Mock Scenario

Endoscopy
We have developed this scenario to provide an outline of the performance we expect
and the criteria that the test of competence will assess.

The Code outlines the professional standards of practice and behaviour which sets
out the expected performance and standards that are assessed through the test of
competence.

The Code is structured around four themes – prioritise people, practise effectively,
preserve safety and promote professionalism and trust. These statements are
explained below as the expected performance and criteria. The criteria must be used
to promote the standards of proficiency in respect of knowledge, skills and attributes.
They have been designed to be applied across all fields of nursing practice,
irrespective of the clinical setting and should be applied to the care needs of all
patients.

Please note - this is a mock OSCE example for education and training purposes
only.

The marking criteria and expected performance only applies to this mock scenario.
They provide a guide to the level of performance we expect in relation to nursing
care, knowledge and attitude. Other scenarios will have different assessment criteria
appropriate to the scenario.

Evidence for the expected performance criteria can be found in the reading list and
related publications on the learning platform.
Theme from the Code Expected Performance and Criteria

Behaves in a professional manner respecting others

and adopting non-discriminatory behaviour.
Promote professionalism
Demonstrates professionalism through practice.
Upholds the patient’s dignity and privacy.

Introduces self to the patient at every contact.

Actively listens to the patients and provides

information and clarity.

Treats each patient as an individual showing

Prioritise people compassion and care during all interactions.
Displays compassion, empathy and concern. Takes
an interest in the patient.

Respects and upholds people’s human rights.

Upholds respect by valuing the patient’s opinions
and being sensitive to feelings and/or appreciating
any differences in culture.

Checks that patient is comfortable, respecting the

patient’s dignity and privacy.

Adopts infection control procedures to prevent

healthcare-associated Infections at every patient
contact.

Infection prevention and Applies appropriate Personal Protective Equipment

control (PPE) as indicated by the nursing procedure in
accordance with the guidelines to prevent healthcare
associated infections.

Disposes of waste correctly and safely.

Seeks patient’s permission/consent to carry out

observations/procedures at every patient contact.

Checks patient identity correctly both verbally,

and/or with identification bracelet and the respective
documentation at every patient contact.
Care, compassion and Uses a range of verbal and nonverbal
communication communication methods. Displays good verbal
communication skills by appropriate language use,
some listening skills, paraphrasing, and appropriate
use of tone, volume and inflection. Good non-verbal
communication including elements relating to
position (height and patient distance), eye contact
and appropriate touch if necessary.
 Maintains the knowledge and skills needed for safe
Practice effectively
and effective practice in all areas of clinical practice.

Ensures people’s physical, social and psychological

needs are assessed.
Organisational aspects of
care specific to specific Completes physiological observations accurately
skills and safely for the required time using the correct
technique and equipment.

Ensures any information or advice given is evidence

based including using any healthcare products or
services.

Documents all nursing procedures accurately and in

full, including signature, date and time.

Writes patient’s full name and hospital number

Documentation
clearly so that it can be easily read by others.

Records the date, month and year of all

observations.

Charts all observations accurately.

Scores out all errors with a single line. Additions are

dated, timed and signed.

Writes the record in ink.

Preserve safety Supplies, dispenses or administers medicines within

the limits of training, competence, the law, the NMC
and other relevant policies, guidance and
Medicine management regulations.

The Mock OSCE is made up of four stations: assessment, planning, implementation

and evaluation. Each station will last approximately fifteen minutes and is scenario
based. The instructions and available resources are provided for each station, along
with the specific timing.
Scenario
Mia Khatar has been admitted to the Endoscopy Unit for investigations into
Oesophageal Reflux and Dyspepsia. Today, she will have a planned Endoscopic
Investigation.

You will be asked to complete the following activities to provide high quality,
individualised nursing care for the patient, providing an assessment of her needs
using a model of nursing that is based on the activities of living. All four of the stages
in the nursing process will be continuous and will link with each other.

Station You will be given the following resources

Assessment – 15 minutes • A partially completed inpatient admission

You will collect, organise and document (pages 1-11)
document information about the • Assessment overview and
patient.
documentation (pages 12-13)

Planning – 15 minutes • A partially completed nursing care plan

You will complete the planning for two nursing care and self-care needs
template to establish how the care (pages 14-17)
needs of the patient will be met, how • A blank National Early Warning score
these are prioritised and what
evidence-based nursing care you’ll chart 2 (NEWS2) (page 25)
provide.

Implementation – 15 minutes • An overview and Medication

You will administer medications while Administration Record (MAR) (pages 18-
continuously assessing the 22)
individual’s current health status.

