Haryana BSEH Senior Secondary NSQF Healthcare: Practical Skills

How practical stations are assessed

The examiner scores a checklist: preparation, patient identification and consent, technique, safety, infection control, recording and communication. You lose marks for omissions of principle, not for being slow.

Universal sequence for any station

1. Check the environment and gather equipment; check expiry dates.
2. Identify the patient by name and bed number, introduce yourself, explain and take consent.
3. Provide privacy and position correctly.
4. Perform hand hygiene and use PPE as indicated.
5. Perform the skill in the correct order, talking the patient through it.
6. Make the patient comfortable, leave the call bell within reach.
7. Record immediately; clean and replace equipment; hand hygiene.

Skills commonly examined

Hand hygiene six steps; donning and doffing PPE; temperature, pulse, respiration and BP; height and weight; bed making; positioning and two-hourly turning; bedpan and urinal; oral care; feeding; specimen collection; measuring urine output; moving and transferring; recovery position; CPR on a manikin.

Worked example – BP station

Reasoning out loud: “Identify patient, explain, rest five minutes, arm supported at heart level, correct cuff size, cuff 2.5 cm above the antecubital fossa, palpate the brachial artery, inflate 30 mmHg above disappearance of the pulse, deflate slowly, record systolic and diastolic, thank the patient, clean the cuff, document.” The examiner is checking the rest period, cuff placement and recording – the three commonest omissions.

Traps

• Skipping hand hygiene at the start and end.
• Forgetting to identify the patient.
• Not recording the reading or recording it before measuring.
• Leaving the side rail down or the call bell out of reach.
• Improvising equipment instead of asking for the correct item.