RCSI OSCE for overseas nurses in Ireland

The RCSI OSCE is the practical part of the aptitude test that overseas-trained nurses sit when the Nursing and Midwifery Board of Ireland (NMBI) says a compensation measure is needed. It has 14 stations of 10 minutes each, run by the RCSI Faculty of Nursing and Midwifery at Beaumont Hospital, Dublin. If the format is new to you, start with what an OSCE is. This page covers who sits it, how it runs and where to read more.

Try a real conversation · RCSI OSCEAI practice

Check his observations and weight against his discharge weight, then teach him how to look after himself, including daily weights, diet, medicines and when to seek help.

Mr Seamus DoyleHello nurse. I'm grand, really, I just came because they told me to.

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The exam at a glance

Run byRCSI Faculty of Nursing and Midwifery, since December 2015 (RCSI)
Practical part14 stations, 10 minutes each (RCSI)
VenueSmurfit Building, Beaumont Hospital, Dublin 9
Cost of the whole testEUR 2,800, covering two attempts at each part (RCSI)
AttemptsTwo per part, one repeat
Test date open for application13 March 2027, as shown on RCSI pages on 6 November 2026

Who sits the RCSI OSCE

You sit it if your NMBI decision letter for the General Nurses Division says a compensation measure is needed and names the RCSI aptitude test. The letter must still be in date.

The test has two parts. Part 1 is a multiple-choice theory paper. You must pass it before you can book Part 2, the OSCE. Our page on the NMBI aptitude test explains both parts and the fee.

How the practical part runs

There are 14 stations. Each lasts 10 minutes and tests different competencies. A descriptor sheet is displayed outside and inside every station, and you can read it during the station. When time is up, the station ends even if you are not finished.

Assessors are experienced nurses with a postgraduate qualification, trained by RCSI. Some stations use a mannequin. An assessor may play the patient, a relative or a member of staff.

The standard is a newly qualified Irish registered general nurse, based on the NMBI education standards for nurse registration. See the stations page for the topic families.

How it is marked

For each competency at each station, the assessor decides competent or incompetent. To pass the practical, you must be competent in every competency at every station. That is a strict rule, so steady practice across all topics matters more than being brilliant at a few.

If you fail the OSCE at the first attempt, you resit only the stations you failed. RCSI recommends leaving at least two weeks before the final attempt. For the figures RCSI gives, see the pass rate page.

Where to go next

More on this exam

15 original RCSI OSCE practice stations

Counselling & explanation

Focused assessment

Acute management

Handover and escalation

Clinical skills

Pain management

Risk assessment

Aseptic technique

Ethics, consent & capacity

Breaking bad news

Vital signs

Common questions

Is the RCSI OSCE the same as the NMBI aptitude test?

Not quite. The aptitude test has two parts. Part 1 is a theory paper and Part 2 is the OSCE. People often use RCSI OSCE for the practical part only.

How many stations are in the RCSI OSCE?

14 stations, each lasting 10 minutes.

How many attempts do I get?

Two per part. After a first OSCE fail, only the failed stations are resat.

Do I have to pass every station?

You must be competent in every competency at every station to pass the practical.

Where is the RCSI OSCE held?

At the Smurfit Building, Beaumont Hospital, Dublin 9.

Practise every day until it feels routine.

One pass opens every exam on the site, including the RCSI OSCE. From US$25 for 7 days, with no automatic renewal.

See passes

Sources

Checked 2026-11-06. Fees and rules change, so confirm them with the regulator before you book.