OSCE Checklist: Bedsores (Pressure Ulcers) Dressing for Nursing Students
Steps Criteria Score Comments
Ensure the student practices
1. Preparation & - Washes hands thoroughly
1 proper hand hygiene before and
Hand Hygiene before the procedure.
after the procedure.
- Assembles all necessary Check if the student prepares
supplies: dressing, gloves, 1 the materials in a clean,
gauze, etc. organized manner.
Evaluates communication skills
2. Introduces Self & - Introduces self and explains
1 and ensuring patient
Patient Safety the procedure to the patient.
understanding.
- Ensures patient comfort and Ensures the patient is in a
1
privacy before proceeding. comfortable, private setting.
- Inspects the wound to assess The student should demonstrate
3. Assess the
its size, depth, and condition 2 knowledge of wound staging
Pressure Ulcer
(e.g., stage). and assess thoroughly.
Patient positioning is essential
- Ensures proper positioning of
1 for effective assessment of the
patient for optimal assessment.
wound.
- Removes old dressing Proper technique to avoid injury
4. Dressing
carefully without causing pain 2 to the wound or patient
Removal
or discomfort. discomfort.
- Disposes of old dressing and Disposes of all materials in an
1
used materials correctly. appropriate waste container.
- Cleans the wound according to The student should demonstrate
5. Wound Cleaning protocol (e.g., using saline or 2 proper technique, being gentle
prescribed solution). yet effective.
- Cleans the surrounding skin Wound and skin care should be
(periwound area) without 1 gentle and appropriate to avoid
causing damage. irritation.
- Applies appropriate dressing, Dressing should fit snugly but
6. Application of
ensuring that the wound is fully 2 not be too tight, and should
New Dressing
covered. cover the entire wound.
- Checks for any signs of Ensure that the dressing is
moisture buildup or irritation 1 secure and there are no visible
after dressing. issues post-application.
- Applies gloves and maintains Proper hand hygiene, use of
7. Infection Control sterile technique during 2 gloves, and avoiding cross-
dressing change. contamination.
Accurate and detailed
- Completes documentation of
documentation on the wound
8. Documentation the wound condition, dressing 2
status and care provided is
change, and any observations.
essential.
- Provides post-procedure
Ensure the patient is
9. Patient Comfort comfort (e.g., adjusting
1 comfortable and aware of any
& Reassurance patient’s position, ensuring
follow-up care.
comfort).
Steps Criteria Score Comments
Ensure thorough hand hygiene
10. Post-Procedure - Washes hands again after
1 after handling the wound and
Hand Hygiene completing the dressing.
dressing.
- Educates patient or family Knowledge of patient education
11. Teaching and
about wound care, prevention, 2 on preventing further pressure
Follow-up
and follow-up. sores and care is vita
OSCE Checklist: Bedsores (Pressure Ulcers) Dressing
Steps Criteria Score
1. Preparation & Hand - Washes hands thoroughly before the procedure. 1
- Assembles all necessary supplies: dressing, gloves,
Hygiene 1
gauze, etc.
- Introduces self and explains the procedure to the
1
2. Introduces Self & patient.
Patient Safety - Ensures patient comfort and privacy before
1
proceeding.
- Inspects the wound to assess its size, depth, and
2
3. Assess the Pressure condition (e.g., stage).
Ulcer - Ensures proper positioning of patient for optimal
1
assessment.
- Removes old dressing carefully without causing pain
2
or discomfort.
4. Dressing Removal
- Disposes of old dressing and used materials correctly. 1
- Cleans the wound according to protocol (e.g., using
2
saline or prescribed solution).
5. Wound Cleaning
- Cleans the surrounding skin (periwound area) without
2
causing damage.
- Applies appropriate dressing, ensuring that the wound
2
6. Application of New is fully covered.
Dressing - Checks for any signs of moisture buildup or irritation
1
after dressing.
- Applies gloves and maintains sterile technique during
7. Infection Control 2
dressing change.
- Completes documentation of the wound condition,
8. Documentation 2
dressing change, and any observations.
9. Patient Comfort & - Provides post-procedure comfort (e.g., adjusting
1
Reassurance patient’s position, ensuring comfort).
10. Post-Procedure Hand
- Washes hands again after completing the dressing. 1
Hygiene
11. Teaching and Follow- - Educates patient or family about wound care,
2
up prevention, and follow-up.
