OSCE

OSCE Station : Blood Pressure Measurement

Focus of Station:  Student's ability to accurately measure blood pressure with appropriate technique and equipment.

Key Features/Summary of the Case: Accurately measurement of blood pressure of a simulated patient. The student must explain, take consent and demonstrate proper technique and communication skills throughout the process.

Scenario of the Case: A 40 year-old- male who came in OPD with complaint of headache. He is known hypertensive

Scheme of the Marks:

·        Greet the standardized patient with his introduction while enters the room. (01 mark)

·        Briefly explain the procedure to patient, ensure comfort and takes consent. (01 mark)

·        Prepare the equipment, sphygmomanometer and stethoscope. (01mark)

·        Position the patient appropriately; ensuring arm at heart level while seated comfortably. (01 mark)

·        Palpate the radial pulse and inflate the cuff until the pulse disappears, then further inflate by 20-30 mmHg. (02 marks)

·        Place the stethoscope 2-3 cm over the brachial artery and slowly deflate the cuff while listening for the Korotkoff sounds. (02 marks)

·        Record the systolic and diastolic blood pressure readings accurately. (01 mark)

·        Thank the patient and ensure they are comfortable before leaving the room.(01 mark)

Guidance for the Examiners:

Observe the student's technique closely, ensuring proper adherence to the procedure. Also assess student's communication skills and ability to interact effectively with the patient.

Instructions for the Students:  A 40 year-old- male who came in OPD with complaint of headache. He is known hypertensive. Please measure his blood pressure (Total marks 10 and time is 07 minutes).

Equipment and Facilities Needed:

• Standardized patient

• Sphygmomanometer

• Stethoscope

• Examination bed or chair

• Stopwatch or clock with a second hand