of a Learners progress Couplet Station
Prediction of a Learners future performance Examination Questions
Selection of students for admission to health care profession Environment of Exam Station
SECONDARY SIGNIFICANCE Examination Station Circuit
Evaluating curriculum content Patients Standardized or Simulated
Evaluating course delivery Instruction to Patients
Evaluating approaches to leaching & learning Timekeeper, time clock and time signal
Reinforcing specific learning out comes Contingency Plans
Evaluating the teacher Assessment of Performance of the OSCE

INT - 4 of 8
 INSTRUCTIONS FOR EXAMINERS:
Any verbal instructions to be given to the candidate in addition. . IMPLEMENTING OSCE: On the day of examination.
Instruction to the SP The OSCE lead to be present 1 hour before scheduled time.
Directions as to the record to be kept of the candidate’s Performance. Simulated and real points – 30 minutes before start time.
Examiner – 30 Minutes before start time.
Presence of reserve examiner
Examinee – 30 minutes prior to start FEEDBACK TO EXAMINEE:
Bell signals the start.
Time keeper regulates the time
TRAINING OF THE EXAMINER: Importance of feedback
Candidates to give written response where required.
Brief the Examiner about the philosophical underpinning the OSCE OSCE feedback promotes learning
Refreshments – patients and examiners during 30 minutes break time between circuits.
The interpretation and OSCE format Used as a formative assessment tool
Second group of examinee – maintain integrity by assembling them before the end of first circuit.
The timing and arrangements Provides strength and weaknesses
Thank all concerned and arrange expenses for pts.
Examiner role for conducting & feedback OSCE feedback is focused on the domain wise skills than overall scoring, timing
Document pts and problems that had occurred.

EVALUATION OF OSCE: 13 ) OSCE FEEDBACK TYPES:

Importance of OSCE evaluation During OSCE
Validation should be an ongoing responsibility At the procedure station
IMPLEMENTING AN OSCE Includes the Provides guidelines for quality improvement Questions to be addressed was the OSCE
Advance planning for an OSCE Immediately after procedure station
Valid After the OSCE
Implementing the OSCE Reliable As a part of group exercise
Cost effective Feedback without scoring sheets
ADVANCE PLANNING: Examiner’s properly trained Feedback with individual score sheet
Identify and agree the individuals and committee members responsible for OSCE Instruction to examinees clear Viewing a personal video recording
Confirm the purpose of the examination the areas to be assessed. Appropriate feedback given Meeting with individual examiners
Agree a timeline Appropriate standard setting process implemented Feedback to the Sts in difficulty
Decide the number and duration of stations to be included. Impact of OSCE on examinees, teachers and curriculum planning Contributors to Evaluation Approaches of OSCE feedback
Arrange a suitable venue / venues Audio feedback
Prepare on examination grid / blue print. Personalized feedback
Prepare a list of stations  Group feedback
Develop individual stations Examiners Examinees Simulated Patents Committee External Evaluation
 Administrative and supportive staff Clinicians. Video feedback
Proposal for each station.  Using annotated examiners score sheet
Agree the marking scheme  Formative and summative feedback
Appoint examiners. 
Arrange simulated patients. 
Organize resources 
Equipments / Furniture Validity
Patient simulation 
timing device Content validity* Criterion Validity * Predictive Validity
Organize catering EXAMINEES PERSPECTIVE – OSCE:
Prepare packets for each station Reliability:
Finalize the master list of stations Stability reliability Full briefing in advance, will promote positive attitude.
Prepare a map of OSCE circuit Alternate form Reliability Students are informed that OSCE is powerful learning experience.
Prepare direction arrows and station identification cards. Internal Consistency reliability Studentsshouldbeengagedinplanning implementation and evaluation of OSCE.
Prepare a smaller set of cards with station numbers. Approaches to test Reliability
Prepare list of candidates Classical test theory _CTT
Inform candidate in advance Generalizability theory – GT
Set up stations. Item response theory – IRT Points to be considered
If higher failure roles appraise if
An in appropriate station standard
Technical problem in the station
Not a part of expected learning outcome
Deficient teaching and learning programme

INT - 5 of 8
 Response
16) EVALUATION OF OSCE: The OSCE does not Use the OSCE alongside other tools,
1. Importance of OSCE evaluation 17) LIMITATION
 assess aOF OSCE
holistic such as portfolios and work – based
Validation should be an ongoing responsibility Provides guidelines for quality
Perceived improvement
limitations an OSCEQuestions to beresponses
addressed was the OSCE Valid
 Reliable approach toof
a patient and possible
assessment instruments.
2. Cost effective The OSCE assesses only a Use a blueprint to sample across the
 Examiner’s properly trained Instruction to examinees clear Appropriatelimited
feedback givenof
 sample outcome domains, the body systems
 competencies. and the core tasks.
 The OSCE is resource With organization, the resources

 intensive required can be contained. The cost –
 benefit ratio is favorable.
The role of the examiner Within the the set framework, the
setting
Appropriatestandard implemented process is prescribed. examiner can also use his/her
judgment.
Impact of OSCE on examinees, teachers and curriculum planning
3.Contributors to Evaluation Only minimum The scoring system can also reflect
Examiners competence is tested in excellence. More advanced stations
Examinees the OSCE can be included.
Simulated Patents
Committee Some learning outcomes Performance in an OSCE can be
External Evaluation are difficult to assess in triangulated with ratings from other
Administrative and supportive staff the OSCE. assessments.
Clinicians. Students’ behaviours are Design the OSCE to be as close to real
4.Validity
Content validity influenced by the practice as possible.
Criterion Validity context.
Predictive Validity The OSCE is stressful. Students should be briefed and
5.Reliability: prepared.
Stability reliability
Alternate form Reliability
Internal Consistency reliability
Approaches to test Reliability
Classical test theory _CTT
Generalizability theory – GT
Item response theory – IRT
6.Points to be considered
If higher failure roles appraise if
An in appropriate station standard
Technical problem in the station
Not a part of expected learning outcome
18) VISION FOR THE OSCE:
Deficient teaching and learning programme
A Vision for the OSCE over the next decade
The OSCE being an integral part of the curriculum Assessment for learning and assessment as learning
The OSCE as a progress test
Adaptive and sequential testing with the OSCE Student engagement and the OSCE Appropriate use of

REFERENCE:
Harden RM., Lilley P., Patricio M. The definitive guide
to the OSCE – The Objective Structured Clinical
Examination as a performance assessment, Elsevier
Edinburgh, UK, 2016.

INT - 6 of 8
3. OSCE CIRCUIT GUIDE

INT - 7 of 8
 4. CONTRIBUTORS LIST
OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) /
OBJECTIVE STRUCTURED PRACTICAL EXAMINATION (OSPE) STATION BANK

In-House Faculty External Contributors Name &

Omayal Achi CON Institution
NURSING FOUNDATION
Mrs. Grace Lydia Mrs. Dayana. B.A.A, SaveethaCON, Chennai
Mrs. Karthika Mrs. P. Geetha, Sri Ramachandra CON, Chennai
Mrs. Groops Gaya. K, M.A.C CON, Chennai
Ms. Jenilin Sujatha. P, MMM CON, Chennai
Mrs. Ramani. R, Sree Balaji CON, Chennai
Mrs. Sathya. G, Dr.M.G.R. Educational and Research Institute
University, Chennai
Ms. Sharmila Mercy. B, Rajalakshmi CON, Chennai
MEDICAL SURGICAL NURSING
Dr. Jolly Ranjith Ms. S. Abirami, Shenbagha CON, Tiruvallur
Mrs. Alice Dinah Margaret. D Mrs. Hepsiba Beula Rajam.T, Tagore CON, Chennai
Mr. Prasanna Kumar Ms. P. Kalavathi, Indira CON, Tiruvallur
Mrs. Gomathy Ms. Priya. C, Venkateswara CON, Chennai
Ms. R. Revathy, Billroth CON, Chennai
CHILD HEALTH NURSING
Dr. Ruthrani Princely Mrs. Brindha. P, Sree Balaji CON, Chennai
Mrs. Sorna Daya Rani Mrs. D. Geetha, Sri Ramachandra CON
Mrs. Phebe Esther Mrs. Mahalakshmi. J, MMM CON, Chennai
Ms. MeljaRani. D, Rajalakshmi CON, Chennai
Mr. Prem, Madha CON, Chennai
OBSTETRICAL AND GYNAECOLOGICAL NURSING
Dr. Amutha T Dr. Susan Mythily.A, Bon Secours CON, Molasur, KPM
Mrs. Beula Jayaselvi
COMMUNITY HEALTH NURSING
Dr.S.Kanchana Mrs. Catherine. A, CSI Kalyani CON, Chennai
Dr.D.Celina Mrs. Darcus Deva Sinthiya.J
Dr. M.G.R. Educational and Research Institute University
Mrs. Jayasree Ms. S. Manimala,, Annai Veilankanni’s CON,Chennai
Dr. Tamilselvi. S, Saveetha CON, Chennai
Mrs. Umalakshmi, M.A.CCON, Chennai
MENTAL HEALTH NURSING
Dr. Hemavathy Mrs. E .Elamathi, Hindu Mission CON, Chennai
Mrs. Bettsy Priyanka Mrs. Guhapriya.T, SCARF, Chennai
Mrs. Kansal Mahariba, Mohamed Sathak A J CON, Chennai
Mrs. B. Kalaiyarasi, Venkateswara CON, Chennai
Mrs. Mary Metilda. S, Right CON, Chennai
Ms. Priya. S, Apollo CON, Chennai

INT - 8 of 8
 B.Sc NURSING DEGREE PROGRAM-III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION

(OSPE/OSCE) TEST MAP-BASED ON BLUE PRINT

Domains Of Clinical Experience

Type Of Program Competency Proposed
Station Item Title
Station Component Test Test File Communication Examination Procedure Cognitive Skills
Num
HT OC PE VSI TP DP IAFT DI DM PS
Unmanned DI Print out
1 Nutrition Disorder Calculation of degree of
Malnutrition 1
Unmanned VSI Audio
2 1
Respiratory Identification of adventitious lung
sound
Unmanned Cardiac Cyanotic spell DM Printout 1
3
Unmanned Newborn Identification of congenital VSI Pictures 1
4 anomalies
Unmanned Newborn Identification of Newborn reflexes VSI Video 1
5
6 Unmanned Therapeutic Identification of Instruments used DP Instruments
1
procedures for
diagnostic procedures
Unmanned Medication Oral drug calculation PS Print out 1
7 administration
Unmanned Fluid and Intravenous fluid calculation PS Print out 1
8 Electrolyte balance
Manned Communication History collection Simulated
1
9 HC patient

10 Manned Gastro Intestinal Naso gastric tube feeding Mannequin

1
TP

Key Words:
HT: History taking VSI: Virtual sign identification IATF: Identification of abnormal test finding DM: Decision making
OC: Other communication TP: Therapeutic procedure DI: Data interpretation PS: Problem solving
PE: Physical examination DP: Diagnostic procedure

Subject Coordinator Head of the Department

CHN - 1 of 61
 STATION NO: 2 –DATA INTERPRETATION – DEGREE OF MALNUTRITION

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to assess the candidate’s ability to

 Calculate the expected weight and identify the degree of malnutrition

Instructions:

 Check the response sheet for expected weight and degree of malnutrition
 Score 2 for each correct answer and 0 for the wrong answer

CHN - 2 of 61
 STATION NO: 2 –DATA INTERPRETATION – DEGREE OF MALNUTRITION (DOM)

SCORING SHEET

Interpretation Score Registration Number

Expected weight formula 2

Expected weight 2
calculation
DOM formula 2

DOM calculation 2

DOM interpretation 2

Total 10

Signature of the Examiner

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –DATA INTERPRETATION – DEGREE OF MALNUTRITION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction  Response sheet
scenario sheet  Drop box
 Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 4 of 61
 STATION NO: 2 –DATA INTERPRETATION – DEGREE OF MALNUTRITION

ANSWER KEY

Expected Weight = Age in years X 2 + 8 = 6 X 2 + 8 = 20

Degree of Malnutrition = Actual weight / Expected weight X 100 (Acc. to Indian Academy of Pediatrics)

= 10 / 20 X 100 = 50%

Interpretation = IV degree malnutrition

CHN - 5 of 61
 STATION NO: 2 –DATA INTERPRETATION – DEGREE OF MALNUTRITION

INSTRUCTION FOR THE EXAMINEE

 Read the scenario given below and document the expected weight and degree of malnutrition in the
sheet given to you.
 Drop the response answer sheet in the drop box

Scenario

Master. Ashwin 6 years old got admitted in pediatric ward with the complaints of fever.
Calculate the expected weight and degree of malnutrition. Weight of the child is 10kg.