Evaluation – 15 minutes • An overview and transfer of care letter

You will document the care that has for admission to a discharge lounge
been provided so that this is (pages 23-25)
communicated with other healthcare • A blank National Early Warning score
professionals, provide a record of
clinical actions completed, chart 2 (NEWS2) (page 26-27)
disseminate information and
demonstrate the order of events
relating to individual care.

On the following page, we have outlined the expected standard of clinical

performance and criteria. This marking matrix is there to guide you on the level of
knowledge, skills and attitude we expect you to demonstrate at each station.
Assessment Criteria

Clean hands with alcohol hand rub, or wash with soap and water, and dry with
paper towels.

May verbalise or make environment safe.

Introduce self to person.

Check ID with person; verbally, against wristband (where appropriate) and

paperwork.

Gain consent.

Sit / stand at an appropriate level and explain the reason for assessment.

Establish reason for admission.

Document and provide a score using assessment tool.

Measures and documents observations accurately.

May identify risks associated with person's symptoms.

Use Activities of Living model effectively with clear relevant questioning in a timely
manner.

Identify known allergies.

Deal with health education sensitively.

Verbal communication is clear and appropriate.

Close assessment appropriately and may check findings with person.

Planning Criteria

Handwriting is clear and legible for problems one and two.

Identify two relevant nursing problems/needs.

Identify aims for both problems and add appropriate evaluation frequency.

Ensure nursing interventions are current/relate to evidence based practice/best

practice.

Self- care opportunities identified and relevant.

Professional terminology used in care planning.

Confusing abbreviations avoided.

Ensure strike-through errors retain legibility.

Print, sign and date.

Implementation Criteria

Clean hands with alcohol hand rub, or wash with soap and water, and dry with
paper towels.

Introduce self to person.

Seek consent prior to administering medication.

Check ID with person; verbally, against wristband (where appropriate) and

paperwork.

May refer to previous assessment results.

Must check allergies on chart and confirm with the person in their care, also note
red wristband where appropriate.

Before administering any prescribed drug, look at the person's prescription chart
and check the following:
Correct:
Person
Drug
Dose
Date and time of administration
Route and method of administration

Ensures:
Validity of prescription
Signature of prescriber
The prescription is legible

Identify and administer drugs due for administration correctly and safely.

Check the integrity of the medication to be administered; dose and expiry date.

Provide a correct explanation of what each drug being administered is for to the
person in their care.

Omit drugs not to be administered and provides verbal rationale.

Accurately record drug administration and non-administration.

Evaluation Criteria

Clearly describe reason for initial admission and diagnosis.

Record date of admission.

Identify main nursing needs.

Record approaches and interventions used.

Outline current ability to self-care based on the person’s care plan.

Identify areas for health education.

Documents allergies.

Ensure strike-through errors retain legibility.

Print, sign and date.

Appendices
Endoscopy

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-1-
2
3
4
5
6
7
8
9
10
11
Assessment Overview
Endoscopy

Candidate’s Name: __________________________________________________

Note to Candidate:
• Complete a Nursing Assessment of the person.
• An observation chart is provided and must be completed within the station.

Scenario

Ms Mia Khatar has been admitted for investigations for Oesophageal Reflux and
Dyspepsia. Mia has a planned endoscopy today.

Please proceed with your nursing assessment including taking and recording vital
signs; blood pressure, temperature, pulse rate, respiratory rate, saturation levels
and calculating a National Early Warning Score 2 (NEWS2).

Focus on the following TWO Activities of Living to help you plan the nursing care in
the next station:

• Anxiety pending procedure

• Maintaining a safe environment

Assume it is TODAY and it is 08:00. Ms Mia Khatar has just arrived.

This documentation is for your use and is not marked by the examiners.

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Assessment Candidate Documentation
Endoscopy
Nursing Assessment Candidate Notes
Mia Khatar, 0145692498
41 Almond Close, Tatterell, LL12 TBU
25/02/1975

Anxiety pending procedure

Maintaining a Safe Environment

Nutrition and Hydration

Breathing

Communication/Pain

Mobilising

Sleeping

Elimination

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Planning Overview
Endoscopy

Candidate’s Name: __________________________________________________

Note to Candidate:

• Document to NMC standards

• Your examiner will retain all documentation at the end of the station

Scenario

Ms Mia Khatar has been admitted for investigations for Oesophageal Reflux and
Dyspepsia. Mia has a planned endoscopy today.

Based on your nursing assessment of Mia Khatar, please produce a nursing care
plan for 2 relevant aspects of nursing care and self-care suitable for the next
24 hours.

Complete all sections of the care plan.

Assume it is TODAY and it is 09:30.

