ENT OSCE

ENT OSCE

What is OSCE???

OSCE (Objective Structured Clinical Examination) is a multi-station, clinical skills assessment method that is based on objective testing and direct observation of student performance.

STATION 1

• Scenario

  Mr. Z, 55 years old male diagnosed with Carcinoma Pyriform Sinus, underwent radiation therapy. He is on portex tracheostomy tube – size 8. He is admitted in B ward with the complaints of tube block.

  
  

• Action

  Perform tracheal suctioning procedure.

Multiple Choice

Solution used for tracheal suctioning

• Normal Saline

• Sterile Water

• Chlorhexidine

• Betadine

Multiple Choice

Depth of insertion of suction catheter while performing tracheal suctioning

• 10 - 12 cm

• 13 - 15 cm

• 17 - 19 cm

• 18 - 20 cm

Multiple Choice

Application of suction should not exceed ____

• 2 mins

• 30 - 45 secs

• 10 - 15 secs

• 1 min

Multiple Choice

The withdrawal movement of suction catheter is

• Rotatory

• Straight

• Forward and outward

Poll

The important tips to keep in mind while performing tracheal suctioning

• Set the appropriate suctioning pressure

• Keep the dominant sterile

• Flush the catheter in between suctioning

• Choose a catheter which has a diameter less than half the diameter of the inner tube

STATION 2

• Scenario

  Mrs. X, diagnosed with Chronic Otitis Media in the right ear. She underwent tymphanoplasty last week and has come for ear dressing.

  
  

• Action

  Perform the ear bandaging procedure. 

Poll

Tips while performing ear bandaging

• Stand facing the patient

• Start and end with two circular turns

• Begin bandaging from below upward till the entire is covered

• Place a pad to cover the ear

STATION 3

• Scenario

  Master T, an 8-year-old child, had recurrent episodes of tonsillitis. He underwent tonsillectomy and is received two hours ago in the post-operative ward.

  
  

• Action

  1.    Write the priority nursing interventions to be carried for this child.

  2.    Give appropriate health education for parents (at least five points)

Multiple Choice

Preferable position post op tonsillectomy

• Lateral

• Supine

• Prone

• Semiprone

Multiple Choice

Advisable diet for the immediate post tonsillectomy child

• Citric Acid containing juices

• Ice creams and cold juices

• Hot and spicy food

Poll

Important nursing tips post tonsillectomy procedure

• Oral hygiene with chlorhexidine

• Gargles

• Chewing of bubble gums (Mouth exercises)

• Pain Management

STATION 4

• Scenario

  Ms. G, 19 years diagnosed with acute otitis media. On conservative management. Came to B ward and got admitted for further management. She is on Ciplox ear drops – 3 drops in bilateral ears

• Action

  Perform the ear drop instillation procedure.

Multiple Choice

Position of the patient for ear drop instillation

• Prone

• Lie on the unaffected side

• Lie on the affected side

• Upright

Multiple Choice

Straightening the auditory canal in an adult for ear drop instillation procedure

• Pull the pinna downwards

• Pull the pinna upward and backward

• Pull the pinna backward

• Pull the pinna upward

Poll

Tips while performing ear drop instillation procedure

• Gently press tragus after instillation of ear drops

• Loosely insert a cotton ball

• Ask the patient maintain the same position for at least 5 mins after ear drop instillation

• Hold the dropper in the ear with its tip above the auditory canal

• Allow the drops to fall on the sides of the canal

STATION 5

• Scenario

  Mr. K came to ENT OPD with complaints of excessive cerumen (ear wax) impaction in the right ear. The doctor recommends ear irrigation procedure.

• Action

  Perform the ear irrigation procedure.

Multiple Choice

Position for ear irrigation procedure

• Sitting or lying with head tilted towards the side of affected ear

• Prone

• Lateral