ORAL CARE PLAN MAKING NMC OSCE SKILL STATIONOral Care Plan Making is one of the newly introduced skill in which you really learn the aspects with respect to relevant scenarios. The time limit for this skill is 8 minutes. More details are given below

Oral Care Plan Making Skill for NMC OSCE

A scenario will be given in this skill. The scenario can be a critical care one, learning and disability scenario or a cancer treatment one. The interventions are specific to each of these scenarios. You need to by heart the recommendations for each of these scenarios and need to answer appropriately. Lets discuss one by one,

  1. Critical Care Scenario (Cerys Jones)

If the scenario you got is of a critical patient, you need to make the following recommendations,

Twice-daily teeth cleaning with soft, compact-headed toothbrush or a suction toothbrush.
Twice-daily chlorhexidine mouthwash to reduce the risk of ventilator‐associated pneumonia.
Apply oral moisturiser to the oral mucosa and lip balm to the lips every 2 to 4 hours.
Minimize traumatic ulceration caused by endotracheal tubes by using specifically designed fasteners and bite block, and alternating tubing from side to side.
Use suction to prevent aspiration, as required.
Identifies the need for regular reassessment every 8 hours.

2. Learning and Physical Disability Scenario (Luca Sanders)

Recommendations you should write are,

Twice-daily teeth cleaning with soft, compact-headed toothbrush or electric toothbrush.
Encourage self-care, using a foam handle to assist with holding a toothbrush and pump-action toothpaste.
Regular oral mouth cleansing/swabbing/hydration (ice chips or sips of water) throughout the day.
Mouthwash if able to tolerate.
Keep lips clean and moist using moisturizer/lip balm.
Regular wiping of face to minimize moisture on skin and use of moisturizing barrier cream on lower jaw to protect skin from drool.

3. Cancer Treatment Scenario (Michael Watts)

Recommendations you should write are,

Twice-daily teeth cleaning with soft toothbrush, if able to tolerate.
Twice-daily chlorhexidine mouthwash, if able to tolerate.
Regular oral cleansing/hydration (ice chips or sips of water) throughout the day.
Apply oral moisturiser to the oral mucosa and lip balm to the lips every 2 to 4 hours.

Use of artificial saliva.
Offers analgesia.
Identifies the need for 8-hourly reassessment.

4. End of Life Scenario (Rachel Cohen)

Recommendations you should write are,

Twice-daily teeth and denture cleaning with soft toothbrush, if able to tolerate.
Twice-daily chlorhexidine mouthwash, if able to tolerate.
Regular oral cleansing and hydration (using spray or dropper or ice chips or sips of water) throughout the day.
Remove dentures overnight and soak them in cleaning solution.
Keep lips clean and moist using moisturiser/lip balm (but not petroleum jelly/Vaseline as on oxygen).
Identifies the need for 8-hourly reassessment.

Things to remember

To achieve full marks, the candidate needs to identify a minimum of six aspects of care. For partial marks, the candidate needs to identify a minimum of three aspects of care. Also, you should make sure that your handwriting is clear and legible. In addition to that, you also need to ensure that strike through errors are retaining legibility as well.

Conclusion

Oral care plan making is one of the simple skills introduced in NMC OSCE. Basically you need to memorize your recommendation with respect to four scenarios given. If you memorize and write atleast six recommendations, you definitely should pass this station.

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