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Bimel K Baby BSN,MSN,CVTN(SCTIMST)
Bimel K Baby BSN,MSN,CVTN(SCTIMST)
Bimel K Baby BSN,MSN,CVTN(SCTIMST)
Bimel K Baby BSN, MSN, ( GOVT MCH KOTTAYAM ) CVTN (SCTIMST,TVM ) , RN , RM ( UK, Ireland )
What makes Bimel outstanding Among OSCE trainers, see profile
Bimel Did his BSN from Prestigious Govt college of nursing, Govt Medical college Kottayam (1992-1996 Batch ) there after MSc Medical surgical nursing (CVTN), PG diploma cardiovascular
Bimel K Baby BSN, MSN, ( GOVT MCH KOTTAYAM ) CVTN (SCTIMST,TVM ) , RN , RM ( UK, Ireland )
What makes Bimel outstanding Among OSCE trainers, see profile
Bimel Did his BSN from Prestigious Govt college of nursing, Govt Medical college Kottayam (1992-1996 Batch ) there after MSc Medical surgical nursing (CVTN), PG diploma cardiovascular and thoracic nursing from Sree Chitra Tirunal Institute of Medical Sciences and Technology , Trivandrum ,An institute of National importance under Govt of India and a deemed university. he was a staff nurse in Regional Cancer centre Trivandrum and Govt medical college Trivandrum, also worked at RVS college of nursing Coimbatore and TCN Kangazha kottayam as lecturer as well
Since 2006 onwards he worked as Nurse and Clinical Nurse Manager at the National Centre for Haematology and Oncology and Bone marrow transplant at OLHSC crumlin, Dublin for 8 yrs. , later he moved to Manor nursing home at Co. Tipperary, Republic of Ireland were he worked as Clinical nurse manager for 10 yrs. .he was very much part of Uk, Irish health system for 18 yrs. , as nurse and nurse manager in both hospital and nursing home, did courses on ,Preceptorship , IV therapy , chemotherapy , bone marrow transplant ,was a preceptor for UK/ IRISH BSc(N) students ,also a minter for new nurses , lead infection control team , lead disciplinary committee , lead covid control team , Lead international recruitment team for total of 18 yrs.
With his extensive experience in Uk ,Irish health system has designed and developed a unique system for OSCE training with specific country standard , helped to pass more than 1000 students to pass various OSCE for first tine with language support as talking with actors is most important in the stations , UK OSCE , NZ OSCE ,Australian OSCE , Irish Aptitude and UK CBT ,helped to pass hundreds of students to pass OSCE And CBT , satisfaction and result guaranteed for all courses
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Bimel K Baby BSN,MSN,CVTN(SCTIMST)
Bimel K Baby BSN,MSN,CVTN(SCTIMST)
OSCE countries
UNITED KINGDOM
AUSTRALIA
IRELAND
NEWZEALAND
FEES
OSCE FEES ON REQUEST
DURATION
UK -30-60 HRS ( 4WKS )
AUSTRALIA 30-60 HRS (4WKS)
NEWZEALAND 20-30 HRS (2WKS)
UK CBT (15 hrs / 3wks )
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OSCE countries
UNITED KINGDOM
AUSTRALIA
IRELAND
NEWZEALAND
FEES
OSCE FEES ON REQUEST
DURATION
UK -30-60 HRS ( 4WKS )
AUSTRALIA 30-60 HRS (4WKS)
NEWZEALAND 20-30 HRS (2WKS)
UK CBT (15 hrs / 3wks )
+918157930897 (whats app,Botim )
+917012240231 Calls Only
All classes taken by Bimel only
CLASS OVER EVENING AND WEEKENDS
MOST OF THE CLASS WILL BE INDIVIDUAL CLASS
STATION EXPLAINED , CHARTS EXPLAINED, PROCEDURS DEMONSTRATED OVER THE TABLE WITH OVER HEAD CAMERA
WHATSAPPSUPPORT UNTIL EXAM
HELPED TO PASS HUNDREDS OF STUDENTS
UK NMC OSCE Adult Nursing
Bimel K Baby BSN,MSN,CVTN(SCTIMST)
UK NMC OSCE Adult Nursing
The OSCE is designed to assess your ability to competently apply your professional nursing skills and knowledge in the UK. It is set at the level expected of nurses as they enter the profession at the point of registration. This means that you must demonstrate that you are capable of applying knowledge to the care of patients at the lev
The OSCE is designed to assess your ability to competently apply your professional nursing skills and knowledge in the UK. It is set at the level expected of nurses as they enter the profession at the point of registration. This means that you must demonstrate that you are capable of applying knowledge to the care of patients at the level expected of a newly registered nurse. The examination is testing your ability to apply knowledge and skills to the care of patients, rather than testing how well you can remember and recite facts. All scenarios and associated questions relate to current best practice, and you should answer them in relation to published evidence. Please refer to the reading lists, which contain references for each OSCE station. Support materials are available on the NMC website. There is a set of preparation materials available for each field of nursing practice. These include:
The OSCE comprises 10 stations,
with a total testing time of about 3 hours. Four stations will be scenario-based and will relate to four stages of the nursing care process:
• Assessment
• Planning
• Implementation
• Evaluation.
Four of the six remaining stations will take the form of two sets of two linked stations, testing practical clinical skills. Each pairing of skills stations will last for up to 21 minutes in total, with 4 minutes in between the pairings. Please remember that you will have done many of these nursing skills several times before. Make sure that you read the station instructions and scenarios carefully. Do not be afraid to take the opportunity to look at them again if you are unsure. You will not be penalised for this. Typical skills that may be tested either on their own or within a nursing scenario include
- administration of inhaled medication (AIM)
- • aseptic non-touch technique (ANTT) • catheter specimen of urine collection (CSU)
- • fluid balance chart (FBC)
- • in-hospital resuscitation (without defibrillation) (IHR)
- • intramuscular injection (IM)
- • mid-stream sample of urine (MSSU) and urinalysis
- • peak expiration flow rate (PEFR)
- • removal of urinary catheter (RUC)
- • subcutaneous injection (SC)
- • paediatric basic life support (BLS) – infant and child (children’s nursing)
- • calculating drug dosages
- • hand hygiene
- medication administration
- • physiological observations
- • safe disposal of sharps
- • wound care • oxygen therapy.
- • nasopharyngeal suctioning
- • nutritional assessment
- • oral care plan
- • bowel assessment
- • administration of suppository.
In each OSCE, one station will specifically assess professional issues associated with professional accountability and the related skills around communication. One station will also specifically assess critical appraisal of research and evidence and associated decision-making. These two stations are both written stations.
Communication skills
Communication is central to nursing practice and will be assessed continually during the OSCE. We assess the full range of communication skills (verbal, non-verbal and written) by observing the interaction between the candidate and a simulated patient (this may be an actor or a manikin) and also by assessing your nursing documentation in each station. The assessor will assess your approach to the patient throughout the examination, and will assess your communication skills such as: • clearly explaining care, diagnosis, investigations and/or treatments • involving the patient in decision-making • communicating with relatives and healthcare professionals • seeking and obtaining informed consent • active listening • dealing appropriately with an anxious person or anxious relatives • providing clear instructions on discharge • providing advice on lifestyle, health promotion or risk factors • demonstrating compassion and care during communication • clear documentation that meets the requirements of NMC (2018) ‘The Code’ • professional behaviour
professional attitude.
Approaching the patient/manikin • Introduce yourself and explain or clarify the purpose of the nursing encounter. • Check what the patient wants you to call them. • Be polite, respectful and non-judgemental, and maintain the patient’s dignity. ToC 2021 Nursing OSCE information booklet V2.2 10 • Be empathic, acknowledge the patient’s emotions or concerns, and show sensitivity to any discomfort. • Ensure that you gain consent from the patient (or carer/guardian for children or certain people with disabilities) prior to undertaking any procedures. • Be sensitive to personal space, stand or sit at an appropriate distance from the actor/manikin, and be aware of their body language. You are too close if the actor moves back or recoils. • Treat a manikin as you would a real patient.
