Original RN OSCE scenario · MA-04
Subcutaneous heparin with a safety pause
Medication administration practice in ed.
2 minutes reading · 8 minutes practice. Reading is free; AI practice requires sign-in and an available station allowance.
Complete candidate reading card
Your scenario and task
You are the RN in an emergency department. Mariam Saleh, aged 67, is boarding in ED with a signed prophylaxis order for heparin sodium 5000 units subcutaneously now. Check the order and safety history, calculate the volume and decide whether to proceed. Complete the supplied practice record. A second RN is available. You have eight minutes; describe and select physical actions in this online exercise. The prescriber can be reached by phone.
What this type of station practises
Show a safe approach to the prescription, the person and the medicine. Practise identifying missing information and explaining why you would pause rather than guess.
In “Subcutaneous heparin with a safety pause”, use the task in the reading card to decide what to assess, explain and record in ed. Rehearse reading a supplied medication record, discussing an allergy discrepancy or explaining an injection. Use only the fictional order provided; these guides do not supply a dose or authorise treatment.
These are general rehearsal aims, not the answers to this scenario. Respond to information obtained during practice rather than a memorised solution.
Say-and-do preparation
Prepare the sequence and language with a related checklist. Online rehearsal develops thinking and explanations; physical technique needs supervised in-person practice.
Medication checks verbal rehearsal →
Subcutaneous injection verbal rehearsal →
Intramuscular injection verbal rehearsal →
Explore all medication administration scenarios → · RN OSCE exam structure →
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Last checked 2026-10-30 · NMBA exam information · RN Standards for Practice