• New Scenarios And Skills Added To NMC OSCE

The Objective Structured Clinical Examination (OSCE) Changes in 2021

This Summer the Nursing and Midwifery Council (NMC) brought some amendments to upgrade their new standards for nurses and midwives in the NMC test of competence part 2 OSCE.

What’s changing?
  • NMC has increased the total number of exam stations from 6 to 10.
  • Four stations will continue to be linked together around a scenario: the APIE (one station for assessment, planning, implementation, and evaluation)
  • Six skill stations will be tested instead of two.
    *2 pairs of 2 skills
    *1 professional values
    *1 critical appraisal
Time limit:
  • Assessment: 20 min
  • Planning:  14 min
  • Implementation: 16 min
  • Evaluation: 14 min
  • The time duration for all the skills will be 16 minutes.
APIE stations

Assessment: Full A-E assessment (airway, breathing, circulation, disability, exposure) will be included in clinical assessment.

Planning: Stays the same- writing two care plans

Implementation: Stays the same – drug administration

Evaluation: Changes from a written referral to another healthcare professional to a non-assessed written SBAR assessment and an assessed verbal handover to another healthcare professional (the examiner).

New OSCE Patient Scenario for APIE – 2021
  • Pneumonia
  • Subdural
  • Anxiety
  • UTI
  • Hernia
  • Asthma
  • Chronic Cardiac Failure
  •  Ectopic
  •  Dementia / Confusion
  •  Leg ulcer
  • Diabetes
SKILL Stations

There will be a total of 15 Skills and out of that 10 Skills will be asked for OSCE.

  • Administration of Inhaled Medication
  • Blood Glucose Monitoring
  • Catheter Specimen of urine
  • Fine Bore NG
  •  Fluid Balance ( 4 different patient variants)
  •  In-hospital Resuscitation (no defib)
  •  Intramuscular injection
  •  IV flush and VIP score
  •  Pain Assessment
  • . Peak Expiratory Flow rate
  • . Pressure Area Assessment
  •  Removal of Urinary Catheter
  •  Subcutaneous injection
  •  Urine Analysis
  •  Wound Assessment and Aseptic non-touch technique (ANTT)


When is the new test-launching?

The new Test of Competence will be initiated from April 2021 onwards by

Study Materials

 Supporting materials will be available in advance from the learning platforms held by each of the Test Centres in the new year. Detailed OSCE materials with videos and effectively explained supporting materials will be released in February by Mentor Merlin.

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