. Involving the patient in management • Respect the patient’s autonomy, and help them to make a decision based on the available evidence-based information. • Explain information and its implications so that the patient can make an informed choice about their care. • Check the patient’s understanding and feelings about the proposed nursing interventions. They may not always agree with your proposed plan of care. • Treat the manikin as you would a real person.
Nursing assessment • You should be able to undertake an accurate nursing assessment and develop a plan of care. • Identify the patient’s nursing care needs accurately. • Listen attentively to the patient’s problems and concerns. • Use clear language, and question at a comfortable pace. • Clarify and check information, and summarise understanding. • Be able to plan safe and effective person-centred care, based on your nursing assessment and evidence-based best practice.
UK NMC CBT Examination
OSCE AUSTRALIA for NURSES
UK NMC OSCE Adult Nursing
Since October 2014, nurses trained outside the European Economic Area who are seeking UK registration must pass the NMC test of competence. In 2021, a new version of the test was introduced. This test consists of two parts, and it measures applicants against ‘Future nurse: Standards of proficiency for registered nurses’ (2018). It asses
Since October 2014, nurses trained outside the European Economic Area who are seeking UK registration must pass the NMC test of competence. In 2021, a new version of the test was introduced. This test consists of two parts, and it measures applicants against ‘Future nurse: Standards of proficiency for registered nurses’ (2018). It assesses the essential professional knowledge, skills and attitudes required for safe and effective nursing practice in the UK. Nursing in the UK is made up of separate and distinct fields of practice, each requiring three years of pre-registration undergraduate education. The distinct nursing fields of practice are:
• adult nursing
• children’s nursing
• learning disabilities nursing
.mental health nursing.
The test of competence is specific to the appropriate nursing field and always consists of two parts. Test blueprints are available on our website with links to online resources, which will help applicants to prepare for the test of competence. We do not endorse any course or training provider offering preparation materials for the test.
Part 1 is a computer-based test (CBT). The CBT contains a numeracy test (which consists of short-answer questions requiring a numerical answer), objective questions and a theory test (which is multiple choice). The CBT can be taken at a Pearson VUE test centre, available in most countries around the world. Candidates will be given a short tutorial on how to use the computer before starting the examination. The CBT comprises 115 questions. All questions are scored as correct or incorrect, and there is no partial credit. Part A will comprise a 15-mark numeracy assessment. Part B will be a 100-mark theory assessment. The length of the CBT is 3 hours, and this includes any breaks from testing, which are optional. Part 2 is a nursing objective structured clinical examination (OSCE) – a practical nursing examination. The OSCE is available in the UK only, at a designated test centre. The candidate booklet and details for the OSCE are available from the test centres’ websites. The CBT and OSCE can be taken in any order.
All candidates take the CBT under formal standardised examination conditions in a Pearson VUE test centre. All candidates are required to adhere to the candidate and test centre rules in the test centre and while sitting the CBT. Please note that if you do not follow the rules or the instructions of the test administrator (TA), your examination result may be withheld or cancelled, and your examination fee may not be refunded. The test centre will always inform us if a candidate does not comply with the rules, and the candidate may be subject to a misconduct investigation. The test administrator will monitor candidates throughout their CBT and the test centre will always inform us if a candidate does not comply with the rules. Any misconduct including suspicion of cheating, fraud, or collusion before, during or after your CBT will be thoroughly investigated. This may result in your CBT result being revoked and affect your application to the Register or may result in Applicants being asked to attend a hearing. Should the circumstances of candidate malpractice constitute violations of law, details of their conduct along with supporting evidence may be reported to law enforcement. Law enforcement could then investigate these actions as criminal activities, resulting in additional significant consequences.