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Planning Candidate Documentation
Endoscopy

Patient Details:
Mia Khatar, Hospital Number 0145692498
41 Almond Close, Tatterell, LL12 TBU
DOB 25/02/1975

1) Nursing problem / need

Aim(s) of care:

Re-evaluation date:

Care provided by nurse(s) Patient self-care activities

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Planning Candidate Documentation
Endoscopy

2) Nursing problem / need

Aim(s) of care:

Re-evaluation date:

Care provided by nurse(s) Patient self-care activities

NAME (Print):
Nurse Signature: Date:

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Planning Candidate Documentation
Endoscopy

This page is not a required element but for use in case of error.

Nursing problem / need

Aim(s) of care:

Re-evaluation date:

Care provided by nurse(s) Patient self-care activities

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Implementation Overview
Endoscopy

Candidate’s Name: __________________________________________________

Note to Candidate:

• Talk to the person

• Please verbalise what you are doing and why
• Read out the chart and explain what you are
• checking/giving/not giving and why
• Complete all the required drug administration checks
• Complete the documentation and use the correct codes
• The correct codes are on the chart and on the drug trolley
• Check and complete the last page of the chart
• You have 15 minutes to complete this station, including the required
documentation
• Please proceed to administer and document their 16:00 medications in a safe
and professional manner

Scenario

Ms Mia Khatar has now returned from the Endoscopy Suite and is in the recovery
area.

Please administer and document Mia’s 16:00 medications in a safe and

professional manner.

Complete all sections of the documentation.

Assume it is TODAY and it is 16:00

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Prescription Chart for: MIA KHATAR HOSPITAL NUMBER: 0145692498
FEMALE DATE OF BIRTH: 25/02/1975
ADDRESS: 41 ALMOND CLOSE
TATTERELL, LL12 TBU
ADMISSION DATE & TIME: TODAY 07:00 WARD: ENDOSCOPY UNIT

KNOWN ALLERGIES OR SENSITIVITIES TYPE OF REACTION

NONE KNOWN

Signature: Dr A.Kitridge Date: TODAY

INFORMATION FOR PRESCRIBERS: INFORMATION FOR NURSES ADMINISTERING MEDICATIONS:

USE BLOCK CAPITALS.
RECORD TIME, DATE AND SIGN WHEN MEDICATION IS
ADMINISTERED OR OMITTED AND USE THE FOLLOWING
SIGN AND DATE AND INCLUDE BLEEP
CODES IF A MEDICATION IS NOT ADMINISTERED.
NUMBER.

6. ILLEGIBLE/INCOMPLETE
SIGN AND DATE ALLERGIES BOX- IF NONE- 1. PATIENT NOT ON
PRESCRIPTION OR WRONGLY
WRITE "NONE KNOWN". WARD.
PRESCRIBED MEDICATION.
2. OMITTED FOR A
RECORD DETAILS OF ALLERGY. 7.NIL BY MOUTH
CLINICAL REASON
DIFFERENT DOSES OF THE SAME
3. MEDICINE IS NOT
MEDICATION MUST BE PRESCRIBED ON 8. NO IV ACCESS
AVAILABLE.
SEPARATE LINES.

CANCEL BY PUTTING LINE ACROSS THE 4. PATIENT REFUSED 9. OTHER REASON- PLEASE
PRESCRIPTION AND SIGN AND DATE. MEDICATION. DOCUMENT

INDICATE START AND FINISH DATE. 5. NAUSEA OR VOMITING.

* IF MEDICATIONS ARE NOT ADMINISTERED PLEASE DOCUMENT ON THE LAST PAGE OF THE DRUG
CHART.

Does the patient have any YES Please check the chart before administering
documented Allergies? NO medications.

WARD CONSULTANT HEIGHT 170 cm

MEDICAL DR DANIELS 65 kg
WEIGHT
YES
ANY Special Dietary requirements? If YES please specify
NO

ONCE ONLY AND STAT DOSES:

Time Prescribers signature Time
Date Drug name Dose Route Given by Checked by
due & bleep given
TODAY 10:00 MIDAZOLAM 2 mg IV Dr P Smith, 3459 Karen Tang RN Siju Thomas RN 10:00

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Prescription Chart for: MIA KHATAR HOSPITAL NUMBER: 0145692498
FEMALE DATE OF BIRTH: 25/02/1975
ADDRESS: 41 ALMOND CLOSE
TATTERELL, LL12 TBU
ADMISSION DATE & TIME: TODAY 07:00 WARD: ENDOSCOPY UNIT

PRESCRIBED OXYGEN THERAPY:

Prescribers Target
Therapy Time started Time discontinued
Date Time signature & oxygen Device Flow
instructions & signature & signature
bleep saturation

PRN (AS REQUIRED MEDICATIONS):

Prescriber
Date Drug Dose Route Instructions Given by Time given
signature & bleep
TODAY PARACETAMOL 1g PO 6 HOURLY PAIN Dr P Smith, 3459

ANTIMICROBIALS:
Date and signature of nurse
1. DRUG administering medications. Code for
non-administration.
DATE DOSE FREQUENCY ROUTE DURATION TIME TODAY TOMORROW

Start date

Finish date

Prescriber signature & bleep

Date and signature of nurse

2. DRUG administering medications. Code for
non-administration.
DATE DOSE FREQUENCY ROUTE DURATION TIME TODAY TOMORROW

Start date

Finish date

Prescriber signature & bleep

Date and signature of nurse

3. DRUG administering medications. Code for
non-administration.
DATE DOSE FREQUENCY ROUTE DURATION TIME TODAY TOMORROW

Start date

Finish date

Prescriber signature & bleep

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Prescription Chart for: MIA KHATAR HOSPITAL NUMBER: 0145692498
FEMALE DATE OF BIRTH: 25/02/1975
ADDRESS: 41 ALMOND CLOSE
TATTERELL, LL12 TBU
ADMISSION DATE & TIME: TODAY 07:00 WARD: ENDOSCOPY UNIT

REGULAR MEDICATIONS:
Date and signature of nurse
1. DRUG OMEPRAZOLE administering medications. Code for
non-administration.
DATE DOSE FREQUENCY ROUTE DURATION TIME TODAY TOMORROW
TODAY 20 mg ONCE DAILY PO 1 DAY

Start date Today 16:00

Tomorr
Finish date
ow
Prescriber signature & bleep Dr P Smith, 3459

Date and signature of nurse

2. DRUG administering medications. Code for
non-administration.
DATE DOSE FREQUENCY ROUTE DURATION TIME TODAY TOMORROW

Start date

Finish date

Prescriber signature & bleep

Date and signature of nurse

3. DRUG administering medications. Code for
non-administration.
DATE DOSE FREQUENCY ROUTE DURATION TIME TODAY TOMORROW

Start date

Finish date

Prescriber signature & bleep

INTRAVENOUS FLUID THERAPY:

Prescriber
Batch Commenced Given Checked Finished
Date Fluid Volume Rate/time signature
number @ by by @
& bleep
0.9%
250 ml / Dr P Smith, K Tang S Cook
TODAY NORMAL 500 ml 099987 11.10 13:10
hour 3459 RN RN
SALINE

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Prescription Chart for: MIA KHATAR HOSPITAL NUMBER: 0145692498
FEMALE DATE OF BIRTH: 25/02/1975
ADDRESS: 41 ALMOND CLOSE
TATTERELL, LL12 TBU
ADMISSION DATE & TIME: TODAY 07:00 WARD: ENDOSCOPY UNIT

DRUGS NOT ADMINISTERED:

DATE TIME DRUG REASON NAME AND SIGNATURE

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Evaluation Overview
Endoscopy

Candidate’s Name: __________________________________________________

Note to Candidate:

• This document must be completed in BLUE pen

• At this station you should have access to your Assessment, Planning and
Implementation documentation. If not, please ask the examiner for it
• Please note; there is a total of 3 pages to this document
• Document to NMC standards
• The examiner will retain all documentation at the end of the station

Scenario

Ms Mia Khatar has undergone their procedure and her post procedure recovery
was uneventful. Mia has been diagnosed with a small peptic ulcer and is being
transferred to the pre-discharge lounge prior to being discharged home later this
evening.

Complete a transfer of care letter to ensure that the receiving nurses have a full
and accurate picture of Mia Khatar’s history and needs.

Complete all sections of the documentation.

Assume it is TODAY and it is 17:30

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Evaluation Candidate Documentation
Endoscopy

Transfer of Care Letter

Patient Details:
Mia Khatar, Hospital Number:0145692498
41 Almond Close, Tatterell, LL12 TBU
DOB 25/02/1975

Clearly describe reason for initial admission and subsequent diagnosis.

Date of admission:
Identify the main nursing needs addressed during Ms Khatar’s stay in Endoscopy
Unit.

Outline the nursing care provided to meet the identified needs.

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Evaluation Candidate Documentation
Endoscopy

Outline Ms Khatar’s current ability to self-care based on her care plan.

Document Ms Khatar’s allergies and associated reactions

List areas identified for health education

Date and time of transfer:

NAME (Print):
Nurse Signature: Date:

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