Home OSCE Practical Examination NMC OSCE – CANDIDATES COMMON MISTAKES

NMC OSCE – CANDIDATES COMMON MISTAKES

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Subcutaneous Injection

Top Tips:

  • Practice this skill and understand the differences between subcutaneous and intramuscular injections.
  • Carefully read the prescription.
  • Bring a sharps bin to the patient. If forgotten, use the provided tray to transport sharps safely.

Common Mistakes:

  • Using insulin syringe to administer insulin at a 45-degree angle instead of the correct technique 90 – degree.
  • Failing to properly check patient identification.
  • Lacking knowledge of the differences between intramuscular and subcutaneous injections.
  • Not preparing the skin before administration.
  • Incorrect technique for subcutaneous injection.
  • Administering the wrong medication dose.
  • Unsafe handling of sharps.

STRATEGIES FOR MANAGING STRESS, BURNOUT, AND MAINTAINING A HEALTHY WORK-LIFE BALANCE

Peak Expiratory Flow Rate (PEFR)

Top Tips:

  • Practice giving clear instructions to ensure patient understanding.
  • Accurately document all three readings, recording the highest value on the nursing documentation.

Common Mistakes:

  • Failing to provide complete instructions for the procedure.
  • Incorrectly documenting or omitting the highest of the three readings.

SOLUTION TO PREMATURE EJACULATION IN MEN

Midstream Specimen of Urine (MSU) & Urinalysis

Top Tips:

  • Rehearse instructions for obtaining a midstream urine sample.
  • Familiarize yourself with the procedure and the required equipment.
  • Use appropriate personal protective equipment (PPE).
  • Read reagent strips correctly, following the timing indicated on the bottle.
  • Dispose of the sample and equipment properly.
  • Educate patients based on the results obtained.

Common Mistakes:

  • Failing to instruct the patient on proper cleansing before specimen collection.
  • Not checking the expiry date or condition of reagent strips.
  • Poor hand hygiene technique.
  • Not using PPE when handling bodily fluids.
  • Contaminating the reagent strip by incorrect handling.
  • Failing to immerse and remove the strip correctly.
  • Incorrect timing when reading results.
  • Inaccurate documentation of findings.

SECRET TO GET EXTRA INCOME AS OVERSEAS NURSE EXPOSED

Intramuscular Injection (IM)

Top Tips:

  • Understand the differences between subcutaneous and intramuscular injections.
  • Carefully read the prescription.
  • Always bring a sharps bin; if forgotten, use the tray provided.

Common Mistakes:

  • Failing to check the sterility and integrity of equipment.
  • Incorrectly recording administration (missing date/signature).
  • Using the wrong needle to draw medication.
  • Poor hand hygiene.
  • Not using a sharps bin or tray to transport equipment.
  • Incorrect injection technique.
  • Unsafe sharps disposal.
  • Not fully verbalizing prescription checks.
  • Failing to demonstrate the safe scoop method for drawing medication.

Fluid Balance (FB)

Top Tips:

  • Read the summary carefully to ensure accurate documentation.
  • Use the calculator for accuracy.
  • Utilize blank paper as needed for calculations.

Common Mistakes:

  • Incomplete fluid balance charts.
  • Incorrect recording of input, output, or total calculations.
  • Failing to establish the patient’s fluid balance.
  • Missing signature and printed name.

APIE – ASSESSMENT STATION, NMC OSCE

Catheter Specimen of Urine (CSU)

Top Tips:

  • Remove the clamp if used.
  • Use a non-touch technique.
  • Wear PPE throughout the procedure.

Common Mistakes:

  • Running out of time during the assessment.
  • Forgetting to remove the clamp.
  • Taking the sample from the wrong port (e.g., balloon inflation port instead of sampling port).
  • Not disinfecting the sampling port before collection.

MANAGING MENSTRUAL PAIN

Aseptic Non-Touch Technique (ANTT)

Top Tips:

  • If contamination occurs, verbalize the mistake and corrective action.
  • Follow proper hand hygiene at all necessary points.
  • Work as a lone practitioner and maintain sterility.

Common Mistakes:

  • Failing to check sterility and integrity of equipment.
  • Running out of time before completing the procedure.
  • Poor hand hygiene, including after opening packaging.
  • Not wearing PPE.
  • Contaminating the sterile field.
  • Using improper techniques (e.g., reusing a swab for wound cleaning).

WHICH COUNTRY IS GOOD FOR NURSING JOB OPPORTUNITIES FOR OVERSEA NURSES?

Administration of Inhaled Medication (AIM)

Top Tips:

  • Familiarize yourself with the inhaler device.
  • Carefully read the prescription.
  • Develop a step-by-step approach for accuracy.
  • Keep explanations concise.

Common Mistakes:

  • Not waiting the correct time between doses.
  • Skipping essential safety checks before administration.
  • Incomplete documentation (missing date/signature).
  • Poor hand hygiene.
  • Running out of time due to excessive patient education.

HOW TO DETECT SCAM NURSING AGENCIES PROMISING OVERSEAS JOBS

APIE: Evaluation

Top Tips:

  • Read all statements carefully before responding.
  • Ensure transfer of care/referral letters provide a full and accurate patient history.
  • Document allergies and reactions.
  • Consider the patient’s progress, condition, and care needs.

Common Mistakes:

  • Omitting allergy documentation.
  • Failing to include essential details such as name, date, and reason for transfer.
  • Providing an incorrect diagnosis or referral reason.
  • Excluding relevant spiritual or family care needs.
  • Not identifying risks related to the patient’s deterioration.
  • Referring to irrelevant care interventions.

MUST SOLVED MCQ BEFORE SITTING FOR YOUR EXAMS – PAEDIATRIC NURSING, NMC LICENSURE EXAMINATION

APIE: Implementation

Top Tips:

  • Practice reading Medication Administration Records (MAR) aloud.
  • Develop a strategy to identify medications the patient is allergic to.
  • Check the timing of the last analgesia dose.
  • Explain the purpose of each medication.
  • Check pulse rate before administering Digoxin.
  • Do not sign the MAR until the examiner confirms medication intake.
  • Ensure timely and accurate documentation.

Common Mistakes:

  • Administering medication at the wrong time or despite allergies.
  • Incomplete or inaccurate documentation.
  • Lacking knowledge of prescribed medications.
  • Not systematically reviewing the MAR.
  • Failing to check prescription validity (dose, route, prescriber’s signature).
  • Signing the MAR before medication is taken.
  • Incorrect dosage administration.
  • Running out of time.
  • Skipping patient identification checks.
  • Not administering any medication within the given time.

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