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Quick Reference Guide 4: The Objective Structured Clinical Exam (OSCE)

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Currently, there are 2 provinces that refer IENs to do nursing skills and knowledge assessment at Touchstone Institute: Alberta and Ontario. The Objective Structured Clinical Exam or OSCE is the practical exam portion of the assessment. It is important to know the coverage of this exam to help you prepare and have better determination on how you should proceed with the IEN process. The OSCE will have 12 stations and 13 minutes shall be given to each station to come up with a response or nursing action.

You are being assessed for 2 competencies in the OSCE:
  1. Knowledge-based Practice
  2. Ethical Practice
5 Sub-domains of Knowledge-based Practice:
(1) Ongoing Comprehensive Assessment
  • Health and Data Collection
  • Physical Assessment
  • Analysis and Interpretation
(2) Collaboration with Clients to Develop Health Care Plans
  • Nursing Care Plan Development
(3) Provides Nursing Care with Clients
  • Implementation of Care
  • Prioritization
(4) Collaboration
  • Communication
  • Communication with Client
  • Communication with Team
(5) Ongoing Evaluation of Client Care
  • Evaluation and Monitoring
3 Subdomains of Ethical Practice:
(1) Integrity
(2) Ethical Safety and Advocacy
(3) Legal Obligation

More detailed information found at the Touchstone Institute website.

It is recommended to review all nursing concepts that you have learned in nursing school. Pay attention on the basics found in the Fundamentals in Nursing, Med-Surgical Nursing and Mental Health Nursing references. Physical Assessment and Professional Communication are also indispensable. YouTube videos help a lot in honing your nursing skills.

Other stuffs you need to know:
  • Have a good knowledge on multiculturalism in Canada
  • Learn about the First Nations, Metis, Inuit cultures and vulnerable populations
  • Familiarise yourselves with the Canadian health care system
Always make it a goal to get an ATT for the NCLEX-RN!

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