Results of the CBT Once the exam is completed, the result is then submitted and calculated. Test centre staff do not have access to the examination results. Examination results will be emailed to candidates within 48 hours of taking the examination. You can also obtain your results within 48 hours after testing by logging in to your Pearson VUE account, which you will have created when booking your exam. Candidates will receive a pass or fail result for each part of the test: Part A (Numeracy) and Part B (Theory). No further feedback on the test results can be disclosed to candidates. This is to protect the integrity of the test and to ensure that any future attempts to sit the test are not aided.
An initial standard will be set, and statistical techniques will be used to maintain the standard across different versions of the test over time.
Maintain a reasonable pace, spending a maximum of 2 minutes on each numeracy question. Do your calculations on the erasable note board, then type in the answer you wish to provide on-screen. You can review answers and change them if you wish. The CBT does not use negative scoring if a question is not answered or is answered incorrectly.
Maintain a reasonable pace by spending a maximum of 1.5 minutes on each multiplechoice question. Always select the answer you believe to be the ‘most’ correct from the options offered. You can review answers and change them if you wish. The CBT does not use negative scoring if a question is not answered or is answered incorrectly.
OSCE AUSTRALIA for NURSES
OSCE AUSTRALIA for NURSES
OSCE AUSTRALIA for NURSES
The Objective Structured Clinical Examination (OSCE) is the practical examination for internationally qualified registered nurses seeking registration in Australia as a registered nurse. The RN OSCE exam consists of 10 stations (or clinical scenarios) that have been developed to test candidates against the NMBA Registered Nurse Standards
The Objective Structured Clinical Examination (OSCE) is the practical examination for internationally qualified registered nurses seeking registration in Australia as a registered nurse. The RN OSCE exam consists of 10 stations (or clinical scenarios) that have been developed to test candidates against the NMBA Registered Nurse Standards for Practice. The OSCE is set as the entry to practice level that is expected of a Registered Nurse in Australia.
Unlike MCQ or NCLEX that is a computer adaptive test, OSCE is a behavioral assessment and is set to the standard of an entry-level nurse in Australia. This test will assess each candidate’s level of competence, knowledge, and skills in a clinical setting. Moreover, it will assess a candidate’s ability to manage and meet the client’s unique needs in a holistic manner with limited time and support.
OSCE RN consists of 10 stations with 10 minutes allocated for each station; two (2) minutes for reading of the scenario and eight (8) minutes for the demonstration of the task given. This exam costs $4000 and is delivered at the University of Adelaide in Adelaide, Australia.
This is a regulatory OSCE rather than an educational OSCE, and is conducted in a way that is consistent for all candidates You will not receive any coaching, prompting, further explanation of the task required or feedback from the examiners during or after the OSCE. The OSCE is run strictly to time: i.e. it allows only two (2) minutes of reading time, and eight (8) minutes of performance time for each station When the allocated time for the station is up, the candidate must move to the next station even if they have not completed everything required for that station.
Apart from assessing the clinical skills, OSCE will also take into consideration the candidate’s ability to manage the care of a patient in a holistic manner. It is therefore important that the care you provide within each station is individualized for that patient, and is tailored to each patient’s special needs.
The RN OSCE examiner will assess your ability to formulate an accurate plan of care for the patient, based on your assessment findings or any information relevant to the patient. Patient safety, and the care they receive, is paramount at all stages within the OSCE stations.
Our trainers are experts in OSCE training field, having conducted UK NMC OSCE and Irish aptitude tests for years, and are well-versed with the current trends and updates by the Australian Health Practitioner Regulation Agency (AHPRA).
The OSCE RN can be completed within 3 to 3.5 hours and results are published within 8 weeks from the exam day. Once cleared with OSCE, an OBA candidate can proceed to apply for Australian Nursing Registration with AHPRA and the Nursing and Midwifery Board of Australia (NMBA).
our training
OUR TRAINING INCLUDE ALL STATIONS ASKED IN THE AUSTRALIAN OSCE SO FAR SAY AROUND 33 STATIONS ( see list Below )
charts given , notes given , continuous whats app support until you finish your exam , language support , communiucation support
What does osce assess
Each RN OSCE station assesses a candidate’s ability to perform a specific clinical skill and the candidate’s ability to manage the care of a patient in a holistic manner. The care that is provided within each station should take into consideration the individual situation for that patient and that the care provided is tailored to individual patient needs.
