NMC OSCE APIE Critical Fails Checklist

Assessment

Plotted every observation correctly on the NEWS chart (or GCS chart for a neurological scenario).
Worked out the correct total NEWS score and said it, with the monitoring frequency and who I would escalate to.
Added the date, time and patient details to the chart.
Completed the full A to E assessment, including the full breathing pattern and reviewing the medical history under Exposure.
Completed a holistic assessment. Physical, psychological and social, spiritual and sexual needs.
Kept the assessment relevant to the scenario on the patient history form.
Finished everything within the station time, doing observations and A to E first.

Chose two nursing needs that are relevant and happening now, taken from the presenting complaint and my assessment, not assumed.
Wrote a short aim of care for each need that says what I want to achieve, not how.
Set an appropriate evaluation date for both needs.
Wrote current, evidence-based nursing interventions in professional language, clearly and legibly.
Used no abbreviations or acronyms anywhere on the care plan.
Made corrections the NMC way. A single line through, with my initials, and nothing written over it.
Signed, printed my name and dated both pages, as soon as the timer started.
Finished both care plans, splitting the time equally between them.

Cleaned my hands, introduced myself, gained consent and checked the patient's identity verbally, against the wristband and the drug chart.
Checked the validity of every prescription before looking at the times. Drug, dose, frequency, route, dates, prescriber signature and name.
Checked each drug against the patient's allergies, especially antibiotics.
Checked the once only section so nothing already given is given again too soon (for example paracetamol prescribed 4 to 6 hourly).
Asked for the latest blood pressure and heart rate before cardiac or blood pressure drugs, and blood glucose before diabetic drugs.
Said every check out loud while dispensing. Drug name, dose, expiry date and how many tablets.
Told the patient what each drug is for, and any instructions such as taking it with food.
Signed for omitted drugs straight away with the code, and listed them with the reason on the last page.
Signed for each given drug as soon as it was given, and filled in my details on page 2.

Said the allergies and the reaction.
Said the medication risk factors, or that there are none.
Said the social history.
Summarised all current medicines from the drug chart, not just the home medicines.
Said the main nursing needs and the interventions already done.