Dizziness during a home nursing visit
RN OSCE practice station

The task

You are the RN in a community nursing service. Elena Rossi, aged 72, reports brief dizziness when she stood up from breakfast. She is now seated and comfortable. Obtain observations and a focused history, and agree on a safe follow-up plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes; describe and select physical actions in this online exercise.

What this station tests

• Elena’s supported measurements demonstrate a symptomatic 22 mmHg systolic drop.
• Stop the stand and help her sit when dizziness returns.
• Review low intake and perindopril/furosemide with the GP without independently stopping them.
• Arrange reachable help and support for a low-vision person living alone.

Sources for the clinical content

• ACSQHC: Falls
• ACSQHC: Recognising and Responding to Acute Deterioration Standard
• ACSQHC: Communicating for Safety Standard

An original practice scenario with invented patients. Not an exam question.

Practise next

• Postoperative observations and urgent escalation
• Fever and rapid breathing in general practice
• New confusion during residential care observations
• A child working harder to breathe
• Reduced intake and observations in a child