CHN - 6 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –DATA INTERPRETATION – DEGREE OF MALNUTRITION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 7 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO 2 : VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF ADVENTITIOUS LUNG SOUND

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to assess the candidate‟s ability to

 Identify and document the appropriate sounds correctly

Instructions:

 Check the answers documented

 Score „2‟ for each correct sound identified and „0‟ for the wrong answer

CHN - 8 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 2 - VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF ADVENTITIOUS LUNG SOUND

SCORING SHEET

Interpretation Score Registration Number

Sound 1 2
Sound 2 2
Sound 3 2
Sound 4 2
Sound 5 2
Total 10

Signature of the Examiner

CHN - 9 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF ADVENTITIOUS LUNG SOUND

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Laptop with Audio sheet  Drop box
sound  Evaluation scoring sheet
 Headset  Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 10 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF ADVENTITIOUS LUNG SOUND

ANSWER KEY

1. Expiratory Wheeze
2. Inspiratory wheeze
3. Normal vesicular breath sounds
4. Crackles
5. Stridor

CHN - 11 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF ADVENTITIOUS LUNG SOUND

INSTRUCTION FOR THE EXAMINEE

 Listen the audio and identify the sounds.

 Document all the sounds identified.
 Drop the response sheet in the drop box

CHN - 12 of 61
STATION NO: 2 –VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF ADVENTITIOUS LUNG SOUND

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 13 of 61
 STATION NO: 6 – DECISION MAKING – CYANOTIC SPELL

INSTRUCTION TO THE EXAMINER

Objective:
This station is designed to assess the candidate’s ability to
 Specify the symptom
 Write the appropriate nursing measures

Instructions:
 Check the answer documented
 Score 2 for each nursing measures identified and 0 for the wrong answer

CHN - 14 of 61
 Interpretation Score Registration Number

Cyanotic Spell / Cyanosis 2

Activate emergency system 2

2
Place infant in knee – chest
position
2
Administer 100 % oxygen by
face mask
2
Administer IV Morphine /
Propranolol
Total 10

STATION NO: 6 – DECISION MAKING – CYANOTIC SPELL SCORING SHEET

Signature of the Examiner

 STATION NO: 3 – DECISION MAKING – CYANOTIC SPELL

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction  Response sheet
Scenario sheet  Drop box
 Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 16 of 61
 STATION NO: 6 – DECISION MAKING – CYANOTIC SPELL

ANSWER KEY

Symptom: Cyanotic Spell / Cyanosis

Any 4 Nursing measures can be written:

1. Activate emergency system

2. Place infant in knee – chest position

3. Administer 100 % oxygen by face mask

4. Administer IV Morphine / Propranolol

5. Reassure the child

6. Inform the doctor and follow medication orders

7. Perform physical assessment

CHN - 17 of 61
 STATION NO: 6–DECISION MAKING – CYANOTIC SPELL

INSTRUCTION TO THE EXAMINEE

• Read the scenario and answer the questions given below

• Document your answers in the sheet provided
• Drop the response sheet in the drop box

Scenario
A 2 year old infant known case of TOF is admitted in the ward. He was playing in the play room.
Suddenly his father rushes to you in the nurse’ s station stating that the child is unresponsive. You observe
the child turned blue with rapid, shallow respirations, not responding to call.

 Write the symptom identified from this scenario

 Document the nursing measures.

CHN - 18 of 61
 STATION NO: 3 – DECISION MAKING – CYANOTIC SPELL

EXAMINEES RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 19 of 61
 STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION –IDENTIFICATION OF CONGENITAL ANOMALIES

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to assess the candidate‟s ability to

 Identify the congenital anomalies

Instructions:

 Check the documented congenital anomalies

 Give „2‟ mark for the correct answer and „0‟ mark for the wrong answer

CHN - 20 of 61
 STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF CONGENITAL ANOMALIES

SCORING SHEET

Interpretation Score Registration Number

Flash card 1 2
Flash card 2 2
Flash card 3 2
Flash card 4 2
Flash card 5 2
Total 10

Signature of the Examiner

CHN - 21 of 61
STATION NO: 4 - VIRTUAL SIGN IDENTIFICATION –IDENTIFICATION OF CONGENITAL ANOMALIES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Flash cards - 5 sheet  Drop box
 Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 22 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR

CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF CONGENITAL ANOMALIES

ANSWER KEY

1. Hydrocephalus
2. Cleft lip
3. Cleft palate
4. Spina bifida
5. Congenital hip dysplasia

CHN - 23 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR

CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO 4:– VIRTUAL SIGN IDENTIFICATION –IDENTIFICATION OF CONGENITAL ANOMALIES

INSTRUCTION FOR THE EXAMINEE

 Observe the flash cards, Identify the anomalies and write it in response sheet
 Drop the response sheet in drop box

CHN - 24 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR

CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO 4:– VIRTUAL SIGN IDENTIFICATION –IDENTIFICATION OF CONGENITAL ANOMALIES

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 25 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 - VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NEWBORN REFLEXES

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to assess the candidate‟s ability to

 Identify the newborn reflexes

Instructions:

• Check the answer documented by the examinee.

• Score „2‟ for each reflex documented correctly or score „0‟ if documented wrongly.

CHN - 26 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 - VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NEWBORN REFLEXES

SCORING SHEET

Interpretation Score Registration Number

Reflex1 2
Reflex 2 2
Reflex 3 2
Reflex 4 2
Reflex 5 2
Total 10

Signature of the Examiner

CHN - 27 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 - VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NEWBORN REFLEXES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction sheet  Response sheet
 Laptop with  Evaluation scoring sheet  Drop box
reflex videos  Table – 1
 Headset  Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 28 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 - VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NEWBORN REFLEXES

ANSWER KEY

1. Moro Reflex

2. Babinski Reflex

3. Stepping Reflex

4. Rooting Reflex

5. Palmar grasp Reflex

CHN - 29 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NEWBORN REFLEXES

INSTRUCTION FOR THE EXAMINEE

• Watch the instruments and document the instruments in the sheet given to you.

• Drop the response sheet in the drop box

CHN - 30 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 - VIRTUAL SIGN IDENTIFICATION -IDENTIFICATION OF NEWBORN REFLEXES

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the examinee Signature of the Examiner

CHN - 31 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR

CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DIAGNOSTIC PROCEDURE - INSTRUMENTS USED FOR DIAGNOSTIC PROCEDURE

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to assess the candidate‟s ability to

 Observe and identify the instruments

Instructions:

• Check the answer documented by the examinee.

• Score „2‟ for each instrument documented correctly or score „0‟ if documented wrongly.

CHN - 32 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DIAGNOSTIC PROCEDURE - INSTRUMENTS USED FOR DIAGNOSTIC PROCEDURE

SCORING SHEET

Interpretation Score Registration Number

Instrument 1 2
Instrument 2 2
Instrument 3 2
Instrument 4 2
Instrument 5 2
Total 10

Signature of the Examiner

CHN - 33 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DIAGNOSTIC PROCEDURE - INSTRUMENTS USED FOR DIAGNOSTIC PROCEDURE

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction sheet  Response sheet
 Instruments  Evaluation scoring sheet  Drop box
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 34 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DIAGNOSTIC PROCEDURE - INSTRUMENTS USED FOR DIAGNOSTIC PROCEDURE

ANSWER KEY

1. Umbilical catheter
2. Lumbar puncture needle
3. Bone marrow aspiration needle
4. Thermoscaner
5. Pulseoximeter

CHN - 35 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DIAGNOSTIC PROCEDURE - INSTRUMENTS USED FOR DIAGNOSTIC PROCEDURE

INSTRUCTION FOR THE EXAMINEE

• Watch the instruments and document the instruments in the sheet given to you.

• Drop the response sheet in the drop box

CHN - 36 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DIAGNOSTIC PROCEDURE - INSTRUMENTS USED FOR DIAGNOSTIC PROCEDURE

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the examinee Signature of the Examiner

CHN - 37 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – PROBLEM SOLVING - ORAL DRUG CALCULATION

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to assess the candidates ability to

 Calculate the prescribed oral drug.

Instructions:

 Check the answer documented by the examinee.

 Score ‘5’for each point correct answer and score ‘0’for the wrong answer

CHN - 38 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – PROBLEM SOLVING - ORAL DRUG CALCULATION

SCORING SHEET

Interpretation Score Registration Number

Formula 5
Calculation 5
Total 10

Signature of the examiner

CHN - 39 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – PROBLEM SOLVING - ORAL DRUG CALCULATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction  Response sheet printout
Scenario sheet  Drop box
 Physician order  Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 40 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4– PROBLEM SOLVING - ORAL DRUG CALCULATION

ANSWER KEY

Formula:

Ordered dose / Dose in hand X Dilution ml = Amount in mg

Drug calculation

x / 125 X 5 = 3

x = 3 X 125 / 5

= 375 / 5

= 75 mg
3 ml of P125 contains 75 mg

CHN - 41 of 61
 STATION NO 4: – PROBLEM SOLVING - ORAL DRUG CALCULATION

INSTRUCTION FOR THE EXAMINEE

Read the scenario given below and do the drug calculation in the sheet given to you.

Scenario

 Master. Sekar 6 month old, weighing 5 kg admitted in pediatric ward with the complaints of fever

for3 days, on examination child was febrile vital signs-temperature was 101degree F, Pulse-92beats

/min, Respiration - 48breaths per minute.

 Identify how many mg of Paracetamol is in 3ml syrup.

