NMBA OBA OSCE study plan
NMBA OBA OSCE · Give each week a clear focus.
8 weeks · About 6 hours per week
Clinical assessment and clinical reasoning & Risk assessment and management of deterioration
Build a one-page A-G assessment template and rehearse it aloud against three written deteriorating-patient scenarios
Explain aloud, without notes, the physiological rationale linking each abnormal vital sign to a likely cause and an immediate nursing action
Construct a track-and-trigger escalation ladder that names the calling criteria, the person to call, and the SBAR content for each level
Practise three 5-minute clinical reasoning think-alouds where you state findings, interpret them, and justify a priority action
Your checkpoint
A completed A-G template plus three written scenario work-throughs (findings, interpretation, escalation decision) reviewed against your own checklist
Clinical assessment and clinical reasoning & Risk assessment and management of deterioration
Perform and narrate a full respiratory and cardiovascular assessment on a peer or simulator, timing yourself to 8 minutes
Interpret five sets of arterial blood gases and twelve-lead rhythm strips, stating the abnormality and the immediate priority
Differentiate compensatory from decompensatory shock using three case vignettes and justify your triage category
Draft a personal list of ten 'red flag' findings that mandate urgent escalation regardless of numeric scores
Your checkpoint
A timed observed assessment checklist with self-ratings and a written interpretation log for five ABGs and twelve rhythm strips
Safe clinical skills and procedures & Infection prevention and control
Demonstrate aseptic non-touch technique for IV cannulation and wound dressing on a simulator while verbalising each critical step
Sequence the five moments of hand hygiene into a clinical scenario and identify two common real-world breaches
Practise safe administration of an IV medication including double-checking, line labelling, and flush rationale
Rehearse correct donning and doffing of PPE and the immediate actions after a sharps injury
Your checkpoint
A video or peer-observed recording of two procedures scored against a self-built aseptic technique and PPE checklist
Medication safety and medication administration & Safe clinical skills and procedures
Calculate 20 drug doses across weight-based, infusion-rate, and paediatric scenarios with 100% accuracy on a second attempt
Apply the rights of administration and high-risk medication checks to five error-prone vignettes and state the correct action at each point
Explain the pharmacology and nursing precautions for the six most common high-alert drugs you will meet
Rehearse a medication error disclosure conversation using an open-disclosure framework
Your checkpoint
A scored drug calculation paper (aim 100% on retry) plus written responses to five medication safety vignettes
Professional practice and ethical conduct & Documentation, handover and teamwork
Apply the four ethical principles and the relevant code of conduct to four dilemmas and defend your chosen action
Draft an SBAR handover for three complex patients and deliver each aloud within 90 seconds
Write three sets of progress notes using a structured format that separates assessment from plan
Identify the correct escalation route when you disagree with a senior clinician's decision, and script what you would say
Your checkpoint
Three timed SBAR handovers (recorded) plus three structured progress notes graded against a documentation quality rubric
Person-centred care and communication & Professional practice and ethical conduct
Demonstrate active listening, open questioning, and summarising in two 10-minute simulated interviews with a peer acting as a patient
Adapt communication for a patient with limited English, a cognitive impairment, and a distressed family member, using an interpreter appropriately
Obtain informed consent for a procedure in a role-play, checking understanding with teach-back
Identify and respond to two dignity or autonomy breaches in written scenarios
Your checkpoint
Two recorded simulated interviews with a peer feedback form covering rapport, information giving, and shared decision-making
Safe clinical skills and procedures & Medication safety and medication administration & Infection prevention and control
Run a full 15-minute integrated station combining assessment, medication administration, and infection control without prompting
Perform a complete timed simulation of a deteriorating patient from recognition through escalation and handover
Audit your own practice against a safety checklist and list three specific corrective actions
Rehearse closed-loop communication and role allocation during a two-person emergency drill
Your checkpoint
One full-length recorded mock OSCE circuit (three stations) with a scored checklist and a written list of corrective actions
Reflective practice and professional development & Documentation, handover and teamwork
Write a structured reflection on your weakest station using a recognised reflective cycle and derive two learning goals
Complete two full mock OSCE circuits under time pressure and score each station
Consolidate a one-page revision sheet of high-yield safety and escalation triggers
Rehearse a professional development conversation articulating strengths, gaps, and a continuing education plan
Your checkpoint
A written reflection with an action plan plus scores from two timed mock OSCE circuits showing improvement over week 7
Milestones
Week 2: Can deliver an A-G assessment and escalation decision aloud in under 8 minutes with no critical omissions on your own checklist
Week 4: Achieves 100% on the drug calculation paper on retry and correctly resolves at least 4 of 5 medication safety vignettes
Week 6: Completes two simulated patient interviews rated satisfactory by a peer on rapport, information giving, and shared decision-making
Week 8: Scores at least 80% on two timed mock OSCE circuits, with no critical safety failures in any station