Examples of some considerations about individual patient care include, but are not limited to:
· a patient’s ability to understand simple instructions,
· a patient’s physical capacity,
· the support that a patient has available to them,
· any vision or hearing impairments the patient may have.
The RN OSCE examiner will assess a candidate’s ability to perform a specific clinical skill, formulate an accurate plan of care for the patient based on their assessment findings or any information deemed relevant. Patient safety, and the care they receive, is paramount at all stages within the OSCE stations. Candidates are required to demonstrate/perform the skills, not just talk about what they would do or the care they would provide.
Candidates will not be expected to know specific Australian state and territory clinical policies and procedures. However, they will need to demonstrate an understanding of relevant Australian national standards, international infection control and prevention standards etc.
What skills will candidates be assessed (stations 2024 )
- Abdominal assessment
- Acute blood transfusion reaction
- Alcohol withdrawal
- ANTT dressing
- Blood sugar monitoring
- Blood transfusion station
- In hospital BlS with AED
- Cardiovascular assessment
- Fall risk assessment
- Geriatric depression Scale Assessment
- Hand hygiene procedure
- I/M injection
- Infection control station
- Iv fluid administration and Drip rate calculation
- Iv medication
- Medication administration and Calculating drug dosage
- Mental status examination[
- Neurological assessment
- Paediatric A-G
- Pain assessment
- Pain assessment and non-pharmacologic pain management
- Physiological observation(A-E)
- Pressure injury assessment
- Respiratory assessment
- S/c Injection
- Safe disposal of sharps
- Suicide risk assessment
- Therapeutic communication / ISOBAR communication
- Three-point ID check
- Urine MSU and Dipstick
- Vital signs
- Wound assessment
Communication Skills
As communication is central to nursing practice, candidates will also be assessed on their communication skills during the RN OSCE. The RN OSCE aims to assess how candidates interact with the patient and their approach to the patient when providing care. This will include a candidate’s ability to provide explanations to the patient about their care in an appropriate manner, as well as the candidates ability to include the patient or family in their care where appropriate. Candidates may be required to convey clinical information about the patient to another health practitioner or RN OSCE examiner, and should be familiar with the Introduction, Situation, Background, Assessment and Recommendation (ISBAR) communication approach.
What does the examiner assess in relation to communication?
The RN OSCE examiner will assess the full range of communication skills (verbal, non-verbal and written) by observing the interaction between the candidate and:
· a Simulated Patient
· a Manikin, or
· a person playing a second RN or other health practitioner role.
The candidate’s written communication skills will be assessed by any clinical documentation they record about the patient required in some stations.
Candidates should speak and interact with the patient, either Simulated Patient or a Manikin, as they would any real person/patient that they are meeting for the first time.
The RN OSCE examiner will also look at a candidate’s approach to the patient and/or person playing a second RN or other health practitioner role throughout the examination and assess their communication skills such as:
- Clearly explaining care, diagnosis, investigations and/or treatments,
- Involving the patient in decision-making,
- Communicating with relatives and other health care professionals,
- Seeking and obtaining informed consent,
- Active listening,
- Dealing appropriately with an anxious person or anxious relatives,
- Providing clear instructions on discharge,
- Demonstrating compassion and care during communication, and
Clear documentation.
Communication In OSCE
Effective communication with clients is also crucial to ensure the right diagnosis and treatment plans for them. During the test, an assessor will observe the interaction between the simulated client and OSCE candidate and assess the candidate’s verbal, non-verbal, and written communication techniques. This will include your ability to provide explanations to the patient about their care in an appropriate manner, as well as your ability to include the patient or family in their care where appropriate.