. Preparation
1.1 Performs hand hygiene before patient contact 1
1.2 Introduces self and confirms patient identity 1
1.3 Explains the procedure to the patient 1
1.4 Gains informed consent 1
1.5 Assembles and checks all equipment 1
1.6 Applies appropriate PPE (e.g., gloves, apron) 1
2. Inspection and Assessment
2.1 Inspects drain site for signs of infection (redness, swelling, discharge) 1
2.2 Assesses patency and function of drain (e.g., suction, kinking) 1
2.3 Assesses type and amount of drainage (color, volume, consistency) 1
2.4 Checks for securement of the drain and dressing 1
3. Drain Management
3.1 Empties and measures the drain output if indicated 1
3.2 Maintains sterility while handling drain 1
3.3 Re-establishes vacuum/suction (if applicable) 1
3.4 Changes dressing using aseptic technique 1
3.5 Disposes of waste appropriately 1
4. Documentation and Handover
4.1 Documents type, amount, and appearance of drainage 1
4.2 Documents condition of the drain site 1
4.3 Documents any actions taken or concerns 1
4.4 Communicates findings to nurse/doctor if necessary 1
5. Final Steps
5.1 Ensures patient comfort and safety 1
5.2 Performs hand hygiene after procedure 1
5.3 Removes PPE safely and disposes appropriately 1
OSCE Checklist: Care of Drains
Steps Criteria Score
1. Preparation Performs hand hygiene before patient 1
contact
Introduces self and confirms patient identity 1
1
Explains the procedure to the patient
Gains informed consent 1
Assembles and checks all equipment 1
Applies appropriate PPE (e.g., gloves, apron) 1
2. Inspection 1
Inspects drain site for signs of infection
and
(redness, swelling, discharge)
Assessment
Assesses patency and function of drain (e.g., suction, kinking) 1
Assesses type and amount of drainage (color, volume, 1
consistency)
Checks for securement of the drain and dressing 1
3. Drain Empties and measures the drain output 1
Management if indicated
Maintains sterility while handling drain 1
Re-establishes vacuum/suction (if applicable) 1
Changes dressing using aseptic technique 1
Disposes of waste appropriately 1
4. Documents type, amount, and 1
Documentatio appearance of drainage
n and
Handover
Documents condition of the drain site 1
Documents any actions taken or concerns 1
Communicates findings to nurse/doctor if necessary 1
5. After care Ensures patient comfort and safety 1
Performs hand hygiene after procedure 1
Removes PPE safely and disposes appropriately 1
Step Task Points
1. Preparation
1.1 Introduces self and confirms patient identity 1
1.2 Ensures scene safety and dons PPE 1
1.3 Assesses ABCs (Airway, Breathing, Circulation) 2
1.4 Calls for help early (team activation/emergency code) 1
2. Initial Assessment
Step Task Points
2.1 Assesses vital signs (BP, HR, RR, O2 sat, Temp) 1
2.2 Identifies signs of hemorrhagic shock 2
2.3 Estimates or identifies source of bleeding 2
3. Immediate
Interventions
Applies direct pressure or appropriate physical
3.1 2
intervention (e.g., uterine massage, tourniquet, etc.)
3.2 Establishes two large-bore IV lines (or IO access) 2
3.3 Starts fluid resuscitation with crystalloids 2
Sends urgent blood samples (CBC, crossmatch,
3.4 1
coagulation profile, etc.)
3.5 Requests blood transfusion (as per protocol) 1
4. Definitive
Management
Administers appropriate medications (e.g., oxytocin,
4.1 2
tranexamic acid, vitamin K, etc.)
Uses appropriate definitive measures (e.g., surgery,
4.2 2
endoscopy, embolization) or refers
5. Monitoring and
Communication
5.1 Monitors response to treatment (reassess vitals) 1
Communicates clearly with the team (SBAR or
5.2 1
equivalent)
5.3 Documents findings and management clearly 1
6. Professionalism
6.1 Maintains calm demeanor and acts promptly 1
Explains procedures to patient (if conscious) and provides
6.2 1
reassurance
OSCE Checklist: Management of Hemorrhage
Steps Criteria Score
1. Preparation Introduces self and confirms patient identity 1
Ensures scene safety and dons PPE 1
Assesses ABCs (Airway, Breathing, Circulation) 2
Calls for help early (team activation/emergency code) 1
2. Initial Assessment Assesses vital signs (BP, HR, RR, O2 sat, Temp) 1
Identifies signs of hemorrhagic shock 2
Estimates or identifies source of bleeding 2
3. Immediate Applies direct pressure or appropriate physical intervention (e.g., uterine 2
Interventions massage, tourniquet, etc.)
Establishes two large-bore IV lines (or IO access) 2
Starts fluid resuscitation with crystalloids 2
Sends urgent blood samples (CBC, crossmatch, coagulation profile, etc.) 1
Requests blood transfusion (as per protocol) 1
4. Definitive Administers appropriate medications (e.g., oxytocin, tranexamic acid, 2
Management vitamin K, etc.)
Uses appropriate definitive measures (e.g., surgery, endoscopy, 2
embolization) or refers
5. Monitoring and Monitors response to treatment (reassess vitals) 1
Communication
Communicates clearly with the team (SBAR or equivalent) 1
Documents findings and management clearly 1
6. Professionalism Maintains calm demeanor and acts promptly 1
Explains procedures to patient (if conscious) and provides 1
reassurance