Physician Prescription

Name of the Drug Dose Route Frequency

Syp. P125 3ml Oral Q4th hourly

CHN - 42 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – PROBLEM SOLVING - ORAL DRUG CALCULATION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the examinee Signature of the Examiner

CHN - 43 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 - PROBLEM SOLVING - IV FLUID CALCULATION

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to assess the candidate‟s ability to
 Calculate IV fluid calculation

Instructions:

 Check the answer documented by the examinee

 Score “2.5” for each correct answer and score “0” for the wrong answer

CHN - 44 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 - PROBLEM SOLVING - IV FLUID CALCULATION

SCORING SHEET

Interpretation Score Registration Number

Formula 2.5

Drops / Min 2.5

Total 5

Signature of the Examiner

CHN - 45 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 - PROBLEM SOLVING - IV FLUID CALCULATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction  Response sheet
scenario sheet  Drop box
 Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 46 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO 8: PROBLEM SOLVING -IV FLUID CALCULATION

ANSWER KEY

IV fluid calculation

Formula: Drops / Minute = Amount of fluid X Drop Factor / Time of Administration X 60

= 40 ml X 60 / 1 X 60

= 40 Drops / minute

CHN - 47 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 - PROBLEM SOLVING - IV FLUID CALCULATION

INSTRUCTION FOR THE EXAMINEE

 Read the scenario given below and calculate IV fluid calculation in the sheet given to you.
 Drop the response sheet in the drop box

Scenario

Master. Sekar 10 month old, weighing 10 kg admitted in paediatric ward, physician

ordered to administer NS 0.9 % 40 ml per hour. Identify the drops/min to be administered.

CHN - 48 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 - PROBLEM SOLVING - IV FLUID CALCULATION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the examinee Signature of the Examiner

CHN - 49 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –HISTORY COLLECTION – BIRTH HISTORY FROM A DOWN SYNDROME MOTHER

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to assess the candidate‟s ability to
 Collect birth history from the mother

Instructions:
 Check the content of the history (Antenatal, Intranatal & Postnatal)
 Observe the examinee in performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN - 50 of 61
 STATION NO: 9 – HISTORY COLLECTION – BIRTH HISTORY FROM A DOWN SYNDROME MOTHER

S.No Procedure Max Registration number

Score
1. Introduces Self 2
2. Explains the purpose of the history collection 2
3. Antenatal 2
 Age at pregnancy
 Consanguinity
 Exposure to drugs/radiation
 Problems during pregnancy
 TT Injection
 Anomaly scan
 Number of Antenatal Visits
4. Intranatal 2
 Place of delivery
 Mode
 Delivery conducted by
 Apgar
 Birth weight
5. Postnatal 2
 Time of breast feeding initiation
 Any problems faced
 Condition of baby
Total 10

Signature of Examiner

CHN - 51 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – HISTORY COLLECTION – BIRTH HISTORY FROM A DOWN SYNDROME MOTHER

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction with  Examiner instruction  Response sheet
Scenario sheet
 Information to  Evaluation scoring
simulated mother sheet
 Simulated mother  Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 pencil
 Gong bell
 Drop box

CHN - 52 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – HISTORY COLLECTION – BIRTH HISTORY FROM A DOWN SYNDROME MOTHER

INFORMATION TO THE SIMULATED PATIENT

Your role: Mother, named Mrs.Priya, aged 32 years.

Demographic data

 Name: Mrs.Priya
 Age: 32 years
 Educational qualification: BBA
 Marital status: Married
 Occupation: IT professional.
 Religion: Hindu
 Family income: Rs.50,000/ month

Information to be volunteered at the start of the procedure.

 You have a 2 years old male baby diagnosed with down syndrome with VSD. You have to give
information about that you got conceived at the age of 30 by IVF, it was a consanguineous marriage,
had history of spotting during second trimester, had 9 regular visits with proper vaccination and iron
supplements.
 Baby was delivered at AA hospital via LSCS. Baby cried after birth and was pink in colour. His birth
weight was 2.75 Kg
 Started breastfeeding after 4 hours of birth and during his development you have noticed single
palmer crease, short neck, small ears and small hands and legs.

CHN - 53 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – HISTORY COLLECTION – BIRTH HISTORY FROM A DOWN SYNDROME MOTHER

INSTRUCTIONS TO THE EXAMINEE

 Collect the birth history from the mother for the given child

Scenario

Baby. Ragav 2 year old boy is a known case of Down‟s Syndrome with VSD. Collect the birth
history from his mother Mrs. Priya.

CHN - 54 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – HISTORY COLLECTION – BIRTH HISTORY FROM A DOWN SYNDROME MOTHER

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the examinee Signature of the Examiner

CHN - 55 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDURE - NASOGASTRIC TUBE

INSERTION
INSTRUCTION FOR THE EXAMINER
Objective:
This station is designed to assess the candidate’s ability to
 Perform the procedure systematically
 Follow aseptic technique

Instructions:
 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN - 56 of 61
 STATION NO: 10- THERAPEUTIC PROCEDURE - NASOGASTRIC TUBE FEEDING

S. Interpretation Max Registration Number

No Score
1. Spread towel over child‟s chest 2
2. Aspirate the stomach contents and 2
ensuring tube placement.
3. Pinch the tube and attach barrel or 2
feeding syringe to tube.
4 Pour milk into the syringe barrel by 2
raising barrel above the height of
child‟s
head.
5. Check for the flow of milk under gravity
6. Fill feed into syringe barrel when it is 2
three- quarters empty,
7. After feeding is completed, pour 2 ml of 2
water in the tube.
8. Pinch the tube to stop feeding. 2
9. Close the end of feeding tube and secure 2
10. Document the procedure 2
Total 20

Signature of the Examiner

CHN - 57 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDUR - NASOGASTRIC TUBE FEEDING

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with Scenario  Examiner instruction  Response sheet
 Cot – 1 sheet
 Pillow – 2  Evaluation scoring
 Screen - 2 sheet
 Mannequin - newborn  Table – 1
 Hand sanitizer  Chair – 1
 Gloves  Writing pad – 1
 A clean tray containing  Pen
o NG tube  Eraser
o Syringe – 2ml, 10ml  Pencil
o Stethoscope  Gong bell
o Bowel  Drop box
o K basin
o Gauze
o Towel - 1

CHN - 58 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDURE - NASOGASTRIC TUBE

INSERTION
INSTRUCTION FOR THE EXAMINEE

 Read the scenario given and perform the procedure.

Scenario
Baby of Dylan of 2 days admitted in the NICU as preterm with 30 weeks of gestation. Physician
order to feed the neonate with 5ml of expressed breast milk 6th hourly for 2 days, perform the nasogastric
tube insertion with appropriate steps.

CHN - 59 of 61
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDURE - NASOGASTRIC TUBE FEEDING

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the examinee Signature of the Examiner

CHN - 60 of 61
 B.Sc. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY-CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Date:

Name of the examination:

Registration number of students allotted: From to

Total number of students: Allotted: _ Attended: _Absent:

% Final
Station -Max Scores Total score OSCE/OSPE
(Max 100) Score
(University
Registration Number prescribed)
1 2 3 4 5 6 7

HC VSI DM DI DP PS TP

10 30 10 10 10 10 20

Name and signature with date:

Internal Examiner External Examiner

CHN - 61 of 61
 B.Sc NURSING DEGREE PROGRAM-III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

TEST MAP-BASED ON BLUE PRINT

Domains Of Clinical Experience

Type Of Program Competency Proposed Test
Station Item Title Cognitive
Station Component Test File Communication Examination Procedure
Num Skills
HT OC PE VSI TP DP IAFT DI DM PS
1
Newborn Interpretation of Ballard score IATF Print out
1 Unmanned
Identification of Parts of Print out 1
Resuscitation VSI
2 Unmanned ambu bag
Nutritional Identification of Nutritional Printout 1
VSI
3 Unmanned disorders Disorders
Identify the flow rate of Printout 1
Oxygenation VSI
4 Unmanned venture masks
1
Immunizations Identification of Vaccines DM Vaccine vials
5 Unmanned
6 Gastrointestinal Print out 1
Degree of dehydration DM
Unmanned disorder
1
Play Identification of Types of Play VSI Pictures
7 Unmanned
1
Infant Weaning OC Mannequin
8 Manned
1
Hospitalisation Identification of Restraints VSI Printout
9 Unmanned
TP Mannequin 1
Medications Intramuscular injection
10 Manned

Key Words:
HT: History taking DI: Data interpretation
TP: Therapeutic procedure PS: Problem solving
OC: Other communication IATF: Identification of abnormal test finding
PE: Physical examination DP: Diagnostic procedure
VSI: Virtual sign identification DM: Decision making

Subject Coordinator Head of the Department

CHN - 62 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – IDENTIFICATION OF ABNORMAL TEST FINDING – INTERPRETATION OF BALLARD

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Find out the gestational age of the preterm baby

Instructions:
 Check the calculation and gestational age
 Give ‘2.5’ mark for each correct answer and ‘0’ mark for the wrong answer

CHN - 63 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – IDENTIFICATION OF ABNORMAL TEST FINDING – INTERPRETATION OF BALLARD

SCORING SHEET

Interpretation Score Registration Number

Calculation 2.5
Gestational Age 2.5
Total 5

Signature of the Examiner

CHN - 64 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – IDENTIFICATION OF ABNORMAL TEST FINDING – INTERPRETATION OF BALLARD

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
sheet  Drop box
 Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 65 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – IDENTIFICATION OF ABNORMAL TEST FINDING –INTERPRETATION OF BALLARD

ANSWER KEY

Calculation : (-1)+(-1)+(-1)+(-1)+(-1)+0+0+0 +1+2+2 -5+0-5=0

Gestational age : Score 0 corresponds to 24 weeks of gestation

CHN - 66 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – IDENTIFICATION OF ABNORMAL TEST FINDING –INTERPRETATION OF BALLARD

INSTRUCTION FOR THE EXAMINEE

 Given below is the Ballard scale of the preterm B/O Indu, Calculate the gestational age of the preterm
 Drop the response sheet in the drop box

CHN - 67 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – IDENTIFICATION OF ABNORMAL TEST FINDING –INTERPRETATION OF BALLARD

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 68 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION- IDENTIFY THE PARTS OF AMBU BAG

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the parts of AMBU bag

Instructions:

 Check the content of the examinee documents

 Give ‘2’ mark for each correct answer and ‘0’ mark for the wrong answer

CHN - 69 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE PARTS OF AMBU BAG

SCORING SHEET

Interpretation Score Registration Number

1. PEEP Valve 2

2. Self 2

inflating bag

3. Air inlet 2

valves

4. Oxygen 2

inlet and

tubing

5. Expiratory 2

valve

Total 10

Signature of the Examiner

CHN - 70 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION- IDENTIFY THE PARTS OF AMBU BAG

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTSS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Instruments (Parts of sheet  Drop box
AMBU bag)  Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil

CHN - 71 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5– VIRTUAL SIGN IDENTIFICATION- IDENTIFY THE PARTS OF AMBU BAG

ANSWER KEY

6. PEEP Valve

7. Self inflating bag

8. Air inlet valves

9. Oxygen inlet and tubing

10. Expiratory valve

CHN - 72 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VI RTUAL SIGN IDENTIFICATION- IDENTIFY THE PARTS OF AMBU BAG

INSTRUCTION FOR THE EXAMINEE

 Identify the parts of AMBU bag and write it in response sheet

 Drop the response sheet in the drop box

CHN - 73 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE PARTS OF AMBU BAG

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 74 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6- VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NUTRITIONAL DISORDERS

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Observe the flash cards and identify the nutritional disorders

Instructions:

• Check the answer documented by the examinee.

