HLTH 3219: PREP GUIDE FOR MINI OSCE

Remember, for fair and comprehensive assessment of portfolio skills, each student will have the
opportunity to be assessed for the nursing approach, knowledge, skills and interactions related to
patient scenario in Day 2 afternoon lab. Assessment will include observation of skills and review of
documentation.

Guidelines for Portfolio Assessment: Review the portfolio skills. When performing selected skills
keep in mind the following guidelines, in addition to specifics related to the skill you are performing:

 Checking the doctor’s order related to the med or skill – knowledge component of meds
 Your approach to the child and parent if present – apply principles of family centered care
 Medical asepsis (handwashing)
 Preparation of the scene (overbed table, adjust bed/crib, ensure safety & help if needed)
 If performing med administration – 3 checks – 6 rights. Take the MAR to the bedside to ensure
correct child by checking the nameband to verify the child’s identity
 Performing the skill competently - Rationale for what you are doing and precautions during skill
 After skill completion: State: Disposal of equipment, handwashing, ensuring safety & comfort
of child
 Documentation
 You may want to develop your own checklist for the skills to review just prior portfolio
assessment

Meds: You need to clearly demonstrate calculations (no calculators), rights and checks.
Oral med administration for an infant or child
Inhalation Meds - Nebulizer, MDI, Spacer
Subcutaneous or IM Injections – How would you administer in developmentally
appropriate way – reconstitute, prepare and administer
Use of medical play in the situation
IV meds – reconstitute meds – prepare and administer

Other Child Health Nursing Skills:

Oro-pharyngeal and nasal-pharyngeal Suctioning
Assessment of Child - What would you expect of different age groups? What specifics
would you include when assessing a child with specific illness? e.g. Neurological
Assessment
Calculating Intake and Output – Is it adequate for 24 hours?
Tube Feeding
Cast Care – Assessment of neurovascular response
Gastrostomy tube dressing
Nasogastric tube insertion and Placement
Medical Play – prior to the procedure