OSCE station – I
You are called to attend the baby being delivered by normal vaginal delivery. Mother has history of PIH. How will you prepare for birth of this
baby?
[Link] Steps Marks 1 2 3 4 5 6 7 8 9 10 11 12 13
.
1. Prepares team and assigns role 0.5
Switches off fans, closes open widows/ doors, ensures
room temperature is > 250 C
2. Wash hands following 6 steps of hand wash and wears 1
sterile gloves
3. Switches on the radiant warmer 1.5
Places 2 large sterile cotton sheets under the radiant
warmer
Prepares a shoulder roll
Arranges 10-12 Fr suction catheter , checks suction
machine and sets suction pressure to 100 mm Hg
4. Arranges AMBU bag, 2 masks – pre-term & term, 1
oxygen reservoir, oxygen tube and attaches all
connections
Connects oxygen tubing to oxygen flow meter and
starts oxygen @ 5-10 L/min
5. Checks the functioning of AMBU bag 1
Arranges cord clamp, sterile blades, sterile gauze for
eye care, identification tag
Announces preparedness for birth
5
Total marks
OSCE station – II
You are called to attend the baby being delivered by normal vaginal delivery. Mother has history of PIH. You have already completed your
preparations for birth of this baby. Baby has delivered. How will you manage this baby?
[Link] Steps Marks 1 2 3 4 5 6 7 8 9 10 11 12 13
.
1. Asks Examiner - Term/Pre-term, 1
Breathing/Crying, Tone
Examiner –
Term , Not breathing, Limp
2. Announces – baby requires resuscitation 1
Receives baby in pre-warmed linen, transfers
baby to resuscitation corner and starts the
initial steps of resuscitation
Provides warmth
Applies shoulder roll
3. Suctions the mouth (5 cm) then nose (2 cm) at 1.5
pressure of 100 mm Hg
Dries the baby starting from head and removes
wet towel
Flicks the soles twice or rubs the back
4. Looks for Breathing and counts 0.5
HR for 6 seconds
5. Examiner – Breathing well, HR > 100/min 0.5
Indicates – Observational care
6. Counsels mother /relative 0.5
Total Marks 5
OSCE station – III
You are called to attend the baby being delivered by normal vaginal delivery. Mother has history of PIH. At birth baby was term, not breathing
and limp. You have completed the initial steps of resuscitation. How will you proceed further to manage this neonate?
[Link] Steps Marks 1 2 3 4 5 6 7 8 9 10 11
.
1. Looks for breathing and counts the HR for 6 seconds 0.5
Examiner –
No breathing, HR = 7 in 6 seconds
2. Announces – baby requires BMV 1
Stands on the head end of the baby and applies
shoulder roll
Chooses appropriate size mask
Applies mask and holds the mask with EC technique
Starts BMV and looks at the chest for chest rise
Asks examiner if HR improving after initiating BMV
3. Examiner – No chest rise 0.5
Indicates – Ventilatory corrective steps – MRSOPA
4. Reapplies the face mask, repositions the neck, Suctions 1
the mouth & nostrils, Opens the mouth, Increases the
pressure and indicates alternative methods of
ventilation
5. Performs effective BMV for next 30 secs @ 40-60 1
breaths/min saying Breath – 23 – Breath - 23
6. After 30 seconds – Checks for respiration & HR in 6 0.5
seconds
7. Examiner – HR > 100, Good respiratory efforts
Indicates cessation of BMV and post resuscitation care
8. Counsels parents 0.5
Total Marks 5