• Score ‘2’ for each correct answer or score ‘0’ if documented wrongly.

CHN - 75 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NUTRITIONAL DISORDERS

SCORING SHEET

Interpretation Scor Registration Number

e

1. Marasmus 2

2. Kwashiorkor 2

3. Rickets 2

4. Scurvy 2

5. Goiter 2

Total 10

Signature of the Examiner

CHN - 76 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF NUTRITIONAL DISORDERS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTSS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Pictures sheet  Drop box
 Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil

CHN - 77 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6- VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF NUTRITIONAL DISORDERS

ANSWER KEY

The flash cards are arranged in the following sequence

6. Marasmus

7. Kwashiorkor

8. Rickets

9. Scurvy

10. Goiter

CHN - 78 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6- VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF NUTRITIONAL DISORDERS

INSTRUCTION FOR THE EXAMINEE

 Observe the flash cards, Identify the Nutritional Disorders

 Drop the response sheet in the drop box

CHN - 79 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 - VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF NUTRITIONAL DISORDERS

EXAMINEE RESPONSE SHEET:

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 80 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE FLOW RATE OF VENTURI MASK

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the appropriate flow rate for the venture masks given

Instructions:

 Check the answer documented by the examinee.

 Score ‘2’ for each flow rate documented correctly or score ‘0’ if documented wrongly.

CHN - 81 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE FLOW RATE OF VENTURI MASK

SCORING SHEET

Interpretation Score Registration Number

Picture 1 2

Picture 2 2

Picture 3 2

Picture 4 2

Picture 5 2

Total 10

Signature of the Examiner

CHN - 82 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE FLOW RATE OF VENTURI MASK

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction sheet  Response sheet
 Pictures - Venturi  Evaluation scoring sheet  Drop box
masks  Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 83 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE FLOW RATE OF VENTURI MASK

ANSWER KEY

Venturi mask pictures are given in following order

1. Orange – 31% & 6L / Min

2. White – 28% & 4L / Min

3. Blue – 24% & 2L / Min

4. Green – 60% & 15L/min

5. Yellow – 35% & 8L / Min

CHN - 84 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE FLOW RATE OF VENTURI MASK

INSTRUCTION FOR THE EXAMINEE

• Observe the pictures and identify the appropriate flow rate of each venturi mask given

• Document the findings in the sheet given to you.

• Drop the response sheet in the drop box

3
1

2 4

5
CHN - 85 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – VIRTUAL SIGN IDENTIFICATION - IDENTIFY THE FLOW RATE OF VENTURI MASK

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 86 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DECISION MAKING - IDENTIFICATION OF VACCINES

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the vaccines with appropriate age of administration

Instructions:

 Check the mentioned vaccines with appropriate age of administration

 Score ‘2’ for each correct answer or score ‘0’ for wrong answer.

CHN - 87 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING - IDENTIFICATION OF VACCINES

SCORING SHEET

Interpretation Score Registration Number

Vaccine 1 2
Vaccine 2 2
Vaccine 3 2
Vaccine 4 2
Vaccine 5 2

Total 10

Signature of the Examiner

CHN - 88 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DECISION MAKING - IDENTIFICATION OF VACCINES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Vaccine Vials sheet  Drop box
 Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 89 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING - IDENTIFICATION OF VACCINES

ANSWER KEY

Vaccines Age
1. BCG At birth
2. MMR 9 Months
3. Rota Virus 1 ½ Months
4. DPT Booster 5 years
5. OPV At birth

CHN - 90 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING - IDENTIFICATION OF VACCINES

INSTRUCTION FOR THE EXAMINEE

• Identify the appropriate vaccines with regards to age

• Document the following vaccines with appropriate age of administration

• Drop the response sheet in the drop box

CHN - 91 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DECISION MAKING - IDENTIFICATION OF VACCINES

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 92 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9– DECISION MAKING - ASSESSMENT OF DEHYDRATION

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the type of dehydration in the child

Instructions:
 Check the answer documented
 Score ‘10
 ’ for the correct answer and ‘0’ for the wrong answer

CHN - 93 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9– DECISION MAKING - ASSESSMENT OF DEHYDRATION

SCORING SHEET

Interpretation Score Registration Number

Degree of 10
Dehydration

Total 10

Signature of the Examiner

CHN - 94 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6– DECISION MAKING – ASSESSMENT OF DEHYDRATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTSS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction  Response sheet
Scenario sheet printout  Drop box
 Evaluation scoring
sheet printout
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil

CHN - 95 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9- DECISION MAKING ASSESSMENT OF DEHYDRATION

ANSWER KEY

Parameters No Dehydration Some dehydration Severe dehydration

Ask Diarrhea < 4 / day 4 – 10 / day >10 / day

Vomiting Absent or few Some Frequent

Thirst Normal Increased Unable to drink

U/O Normal Decreased with dark colour Lethargy

Look Condition Well alert Irritable, Sleepy LOC

Eyes Normal Sunken Sunken and dry

Tears Present Absent Absent

Tongue and Moist Dry Very dry

Mouth

Breathing Normal Increased Increased, rapid and dry

Feel Skin Turgor Normal Poor / Slow Very slow

Pulse Normal Increased Increase, weak and

cannot feel

CRT Normal >2 sec Delayed >3sec

Interpretation: Severe Dehydration

CHN - 96 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9- DECISION MAKING ASSESSMENT OF DEHYDRATION

INSTRUCTION FOR THE EXAMINEE

 Read the scenario and respond appropriately

 Drop the response sheet in the drop box

Scenario

Baby. Yazhini of 10 months old infant has brought to the Pediatric ward with the complaints of 12
episodes of loose stools, 5 episodes of vomiting with lethargy, dry tongue, dry mouth and weak pulse.
Identify and document the degree of dehydration to the above child.

CHN - 97 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - DECISION MAKING – ASSESSMENT OF DEHYDRATION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 98 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF TYPES OF PLAY

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the type of play with appropriate age.

Instructions:

 Check the answer documented

 Score ‘2’ for each correct answer and score ‘0’ for wrong answer

CHN - 99 of 123
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF TYPES OF PLAY

SCORING SHEET

Interpretation Score Registration Number

Picture 1 2

Picture 2 2

Picture 3 2

Picture 4 2

Picture 5 2

Total 10

Signature of the Examiner

CHN - 100 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF TYPES OF PLAY

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTSS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Types of play pictures sheet  Drop box
 Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 101 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– VIRTUAL SIGN IDENTIFICATION– IDENTIFICATION OF TYPES OF

PLAY ANSWER KEY

1. Associative play - Preschooler

2. Co operative play - School age and adolescents
3. Solitary play - Infant
4. Parallel play - Toddler
5. Onlooker play - Newborn

CHN - 102 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– VIRTUAL SIGN IDENTIFICATION– IDENTIFICATION OF TYPES OF

PLAY INSTRUCTION FOR THE EXAMINEE

Observe the picture and do the following:

 Identify the type of play

 Mention the age appropriate play
 Drop the response sheet in the drop box

CHN - 103 of 123

5 3

2
4

CHN - 104 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– VIRTUAL SIGN IDENTIFICATION–– IDENTIFICATION OF TYPES OF PLAY

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 105 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – OTHER COMMUNICATION - WEANING

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Educate 5 points to the mother about principles of weaning

Instructions:

 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN - 106 of 123

 STATION NO: 8 – OTHER COMMUNICATION - WEANING

Interpretation Max Registration Number

Score

Point1 2

Point 2 2
Point3 2
Point 4 2
Point 5 2

Total 10

Signature of the Examiner

CHN - 107 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – OTHER COMMUNICATION - WEANING

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction
Scenario sheet ----
 Information to  Evaluation scoring
simulated mother sheet
 Simulated mother  Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 108 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – OTHER COMMUNICATION - WEANING

ANSWER KEY

1. Give one taste at a time

2. Stick to it for 4-5 days and then introduce new dish.
3. Make sure the texture is smooth and there are no lumps.
4. Prepare the fresh meal every time when feeding the baby.
5. When starting the solid foods give it to child once a day and then increase the frequency.
6. All food should be stored, handled and prepared hygienically, to prevent infection.

CHN - 109 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – OTHER COMMUNICATION - WEANING

INFORMATION TO THE SIMULATED PATIENT

Your role: Mother, named Mrs. Lakshmi, aged 28 years.

Demographic data

 Name: Mrs. Lakshmi

 Age: 28 years
 Educational qualification: M.Sc maths
 Marital status: Married
 Occupation: Teacher
 Religion: Hindu
 Family income: Rs.40,000/ month

Information to the mother to ask about weaning.

 You are the mother of 6 month old girl baby. Baby has achieved her milestone appropriate for her
age, she is active and continuing breast feeding.
 You have a plan to join back for your job after maternity leave
 Ask the nurse to educate regarding weaning for the child.

CHN - 110 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – OTHER COMMUNICATION - WEANING

INSTRUCTION FOR THE EXAMINEE

 Read the scenario given below

 Educate the mother about weaning principles.

Scenario

The primi mother having 6 month old baby found the readiness for weaning. Educate 5 points
to her on weaning principles

CHN - 111 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF RESTRAINS

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the type of restrains.

Instructions:

 Check the response sheet for documentation

 Score ‘2’ for each correct answer and Score ‘0’ for wrong answer

CHN - 112 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF RESTRAINS

SCORING SHEET

Interpretation Score Registration Number

Picture 1 2

Picture 2 2

Picture 3 2

Picture 4 2

Picture 5 2

Total 10

Signature of the Examiner

CHN - 113 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9–VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF RESTRAINS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Types of restrains sheet  Drop box
pictures  Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN - 114 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF RESTRAINS

ANSWER KEY

1. Mummy Restraint
2. Clove Hitch Restraint
3. Abdominal Restraint
4. Elbow Restraint
5. Mitten Restraint

CHN - 115 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9–VIRTUAL SIGN IDENTIFICATION- IDENTIFICATION OF RESTRAINS

INSTRUCTION FOR THE EXAMINEE

 Observe the picture and Identify the type of restrain

 Document the answer in the given sheet
 Drop the response sheet in the drop box

CHN - 116 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – VIRTUAL SIGN IDENTIFICATION - IDENTIFICATION OF RESTRAINS

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN - 117 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION

(OSPE/OSCE) STATION NO: 10- THERAPEUTIC PROCEDURE- INTRAMUSCULAR

INJECTION

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to
 Perform the procedure systematically
 Follow aseptic technique

Instructions:

 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN - 118 of 123

 STATION NO: 10- THERAPEUTIC PROCEDURE- INTRAMUSCULAR INJECTION

Steps Procedure Max.Score Registration Number

1 Explain the procedure 2

2 Place the child in supine position 2

3 Locates on the anterior Vastus lateralis. 2
4 Cleans area with alcohol or antiseptic swab. 2
5 Places a clean swab or dry gauze between your third and 2
fourth fingers.
6 Load the medication as per physician order 2
7 Removes needle cap by pulling it straight off the needle.. 2

8 Hold syringe between thumb and forefinger on dominant 2

hand as if holding a dart
9 With non-dominant hand, hold the skin around the injection 2
site.
10 With the dominant hand, injects the needle quickly into the 2
muscle at a 90-degree angle, using a steady and smooth
motion.
11 Aspirates for blood. If no blood appears, injects the 2
medication slowly and steadily.
12 Once medication is completely injected, removes the needle 2
using a smooth, steady motion.
13 Removes the needle at the same angle at which it was 2
inserted.
14 Covers injection site with gauze, uses gentle pressure do not 2
rub.
15 Documents procedure 2
Total 30

Signature of the Examiner

CHN - 119 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDURE - INTRAMUSCULARINJECTION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction Sheet with  Examiner instruction  Medication card
scenario(physician sheet
order)  Evaluation scoring
 Cot - 1 sheet
 Pillow - 2  Table – 1
 screen - 2  Chair – 1
 Mannequin - infant  Writing pad – 1
 Hand sanitizer  Pen
 A clean tray containing  Eraser
 Medicine vial –  Pencil
Hepatitis B  Gong bell
Vaccine  Drop box
 2 ml Syringe
 Cotton swab
 K basin

CHN - 120 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDURE - INTRAMUSCULARINJECTION

INSTRUCTION FOR THE EXAMINEE

 Read the scenario and respond appropriately

Scenario

Master. Kevin 6 months old infant has been brought to the pediatric OPD for Hepatitis B vaccine.
Administer IM injection.

