
ENT OSCE
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Professional Development
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Naomi Nancy
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7 Slides • 13 Questions
1
ENT OSCE
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What is OSCE???
OSCE (Objective Structured Clinical Examination) is a multi-station, clinical skills assessment method that is based on objective testing and direct observation of student performance.
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STATION 1
Scenario
Mr. Z, 55 years old male diagnosed with Carcinoma Pyriform Sinus, underwent radiation therapy. He is on portex tracheostomy tube – size 8. He is admitted in B ward with the complaints of tube block.
Action
Perform tracheal suctioning procedure.
4
Multiple Choice
Solution used for tracheal suctioning
Normal Saline
Sterile Water
Chlorhexidine
Betadine
5
Multiple Choice
Depth of insertion of suction catheter while performing tracheal suctioning
10 - 12 cm
13 - 15 cm
17 - 19 cm
18 - 20 cm
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Multiple Choice
Application of suction should not exceed ____
2 mins
30 - 45 secs
10 - 15 secs
1 min
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Multiple Choice
The withdrawal movement of suction catheter is
Rotatory
Straight
Forward and outward
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Poll
The important tips to keep in mind while performing tracheal suctioning
Set the appropriate suctioning pressure
Keep the dominant sterile
Flush the catheter in between suctioning
Choose a catheter which has a diameter less than half the diameter of the inner tube
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STATION 2
Scenario
Mrs. X, diagnosed with Chronic Otitis Media in the right ear. She underwent tymphanoplasty last week and has come for ear dressing.
Action
Perform the ear bandaging procedure.
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Poll
Tips while performing ear bandaging
Stand facing the patient
Start and end with two circular turns
Begin bandaging from below upward till the entire is covered
Place a pad to cover the ear
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STATION 3
Scenario
Master T, an 8-year-old child, had recurrent episodes of tonsillitis. He underwent tonsillectomy and is received two hours ago in the post-operative ward.
Action
1. Write the priority nursing interventions to be carried for this child.
2. Give appropriate health education for parents (at least five points)
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Multiple Choice
Preferable position post op tonsillectomy
Lateral
Supine
Prone
Semiprone
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Multiple Choice
Advisable diet for the immediate post tonsillectomy child
Citric Acid containing juices
Ice creams and cold juices
Hot and spicy food
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Poll
Important nursing tips post tonsillectomy procedure
Oral hygiene with chlorhexidine
Gargles
Chewing of bubble gums (Mouth exercises)
Pain Management
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STATION 4
Scenario
Ms. G, 19 years diagnosed with acute otitis media. On conservative management. Came to B ward and got admitted for further management. She is on Ciplox ear drops – 3 drops in bilateral ears
Action
Perform the ear drop instillation procedure.
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Multiple Choice
Position of the patient for ear drop instillation
Prone
Lie on the unaffected side
Lie on the affected side
Upright
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Multiple Choice
Straightening the auditory canal in an adult for ear drop instillation procedure
Pull the pinna downwards
Pull the pinna upward and backward
Pull the pinna backward
Pull the pinna upward
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Poll
Tips while performing ear drop instillation procedure
Gently press tragus after instillation of ear drops
Loosely insert a cotton ball
Ask the patient maintain the same position for at least 5 mins after ear drop instillation
Hold the dropper in the ear with its tip above the auditory canal
Allow the drops to fall on the sides of the canal
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STATION 5
Scenario
Mr. K came to ENT OPD with complaints of excessive cerumen (ear wax) impaction in the right ear. The doctor recommends ear irrigation procedure.
Action
Perform the ear irrigation procedure.
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Multiple Choice
Position for ear irrigation procedure
Sitting or lying with head tilted towards the side of affected ear
Prone
Lateral
ENT OSCE
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