OSCE Practice – Stroke

Practise recognising and managing a stroke emergency in a dental setting, following NEBDN OSCE expectations.

Scenario

A 70-year-old patient suddenly develops facial drooping and slurred speech during a dental appointment. They appear confused and have weakness on one side of their body. You are the dental nurse assisting the clinician.

Your Task

  • Identify the condition
  • Initiate immediate emergency response
  • Assess the patient using FAST
  • Position the patient appropriately
  • Escalate care without delay

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Key Learning Points

  • Stroke occurs due to interruption of blood supply to the brain
  • Use the FAST assessment (Face, Arms, Speech, Time) to recognise stroke
  • Call 999 immediately — this is a time-critical emergency
  • Do not administer GTN, as it is not indicated in stroke
  • Administer oxygen only if the patient is hypoxic
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