Physician Prescription

Name of the Vaccine Dose Route

Hepatitis B 0.5 ml IM

CHN - 121 of 123

 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 - THERAPEUTIC PROCEDURE - INTRAMUSCULARINJECTION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Demographic profile of the child

Name of the child:
Age /Gender:

Date: Time:
Name of the Dose Route Freq Action Side-effects Nurses action
drug

Signature of the Examinee

CHN - 122 of 123

 B.Sc. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY-CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Date:

Name of the examination:

Registration number of students allotted: From to

Total number of students: Allotted: Attended: Absent:

Final
Total score OSCE/OSPE
Station -Max Scores (Max 110) % Score
(University
Registration Number prescribed)
1 2 3 4 5

IATF VSI DM 0C TP

5 50 15 10 30

Name and signature with date:

Internal Examiner External Examiner

CHN - 123 of 123

 B.Sc NURSING DEGREE PROGRAM-III YEAR
CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

TEST MAP-BASED ON BLUE PRINT

DOMAINS OF CLINICAL EXPERIENCE

TYPE OF PROGRAM COMPETENCY PROPOSED TEST
STATION ITEM TITLE COGNITIVE
STATION COMPONENT TEST FILE COMMUNICATION EXAMINATION PROCEDURE
NUM SKILLS
HT OC PE VSI TP DP IAFT DI DM PS
Printout 1
Unmanned Burns Stages of Wound healing VSI
1
Instruments 1
Unmanned Newborn Identification of instruments VSI
2
1
Unmanned Respiratory Status Asthmaticus PS Print out
3
4 Identification of Neonatal Jaundice Print out 1
Unmanned Jaundice IATF
(Kramer’s Rule)
1
Unmanned Cardiac Interpretation of cardiac anomalies VSI Pictures
5
Identification of Minor skin 1
Unmanned Skin DM Pictures
6 ALIGNMENTS in newborn
Identification of blood sample 1
Unmanned Blood DM Printout
7 containers
DM Print out 1
Unmanned Newborn Interpretation of differences
8
Medication Intradermal Injection 1
Manned TP Mannequin
9
Growth and Anthropometric Measurements Mannequin
1
Manned Development PE
10

Key Words:
HT: History taking DI: Data interpretation
TP: Therapeutic procedure PS: Problem solving
OC: Other communication IATF: Identification of abnormal test
finding PE: Physical examination DP: Diagnostic procedure
VSI: Virtual sign identification DM: Decision making

Subject Coordinator HOD

CHN-123 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6– VIRTUAL SIGN IDENTIFICATION – STAGES OF WOUND HEALING

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to
 Identify the images and arrange in sequential order

Instructions:
 Check the images identified and arranged
 Score ‘2’ mark for correct answer and ‘0’ for wrong answer

CHN-124 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 - VIRTUAL SIGN IDENTIFICATION – STAGES OF WOUND HEALING

SCORING SHEET

Interpretation Score Registration Number

Picture 2
Stage 1 2
Stage 2 2
Stage 3 2
Stage 4 2
Total 10

Signature of Examiner

CHN-125 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 – VIRTUAL SIGN IDENTIFICATION / STAGES OF WOUND HEALING

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner  Response sheet
 Pictures – stages of wound instruction sheet  Drop box
healing  Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil

CHN-126 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6– VIRTUAL SIGN IDENTIFICATION – STAGES OF WOUND HEALING

ANSWER KEY

1. Stages of Wound Healing

2. A. Proliferative
B. Remodeling
C. Inflammation
D. Hemastasis

CHN-127 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6– VIRTUAL SIGN IDENTIFICATION – STAGES OF WOUND HEALING

INSTRUCTION FOR THE EXAMINEE

• Observe and answer the questions given below

• Document your answers in the sheet provided
• Drop the response sheet in the drop box

Look at the picture and respond to questions

1. Identify the images what it represents

2. Rearrange the images in sequence
3. Name the Images

CHN-128 of 183
 Image
A

Image B

Image C

Image D

CHN-129 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –VIRTUAL SIGN IDENTIFICATION – STAGES OF WOUND HEALING

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the

Signature of the Examinee Signature of the Examiner

CHN-130 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF INSTRUMENTS

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to

 Identify the name of the instruments displayed

Instructions:
 Check the content of the examinee documents
 Give ‘2’ mark for the correct answer and ‘0’ mark for the wrong answer

CHN-131 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5– VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF INSTRUMENTS

SCORING SHEET

Interpretation Score Registration Number

Heamometer 2
LP needle 2
Mucus 2
extractor
Suction 2
catheter
Laryngoscope 2
Total 10

Signature of Examiner

CHN-132 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF INSTRUMENTS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner  Response sheet
 A tray containing (instruments) instruction sheet  Drop box
o Bulb sucker  Evaluation scoring
o Laryngoscope sheet
o Nasogastric tube  Table – 1
o Suction catheter  Chair – 1
o Mucus extractor  Writing pad – 1
 Pen
 Eraser
 Pencil

CHN-133 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF INSTRUMENTS

ANSWER KEY

The instruments are arranged in the following sequence:

1. Heamometer

2. LP needle

3. Mucus extractor

4. Suctio

5. n catheter

6. Laryngoscope

CHN-134 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF INSTRUMENTS

INSTRUCTION FOR THE EXAMINEE

• Watch the instruments carefully one by one and identify the name of each instrument

• Document the instrument name in the sheet given to you.

• Drop the response sheet in the drop box

CHN-135 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF INSTRUMENTS

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the

Signature of the Examinee Signature of the Examiner

CHN-136 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – PROBLEM SOLVING – STATUS ASTHMATICUS

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to

 Write the appropriate nursing measures for child with Status Asthmaticus

Instructions:

 Check the content of the examinee documents

 Give ‘2’ mark for the correct answer and ‘0’ mark for the wrong answer

CHN-137 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – PROBLEM SOLVING – STATUS ASTHMATICUS

SCORING SHEET

Interpretation Score Registration Number

Nursing Measure 1 2

Nursing Measure 2 2

Nursing Measure 3 2

Nursing Measure 4 2

Nursing Measure 5 2

Total 10

Signature of the Examiner

CHN-138 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – PROBLEM SOLVING – STATUS ASTHMATICUS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instructions sheet with  Examiner  Response sheet
Scenario instruction sheet  Drop box
 Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil

CHN-139 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – PROBLEM SOLVING – STATUS ASTHMATICUS

ANSWER KEY

Nursing measures for Cyanotic spell

1. Place child in fowler’s position

2. Administer 100 % oxygen by face mask

3. Collect appropriate history and collect MDI inhalers if they have

4. Administer IV Theophylline

5. Administer salbutamol inhalation (MDI or Nebulisation)

6. Reassure the child and parents

CHN-140 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO:9 – PROBLEM SOLVING – STATUS ASTHMATICUS

INSTRUCTION FOR THE EXAMINEE

• Read the scenario and answer the questions.

• Document your answers in the sheet provided
• Drop the response sheet in the drop box

Scenario
A 8 year old girl, known case of Bronchial asthma for past 2 years, brought to the emergency
room with severe dyspnea, wheeze, cough and restlessness with the history of exposed to high
dust area.

Document the nursing management.

CHN-141 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – PROBLEM SOLVING – STATUS ASTHMATICUS

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-142 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – IDENTIFICATION OF ABNORMAL TEST FINDING – NEONATAL JAUNDICE

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the newborn’s condition using Kramer’s rule
 Mention the Nursing management of that newborn.

Instructions:
 Check the condition identified and documented nursing measures
 Give score accordingly as given in scoring sheet.

CHN-143 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – IDENTIFICATION OF ABNORMAL TEST FINDING – NEONATAL JAUNDICE

SCORING SHEET

Interpretation Score Registration Number

Jaundice Identified 2
Nursing Measure 1 2
Nursing Measure 2 2
Nursing Measure 3 2
Nursing Measure 4 2
Total 10

Signature of the Examiner

CHN-144 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – IDENTIFICATION OF ABNORMAL TEST FINDING – NEONATAL JAUNDICE

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instructions sheet  Examiner  Response sheet
 Newborn picture with marked instruction sheet  Drop box
jaundice area  Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil

CHN-145 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 – IDENTIFICATION OF ABNORMAL TEST FINDING – NEONATAL JAUNDICE

ANSWER KEY

1. Neonatal jaundice with serum bilirubin 5 to 12 mg/dl

2. Nursing managements of that child
 Providing phototherapy with eyes and genitals covered
 Maintaining exclusive breast feeding
 Maintaining strict intake and output chart
 Monitoring serum bilirubin levels

CHN-146 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2– IDENTIFICATION OF ABNORMAL TEST FINDING – NEONATAL JAUNDICE

INSTRUCTION FOR EXAMINEE

 Observe the picture and identify the newborn’s condition with level using Kramer’s rule
 Write the Nursing management of the newborn.
 Enter the interpretation in the given sheet
 Drop the response sheet in the drop box

Newborn having yellowish discolourisation in zone 2. Identify the condition and Find the level of bilirubin in Zone 2

CHN-147 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 – IDENTIFICATION OF ABNORMAL TEST FINDING – NEONATAL JAUNDICE

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-148 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – INTERPRETATION OF CARDIAC ANOMALIES

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the congenital anomalies

Instructions:

 Check the content of the examinee documents

 Give ‘2’ mark for the correct answer and ‘0’ mark for the wrong answer

CHN-149 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR

CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – INTERPRETATION OF CARDIAC ANOMALIES

SCORING SHEET

Interpretation Score Registration Number

Flash card 1 2
Flash card 2 2
Flash card 3 2
Flash card 4 2
Flash card 5 2
Total 10

Signature of the Examiner

CHN-150 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – INTERPRETATION OF CARDIAC ANOMALIES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Printouts – Cardiac sheet  Drop box
anomalies  Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN-151 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – INTERPRETATION OF CARDIAC ANOMALIES

ANSWER KEY

The printouts are arranged in the following sequence:

1. Tetralogy of fallot
2. Transposition of great arteries
3. Total Anomalous Pulmonary Venous Connection
4. Hypoplastic Left Heart Syndrome
5. Coarctation of aorta

CHN-152 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – INTERPRETATION OF CARDIAC ANOMALIES

INSTRUCTION FOR EXAMINEE

 Observe the flash cards carefully and identify the anomalies

 Document your answers in the sheet provided
 Drop the response sheet in the drop box

CHN-153 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – VIRTUAL SIGN IDENTIFICATION – INTERPRETATION OF CARDIAC ANOMALIES

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-154 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING – IDENTIFY THE MINOR SKIN ALIGNMENTS IN NEWBORN

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the minor skin alignments in newborn

Instruction:

 Check the content of the examinee documents

 Give ‘2’ mark for the correct answer and ‘0’ mark for the wrong answer

CHN-155 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DECISION MAKING – IDENTIFY THE MINOR SKIN ALIGNMENTS IN NEWBORN

SCORING SHEET

Interpretation Score Registration Number

1. Erythema 2

toxicum

neonatarum

2. Jaundice 2

3. Milia 2

4. Diaper 2

dermatitis

5. Mongolian 2

spot

Total 10

Signature of Examiner

CHN-156 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – DECISION MAKING – IDENTIFY THE MINOR SKIN ALIGNMENTS IN NEWBORN

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction sheet  Response sheet
 Printouts – minor  Evaluation scoring sheet  Drop box
skin alignments  Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Erase
 pencil
 Gong bell

CHN-157 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DECISION MAKING – IDENTIFY THE MINOR SKIN ALIGNMENTS IN NEWBORN

ANSWER KEY

6. Erythema toxicum neonatarum

7. Jaundice

8. Milia

9. Diaper dermatitis

10. Mongolian spot

CHN-158 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING – IDENTIFY THE MINOR SKIN ALIGNMENTS IN NEWBORN

INSTRUCTION FOR THE EXAMINEE

 Observe the flash cards carefully and identify the anomalies

 Document your answers in the sheet provided
 Drop the response sheet in the drop box

4
2

3
CHN-159 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 – DECISION MAKING – IDENTIFY THE MINOR SKIN ALIGNMENTS IN NEWBORN

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-160 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR

CHILD HEALTH NURSING

OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DECISION MAKING – IDENTIFICATION OF BLOOD SAMPLE CONTAINERS

INSTRUCTION FOR EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the containers for blood sampling

Instructions:
 Check the content of the examinee documents
 Give ‘2’ mark for the correct answer and ‘0’ mark for the wrong answer

CHN-161 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DECISION MAKING – IDENTIFICATION OF BLOOD SAMPLE CONTAINERS

SCORING SHEET

Interpretation Score Registration Number

Container 1 2
Container 2 2
Container 3 2
Container 4 2
Container 5 2
Total 10

Signature of Examiner

CHN-162 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DECISION MAKING – IDENTIFICATION OF BLOOD SAMPLE CONTAINERS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Printout with questions sheet  Drop box
for container  Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN-163 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DECISION MAKING – IDENTIFICATION OF BLOOD SAMPLE CONTAINERS

ANSWER KEY

Blood Sample Containers:

CHN-164 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 – DECISION MAKING – IDENTIFICATION OF BLOOD SAMPLE CONTAINERS

INSTRUCTION FOR THE EXAMINEE

 Read the investigations given in the Printout carefully and identify the container for blood sampling.

 Document your answers in the sheet provided

 Drop the response sheet in the drop box

INVESTIGATIONS

 1. Coagulation Screen, D-dimer, INR

 2. CRP, LFT, Calcium, Phosphate, magnesium, TFT, Lipid profile, Troponins

 3. FBC, ESR, HbA1c

 4. Blood group, Cross matching

 5. Glucose, Lactate

CHN-165 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DECISION MAKING – IDENTIFICATION OF BLOOD SAMPLE CONTAINERS

EXAMINEE REPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-166 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 – DECISION MAKING – INTERPRETATION OF DIFFERENCES

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Interpret the condition

 Write the differences of each set of conditions

Instructions:

 Observe the answer documented by the examinee

 Score ‘1’ for identification and Score ‘3’ for differences of Caput succedaneum - Cephal hematoma
 Score ‘1’ for identification and Score ‘2’ for differences of Milia – Miliria
 Score ‘1’ for identification and Score ‘2’ for differences Fore milk - Hind milk

CHN-167 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING – INTERPRETATION OF DIFFERENCES

SCORING SHEET

Interpretation Score Registration Number

Caput succedaneum - 4
Cephal hematoma
Milia - Miliria 3
Fore milk - Hind milk 3

Total 10

Signature of Examiner

CHN-168 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – INTERPRETATION OF DIFFERENCES

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Pictures sheet  Drop box
 Caput succedaneum -  Evaluation scoring sheet
Cephal hematoma  Table – 1
 Milia – Miliria  Chair – 1
 Fore Milk - Hind Milk  Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN-169 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING – INTERPRETATION OF DIFFERENCES

ANSWER KEY

a) Caput succedaneum - Cephal hematoma

 Crosses the suture line - Does not crosses the suture line

 Diffuse edema - Blood clot

 Symmetric - Asymmetric

 Periosteum - Scalp

b) Milia - Miliria

 Occurs due to the obstruction of sebaceous gland

 Occurs due to the obstruction of sweat gland

c) Fore Milk - Hind Milk

 First - Later

 Watery - Fats

 Fulfill Thirst - Fulfill Stomach

CHN-170 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7– DECISION MAKING – INTERPRETATION OF DIFFERENCES

INSTRUCTION FOR THE EXAMINEE

 Observe the picture displayed

 Identify the condition
 Write the differences between each set of pictures in the given sheet
 Document your answers in the sheet provided
 Drop the response sheet in the drop box

CHN-171 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 – DECISION MAKING – INTERPRETATION OF DIFFERENCES

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-172 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – THERAPEUTIC PROCEDURE – INTRADERMAL INJECTION

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to

 Perform the procedure systematically

 Follow aseptic technique

Instructions:
 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN-173 of 183
 STATION NO: 9 – THERAPEUTIC PROCEDURE – INTRADERMAL INJECTION

Steps Procedure Score

1. Position the child 2

2. Locate the flexor upper one third of inner 2

forearm
3. Load the medicine in the ID syringe 2

4. Cleans area with alcohol or antiseptic swab. 2

Allow site to dry completely.
5. Using dominant hand, hold syringe bevel up 2
With fingers and thumb resting on the sides
of the barrel
6. Hold the syringe almost parallel to the skin at 2
a 10-15 degree angle
7. Push plunger slowly forward until the 2
medication is injected
8. Withdraw the needle at the same angle 2

9. Do not massage 2

10. Document the procedure 2

Total 20

Signature of the Examiner

CHN-174 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – THERAPEUTIC PROCEDURE – INTRADERMAL INJECTION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Scenario printout  Examiner instruction  Response sheet
(Physician Order) sheet  Medication card
 Dummy – Infant  Evaluation scoring sheet
 Hand Sanitizer  Table – 1
 A clean tray  Chair – 1
 ID Syringe  Writing pad – 1
 BCG Vial  Pen
 Alcohol swab  Eraser
 Bowl  Pencil
 Kidney tray  Gong bell
 Drop box

CHN-175 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – THERAPEUTIC PROCEDURE – INTRADERMAL INJECTION

INSTRUCTION FOR THE EXAMINEE

 Read the scenario and respond appropriately

 Document the procedure in the given sheet and Drop it in the drop box

Scenario

45 days old preterm baby came for vaccination, who missed BCG vaccine at birth. Administer the
Vaccine to the baby.

Physician Prescription

Name of the Vaccine Dose Route

BCG 0.5 ml ID

CHN-176 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 – THERAPEUTIC PROCEDURE – INTRADERMAL INJECTION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Demographic profile of the child

Name of the child:
Age /Gender:
Developmental classification:

Date: Time:
Name of the Dose Route Freq Action Side-effects Nurses action
Drug

Signature of the Examinee Signature of the Examiner

CHN-177 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PHYSICAL EXAMINATION – ANTHROPOMETRIC MEASUREMENT OF NEWBORN

INSTRUCTION FOR THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Measure the anthropometric measurements of newborn.

Instructions:
 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN-178 of 183
 STATION NO: 10 – PHYSICAL EXAMINATION – ANTHROPOMETRIC MEASUREMENT OF NEWBORN

Steps Procedure Max Registration number

Score
1. Perform hand hygiene 2
2. Weight
2a. Remove the clothes and place the child on the 2
weighing scale
2b. Place a hand cupped over the child and measure 2
the readings
3. Length
3a. Lay the child on his back in the infantometer with 2
head located at the end with fixed headpiece.
3b. Extend both knees and bring the foot piece firmly 2
against the infant heel.
3c. Measure the length in cm 2

4. Head Circumference
4a. Place the inch tape above the ear, supra orbital 2
ridge and posteriorly the occipital protuberance.
4b. Measure the head circumference in cm 2

5. Chest Circumference
5a. Place the inch tape at the level of nipple 2
(anteriorly the nipple line, laterally the maxillary
line, posteriorly the lower portion of scapula)
5b. Measure the chest circumference in cm 2

Total 20

Signature of the Examiner

CHN-179 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PHYSICAL EXAMINATION – ANTHROPOMETRIC MEASUREMENT OF NEWBORN

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction sheet  Response sheet
with Scenario  Evaluation scoring sheet
 Newborn Dummy  Table – 1
 Infantometer  Chair – 1
 Weighing scale  Writing pad – 1
 Hand Sanitizer  Pen
 Inch tape  Eraser
 Towel - 2  Pencil
 Gong bell
 Drop box

CHN-180 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PHYSICAL EXAMINATION – ANTHROPOMETRIC MEASUREMENT OF NEWBORN

INSTRUCTION FOR THE EXAMINEE

• Read the scenario given below and perform the anthropometric measurements of newborn

• Document the measurements in the sheet given to you.

• Drop the response sheet in the drop box

Scenario

Baby of Priya, 10 days old boy, born at 35 weeks of gestation came to newborn ward for general review.
Measure the Weight, Length, Head Circumference and Chest Circumference.

CHN-181 of 183
 B.Sc NURSING DEGREE PROGRAMME – III YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 10 – PHYSICAL EXAMINATION – ANTHROPOMETRIC MEASUREMENT OF NEWBORN

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN-182 of 183
 B.Sc. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY-CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

SCORE COMPILATION SHEET

Date:

Name of the examination:

Registration number of students allotted: From to

Total number of students: Allotted: Attended: Absent:

Final
Total OSCE/OSPE
Station - Max Scores score % Score
(Max (University
Registration Number 120) prescribed)
1 2 3 4 5 6

IATF VSI DM PS TP PE

10 30 30 10 20 20

Name and Signature with date:

Internal Examiner External Examiner

CHN-183 of 183
 M.Sc NURSING DEGREE PROGRAM
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)
TEST MAP-BASED ON BLUE PRINT

DOMAINS OF CLINICAL EXPERIENCE

TYPE OF PROGRAM COMPETENCY PROPOSED TEST COGNITIVE

STATION ITEM TITLE COMMUNICATION EXAMINATION PROCEDURE
NUM
STATION COMPONENT TEST FILE SKILLS
HT OC PE VSI TP DP IAFT DI DM PS
1
Manned Newborn Bag and Mask Ventilation TP Mannequin
1
Mannequin 1
Manned Medication Nebulisation TP
2
1
3 Unmanned Toddler Identification of behavioural disorders VSI Video

Unmanned Diagnostic findings Identification of Radiological findings IATF

X - Rays 1
4
5
Unmanned Diagnostic findings Identification of Laboratory Values
IATF Printout 1

Unmanned Skin Percentage of burns calculation DM

Printout 1
6
TP Mannequin 1
Manned Gastro intestinal Colostomy care
7

8 Unmanned IMNCI Identification of IMNCI case management PS

Printout 1
Mannequin 1
9 Manned Gastro intestinal Nasogastric tube insertion and feeding TP

Key Words:
HT: History taking DI: Data interpretation
TP: Therapeutic procedure PS: Problem solving
OC: Other communication IATF: Identification of abnormal test finding
PE: Physical examination DP: Diagnostic procedure

Subject Coordinator Head of the Department

CHN – PG - 184 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION: 1 –THERAPEUTIC PROCEDURE - BAG AND MASK VENTILATION

INSTRUCTION TO THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to
 Perform the procedure systematically
 Follow aseptic technique
 Check the functioning of laryngoscope

Instructions:
 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN – PG - 185 of 234

 STATION NO: 1 – THERAPEUTIC PROCEDURE - BAG AND MASK VENTILATION

Steps Task Max Registration number

score
Bag and Mask Ventilation

1. Place the child in supine position 2

2. Make the chin forward and neck slightly extended by 2

placing rolled towel under the shoulders

3. Place the mask of AMBU bag over the child’s nose and 2
mouth with a tight seal using EC clamp technique.

4. Compress the bag rhythmically for two ventilation 2

5. Repeat the second cycle 2

Laryngoscope

6. Insert the battery in the laryngoscope 2

7. Attach the blade with scope 2

8. Turn the blade towards scope for proper fixing 2

9. Check the light for functioning 2

10 Remove the blades from the scope 2

Total 20

Signature of the Examiner

CHN – PG - 186 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - BAG AND MASK VENTILATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction

scenario sheet
 AMBU bag and mask  Evaluation scoring sheet
 Laryngoscope and blades  Table – 1
 Batteries  Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN – PG - 187 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 1 –THERAPEUTIC PROCEDURE - BAG AND MASK VENTILATION

INSTRUCTION TO THE EXAMINEE

 Read the scenario given below and perform 2 cycles of bag and mask ventilation
 Check the functioning of laryngoscope

Scenario

Baby of Manjula, 37 weeks of gestation with the Apgar score of 7/10. Perform

Neonatal bag and mask Ventilation of 2 cycles.

Check the functioning of laryngoscope.

CHN – PG - 188 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 2 –THERAPEUTIC PROCEDURE –NEBULISATION

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to check the candidate’s ability to
 Perform the procedure systematically
 Follow aseptic technique

Instructions:
 Observe the examinee in performing the following steps in the right order.
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN – PG - 189 of 234

 STATION NO: 2 –THERAPEUTIC PROCEDURE –NEBULISATION

Steps Task Max Registration number

score
1. Positions the child appropriately, allowing optimal 2
ventilation.
2. Cleans the nebuliser with normal saline. 2

3. Measures and add the medication and NS at appropriate 2

amount as per the physician order
4. Attaches the connecting tubes and mouthpiece to the 2
nebulizer
5. Turns the machine on (notice the mist produced by the 2
nebulizer).
6. Places the mask in correct position. Mask should cover 2
the mouth, chin and nose.
7. Taps nebuliser cup frequently to facilitate even 2
distribution of medication.
8. Turn off the machine when the liquid medication is over 2
and mist no longer forms.
9. Cleans the chamber, mask and replaces the articles 2
appropriately
10 Document the procedure. 2

Total 20

Signature of the Examiner

CHN – PG - 190 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE –NEBULISATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with Scenario  Examiner  Response sheet
(Physician order) instruction sheet
 Cot – 1  Evaluation scoring
 Pillow – 2 sheet
 Screen - 2  Table – 1
 Toddler - Dummy  Chair – 1
 Nebuliser  Writing pad – 1
 Hand sanitizer  Pen
 A clean tray containing  Eraser
o Nebulisation mask  Pencil
o Respules–Budecort  Gong bell
o Gauze  Drop box
o Normal saline
o Bowel - 1
o Syringe 2ml
o K basin and sputum
cup
o Medication card

CHN – PG - 191 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE –NEBULISATION

INSTRUCTION FORTHE EXAMINEE

 Read the scenario and respond appropriately

 Document the procedure and place the response sheet in the drop box

Scenario

Master.Dyalan of 3 years old boy admitted in the pediatric ward with the diagnosis Wheezing
Associated Lower Respiratory Infection. Physician order to nebulise the child with Budecort 2.5ml with
Normal saline 0.5ml. Perform the procedure with appropriate steps.

Physician Prescription

Name of the Drug Dose Route Frequency

Budecort + NS 0.5ml 2.5 ml + 0.5ml Inhalation SOS

CHN – PG - 192 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 2 –THERAPEUTIC PROCEDURE –NEBULISATION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Demographic profile of the child

Name of the child:
Age /Gender:

Date: Time:
Name of Dose Route Freq Action Side-effects Nurses action
the drug

Signature of the Examinee Signature of the Examiner

CHN – PG - 193 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF BEHAVIOURAL DISORDERS

INSTRUCTION FORTHE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the behavioural disorders

Instruction:
 Check the content of the examinee documents
 Give ‘2’ mark for the correct answer score ‘0’ mark for the wrong answer

CHN – PG - 194 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF BEHAVIOURAL DISORDERS

SCORING SHEET

Interpretation Score Registration Number

Video 1 2

Video 2 2

Video 3 2

Video 4 2

Video 5 2

Total 10

Signature of the Examiner

CHN – PG - 195 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATIONNO:3 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF BEHAVIOURAL DISORDERS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
 Laptop sheet  Drop box
 Videos  Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN – PG - 196 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF BEHAVIOURAL DISORDERS

ANSWER KEY

1. Head banging
2. Pica
3. Body rocking
4. Temper tantrums
5. Bruxism

CHN – PG - 197 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 3 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF BEHAVIOURAL DISORDERS

INSTRUCTION FOR THE EXAMINEE

 Watch the Video, identify the behavioural disorders and write it in response sheet
 Drop the response sheet in drop box

CHN – PG - 198 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 3 – VIRTUAL SIGN IDENTIFICATION – IDENTIFICATION OF BEHAVIOURAL DISORDERS

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN – PG - 199 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 –IDENTIFICATION OF ABNORMAL TEST FINDING–RADIOLOGICAL FINDINGS

INSTRUCTION TO THE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the abnormal radiological findings

Instruction:
 Check the content of the examinee documents
 Give ‘2’ mark for the correct answer and ‘0’ mark for the wrong answer

CHN – PG - 200 of 234

 M.Sc NURSING DEGREE PROGRAMME – I YEAR
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 –IDENTIFICATION OF ABNORMAL TEST FINDING–RADIOLOGICAL FINDINGS

SCORING SHEET

Interpretation Score Registration Number

Radiological finding 1 2
Radiological finding 2 2

Radiological finding 3 2

Radiological finding 4 2

Radiological finding 5 2

Total 10

Signature of the Examiner

CHN – PG - 201 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 –IDENTIFICATION OF ABNORMAL TEST FINDING–RADIOLOGICAL FINDINGS

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction Sheet  Examiner instruction  Response sheet
 Laptop with X- sheet  Drop box
rays  Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 pencil
 Gong bell

CHN – PG - 202 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 –IDENTIFICATION OF ABNORMAL TEST FINDING–RADIOLOGICAL FINDINGS

ANSWER KEY

1. Tetralogy of fallot- boot shaped heart

2. Tracheo Oesophageal atresia
3. Developmental dislocation of hip- Complete dislocation
4. Congenital mega Colon
5. Club Foot

CHN – PG - 203 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 –IDENTIFICATION OF ABNORMAL TEST FINDING–RADIOLOGICAL FINDINGS

INSTRUCTION FOR THE EXAMINEE

 Observe the Pictures carefully and identify the name of the condition
 Document your response sheet and drop it in drop box

CHN – PG - 204 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 4 –IDENTIFICATION OF ABNORMAL TEST FINDING–RADIOLOGICAL FINDINGS

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation

Signature of the Examinee Signature of the Examiner

CHN – PG - 205 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 5 –IDENTIFICATION OF ABNORMAL TEST FINDINGS–LABORATORY INTERPRETATION

INSTRUCTION FORTHE EXAMINER

Objective:

This station is designed to check the candidate’s ability to

 Identify the lab interpretation

Instruction:
 Check the documentation in the response sheet
 Score ‘2’ for each correct answer and score ‘0’ for wrong answer

CHN – PG - 206 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 5 –IDENTIFICATION OF ABNORMAL TEST FINDINGS–LABORATORY INTERPRETATION

SCORING SHEET

Interpretation Score Registration Number

Condition 1 2
Condition 2 2

Condition 3 2

Condition 4 2

Condition 5 2

Total 10

Signature of the Examiner

CHN – PG - 207 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 5 –IDENTIFICATION OF ABNORMAL TEST FINDINGS–LABORATORY INTERPRETATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with lab  Examiner instruction  Response sheet
values sheet  Drop box
 Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN – PG - 208 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 5 –IDENTIFICATION OF ABNORMAL TEST FINDINGS–LABORATORY INTERPRETATION

ANSWER KEY

1. Nephrotic syndrome
2. Respiratory acidosis
3. Hypothroidism
4. Metabolic alkalosis
5. Hypoglycemia

CHN – PG - 209 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 5 –IDENTIFICATION OF ABNORMAL TEST FINDINGS–LABORATORY INTERPRETATION

INSTRUCTION FOR THE EXAMINEE

 With the given laboratory values, find 5 disease conditions

 Identify the condition and document the answers
 Drop the response sheet in the drop box

S. 1 2 3 4 5
No
1 Serum Albumin - 2.3 PH - < 7.20 T3 - 0.62 mg/dl PH - > 7.60 Plasma
g/dl Glucose -
< 45 mg/dl
2 Cholesterol - 423 PaCO2 - 60 mmhg T4 - 0.3 mg/dl Paco2 -
mg/dl 35mmhg

3 Urea - 14 mg/dl HCO3 - 22-23 TSH - > 4.0 mU/l HCO3 - 40

mEQ/l mEQ/l
4 Creatinine - 0.2
mg/dl

5 Sodium - 131 mmol/l

6 Potassium - 4.1
mmol/l

7 Urine Protein -
0.51g/dl

CHN – PG - 210 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATIONNO : 5 –IDENTIFICATION OF ABNORMAL TEST FINDINGS–LABORATORY INTERPRETATION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN – PG - 211 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECISION MAKING –TOTAL BURNS SURFACE AREA AND FLUID CALCULATION

INSTRUCTION FORTHE EXAMINER

Objective:
This station is designed to check the candidate’s ability to
 Estimate the percentage of burns (Total Body Surface Area)
 Calculate the fluid for replacement

Instructions:
 Check the content of the examinee documents
 Score‘5’ mark for the correct answer , score '0’ mark for the wrong answer

CHN – PG - 212 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECISION MAKING – TOTAL BURNS SURFACE AREA AND FLUID CALCULATION

SCORING SHEET

Interpretation Score Registration Number

TBSA 5

Fluid Replacement 5

Total 10

Signature of the Examiner

CHN – PG - 213 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 6 –DECISION MAKING – TOTAL BURNS SURFACE AREA AND FLUID CALCULATION

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet  Examiner instruction  Response sheet
with scenario sheet  Drop box
 Evaluation scoring
sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN – PG - 214 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECISION MAKING – TOTAL BURNS SURFACE AREA AND FLUID CALCULATION

ANSWER KEY

1. TBSA- 13%
2. 4ml/kg/%TBSA= 624 ml for 24hours

CHN – PG - 215 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 6 –DECISION MAKING – TOTAL BURNS SURFACE AREA AND FLUID CALCULATION
INSTRUCTION FOR THE EXAMINEE

 See the pictures and estimate the percentage of burns

 Document the TBSA estimation and fluid calculation in the given paper
 Drop the response sheet in the drop box

Scenario
A 2 year old Eva Female child 3 hours post partial thickness scald burn due to spillage of boiling water.
The burns are on the anterior trunk and neck, right upper extremity and the right side of the face. There are
large blisters on the trunk and upper extremity. In addition, there are splash marks on the left lower and upper
extremities without blisters and have intact skin. Weight of the child is 12 kgs. Estimate the percentage of
burns using Lund and Browder burn chart and calculate the fluid to be replaced.

CHN – PG - 216 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 6 –DECISION MAKING – TOTAL BURNS SURFACE AREA AND FLUID CALCULATION

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation

Signature of the Examinee Signature of the Examiner

CHN – PG - 217 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –THERAPEUTIC PROCEDURE – COLOSTOMY CARE

INSTRUCTION FORTHE EXAMINER

Objective:
This station is designed to check the candidate’s ability to

 Perform colostomy care systematically

 Follow aseptic procedure

Instructions:
 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN – PG - 218 of 234

 STATION NO : 7 –THERAPEUTIC PROCEDURE – COLOSTOMY CARE

Steps Task Max Registration number

score
1. Perform hand hygiene 2
2. Place the child in supine position 2
3. Wear a clean glove 2
4. Remove the soiled dressing 2
5. Observe the stoma for color, swelling and oozing 2
6. Wear sterile gloves 2
7. Clean from peri-stomal region to stoma gently using wet 2
gauze soaked in sterile water
8. Apply sterile dressing over the stoma and secure 2
9. Place the child in comfortable position 2
10. Document the procedure with stoma findings 2
Total 20

Signature of the Examiner

CHN – PG - 219 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 7 –THERAPEUTIC PROCEDURE –COLOSTOMY CARE

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee

 Instruction sheet with  Examiner instruction  Response sheet
Scenario sheet
 Mannequin – Newborn  Evaluation scoring sheet
 Hand Sanitizer  Table – 1
 A clean tray with  Chair – 1
 Clean gloves  Writing pad – 1
 Sterile  Pen
 Sterile water  Eraser
 adhesive tape  Pencil
 K basin  Gong bell
 A sterile tray with  Drop box
 Sterile gauze pieces
 Bowel

CHN – PG - 220 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 7 –THERAPEUTIC PROCEDURE –COLOSTOMY CARE

INSTRUCTION FORTHE EXAMINEE

 Read the scenario and responds appropriately

 Document the care with date, time and remarks.
 Place the response sheet in the drop box
Scenario

Baby of Vanaja, 10 days old female newborn admitted in NICU with the diagnosis of
Hirschsprung’s Disease. Underwent surgery and had a colostomy. Baby is on 2 nd POD. Perform
colostomy care.

CHN – PG - 221 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 7 –THERAPEUTIC PROCEDURE –COLOSTOMY CARE

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN – PG - 222 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –PROBLEM SOLVING–IMNCI CASE MANAGEMENT

INSTRUCTION FORTHE EXAMINER

Objective:
This station is designed to check the candidate’s ability to
 Identify andwrite the IMNCI case management

Instruction:

 Check the response sheet

 Score ‘2’ for each correct answer and score ‘0’ for the wrong answer

CHN – PG - 223 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –PROBLEM SOLVING–IMNCI CASE MANAGEMENT

SCORING SHEET

Interpretation Score Registration Number

Colour 2
Condition 2
Management 1 2

Management 2 2

Management 2 2

Total 10

Signature of the Examiner

CHN – PG - 224 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 8 –PROBLEM SOLVING–IMNCI CASE MANAGEMENT

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulation Examiner Examinee
 Instruction sheet with  Examiner instruction  Response sheet
scenario sheet  Drop box
 Evaluation scoring sheet
 Table – 1
 Chair – 1
 Writing pad – 1
 Pen
 Eraser
 Pencil
 Gong bell

CHN – PG - 225 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 8 –PROBLEM SOLVING–IMNCI CASE MANAGEMENT

ANSWER KEY

 Colour = Yellow
 Interpretation = Pneumonia
 Give oral Amoxicillin for 5 days
 Wheezing - inhaled bronchodilator for 5 days
 Soothe the throat and relieve the cough with a safe remedy
 Follow-up in 3 days

CHN – PG - 226 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 8 –PROBLEM SOLVING–IMNCI CASE MANAGEMENT

INSTRUCTION FOR THE EXAMINEE

 Read the scenario given below

 Identify and write the IMNCI case management in the sheet given
 Drop the response sheet in the drop box

Scenario

Master. Roshan, 2 years old attended health centre with the complaints of cough and cold,
Dyspnea with respiratory rate54breaths/min and fever 100 F, for 2days, Chest retractions
present, on auscultation grunting present, conscious and looking dull. Identify the severity of
illness and write the measures based on IMNCI case management.

CHN – PG - 227 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO : 8 –PROBLEM SOLVING–IMNCI CASE MANAGEMENT

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation

Signature of the Examinee Signature of the Examiner

CHN – PG - 228 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9 –THERAPEUTIC PROCEDURE – NASOGASTRIC TUBE INSERTION AND FEEDING

INSTRUCTION FOR THE EXAMINER

Objective:
This station is designed to assess the candidate’s ability to
 Perform the procedure systematically
 Follow the instructions given in the scenario

Instructions:

 Observe the examinee performing the following steps in the right order
 Score “2” if the task is performed competently
 Score “1” for partially competent
 Score “0” if the task is not performed or performed with incompetent
 Calculate the total score

CHN – PG - 229 of 234

 STATION NO: 9–THERAPEUTIC PROCEDURE – NASOGASTRIC TUBE INSERTION AND FEEDING

Steps Task Max Registration number

score
A Insertion of Nasogastric tube
1. Explain the procedure to the parents and child 2

2. Place the child in fowlers position 2

3. Perform hand hygiene 2

4. Measure the length of the tube from the tip of the 2

ear lobe to the tip of the ear lobe

5. Spread mackintosh and towel across the chest 2

6. Lubricate the tip of the tube with water soluble 2

lubricant

7. Insert the tube through the left/right nostril to the 2

back of the throat

8. Confirm the tube placements 2

9. Secure the tube 2

10. Document the procedure 2

B Nasogastric tube feeding

1. Spread towel over child’s chest 2

2. Aspirate the stomach contents and ensuring tube 2
placement.
3. Pinch the tube and attach barrel or feeding syringe to 2
tube.
4 Pour milk into the syringe barrel by raising barrel 2
above the height of child’s head.
5. Check for the flow of milk under gravity
6. Fill feed into syringe barrel when it is three- quarters 2
empty,
7. After feeding is completed, pour 5 to 10 ml of water in 2
the tube.
8. Pinch the tube to stop feeding. 2
9. Close the end of feeding tube and secure 2
10. Document the procedure 2
Total 20

Signature of Examiner

CHN – PG - 230 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9– THERAPEUTIC PROCEDURE – NASOGASTRIC TUBE INSERTION AND FEEDING

ARTIFACT / EQUIPMENTS / PRELIMINARY REQUIREMENTS

Simulations Examiner Examinee

 Instruction sheet with scenario  Examiner instruction sheet  Response sheet

(Physician order)  Evaluation scoring sheet
 Hand sanitizer  Table – 1
 Clean Gloves  Chair – 1
 Milk – 100 ml  Writing pad – 1
 A clean tray containing  Response sheet collection box
 NG tube  Cot – 1
 Lubricant  Mannequin - 1
 Stethoscope  Pillow – 2
 Bowl with water  Screen – 2
 Cloth
 Gong bell-1
 Ounce glass
 Drop box-1
 Feeding catheter
 Syringe 50ml
 Syring 3ml
 Micropore
 lubricant

CHN – PG - 231 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9–THERAPEUTIC PROCEDIRE – NASOGASTRIC TUBE INSERTION AND FEEDING

INSTRUCTION FOR THE EXAMINEE

Read the scenario given below and perform Ryle’s tube insertion and feeding.

Scenario

Master.Saravanan 6 years old diagnosed with Seizures. Physician advised for NG tube insertion
and feeding.

CHN – PG - 232 of 234

 M.Sc NURSING DEGREE PROGRAMME
CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICAL EXAMINATION (OSPE/OSCE)

STATION NO: 9–THERAPEUTIC PROCEDIRE – NASOGASTRIC TUBE INSERTION AND FEEDING

EXAMINEE RESPONSE SHEET

Registration Number: Date:

Documentation:

Signature of the Examinee Signature of the Examiner

CHN – PG - 233 of 234

 M.Sc. NURSING DEGREE PROGRAM
CLINICAL SPECIALITY-CHILD HEALTH NURSING
OBJECTIVE STRUCTURED PRACTICAL/CLINICALEXAMINATION(OSPE/OSCE)

SCORE COMPILATION SHEET

Date:
Name of the examination:
Registration number of students allotted: From to
Total number of students: Allotted: Attended: Absent:

Final
Total OSCE/OSPE
Station -Max Scores score % Score
(Max (University
Registration 130) prescribed)
Number
1 2 3 4 5

IATF VSI DM PS TP

20 10 10 10 80

Name and Signature with date:

Internal Examiner External Examiner

CHN – PG - 234 of 234

 6. REFERENCES

1. Ghai, S. PGIMER-NINE: Clinical Nursing Procedures. CBS Publishers.

2. Kelly, M.A., Mitchell, M.L., Henderson, A. et al. (2016). OSCE best practice guidelines—
applicability for nursing simulations. Adv Simul 1, 10. https://doi.org/10.1186/s41077-016-
0014-1
3. Omayal Achi College of Nursing. (2018). Manual of Nursing Procedures and Practice (2nd
ed.). New Delhi:Wolters Kluwer.
4. OSCE: The Ultimate Prep Guide in 2021. (2021). Available from: OSCE: The Ultimate Prep
Guide in 2021 | BeMo® (bemoacademicconsulting.com).
5. Harden, R.M., Lilley, P. & Patrício, M. (2015).The Definitive Guide to the OSCE: The
Objective Structured Clinical Examination as a performance assessment. Elsevier.