The RN OSCE Examiner may also look at your approach to the patient throughout the examination, and will assess your communication skills such as:
Clearly explaining care, diagnosis, investigations and/or treatments, Involving the patient in decision-making, Communicating with relatives and other health care professionals, Seeking and obtaining informed consent, Active listening, Dealing appropriately with an anxious person or anxious relatives, Providing clear instructions on discharge, Demonstrating compassion and care during communication and Clear documentation. The candidate should speak to the patient as you would any person you are meeting for the first time.
At the RN OSCE, the patients involved in each case will be acting as patients (simulated patients) in many of the stations. In some stations you may be required to interact with a manikin. Where a manikin is used as the patient, it is essential that you demonstrate a level of empathy and interaction; to the same level as you would with a real patient.
New zealand Nurse OSCE
OSCE AUSTRALIA for NURSES
OSCE AUSTRALIA for NURSES
The Nursing Council of New Zealand (the Council) is the regulatory authority responsible for the registration of nurses in Aotearoa New Zealand. The Council’s primary function is to protect the health and safety of members of the public by ensuring that nurses are competent and fit to practise. A key element of this process is the reg
The Nursing Council of New Zealand (the Council) is the regulatory authority responsible for the registration of nurses in Aotearoa New Zealand. The Council’s primary function is to protect the health and safety of members of the public by ensuring that nurses are competent and fit to practise. A key element of this process is the registration of all nurses, both domestic graduates and internationally qualified nurses (IQNs). The Health Practitioners Competence Assurance Act (HPCA) 2003 (HPCA Act) outlines the role and responsibilities of the Council.
In 2023, the Council introduced a new process for those IQNs who require a test of competence before being registered. IQNs applying now to the Council will, at the direction of the Council, undertake the following tests of competence:
a. an online theoretical examination
b. a clinical competence assessment.
This handbook provides detailed and essential information for eligible candidates who have passed the online theoretical examination and have been invited to complete the clinical competence assessment.
Clinical competence assessment
The clinical competence assessment includes:
a. a two-day orientation and preparation course, and
b. an Objective Structured Clinical Examination (OSCE).
Objective Structured Clinical Examination (OSCE)
The OSCE is a well-established method of assessing competence and is used in internationally qualified nurse registration processes in multiple countries including Australia, Canada, and the United Kingdom. In Aotearoa New Zealand, it objectively assesses competence across the domains outlined in the registered nurse scope of practice. The OSCE assesses the application of your clinical knowledge and skills in practice to ensure you can provide safe competent care as a nurse in Aotearoa New Zealand.
The OSCE:
· is designed to assess your ability to apply your nursing knowledge and skills in a simulated clinical setting,
· is set at the level of a registered nurse as they enter the profession,
· will not assess advanced nursing or specialist skills,
· will relate to current best practices in Aotearoa New Zealand.
This is a regulatory assessment. This means that:
· You will not receive any coaching, prompting, feedback or further explanations of the required knowledge and skills for nursing practice from the examiners before, during or after the OSCE.
· You must demonstrate the skills rather than just verbalise your actions.
OSCE stations
You are required to complete ten (10) OSCE stations. Each station will cover a scenario representing current nursing practice in Aotearoa New Zealand. The stations are listed below:
A. Mental health assessment
B. Physiological assessment
C. Specific physiological assessment
D. Professional responsibility
E. Emergency management
F. Clinical skills
G. Medication administration
H. Communication and teamwork
I. Planning nursing care
J. Managing the deteriorating patient
Each OSCE station lasts 12 minutes, divided into a 2 + 8 + 2 minutes format. You will be given two (2) minutes to read the candidate instructions, followed by eight (8) minutes to complete the scenario for each station and two (2) minutes to move to the next station.
The OSCE scenarios will assess your clinical competence, nursing knowledge and skills. This will include, (but is not limited to), the following:
· appropriate escalation of clinical concerns
· clinical documentation
· clinical reasoning and decision making
· clinical skills
· cultural safety
· direction and delegation
· infection control practices
· interpersonal communication
· interprofessional communication
· leadership
· managing nursing cares
· managing a patient in distress
· nursing assessment
· patient identification
· professional, legal, and ethical responsibilities
· safe medication administration (including drug calculation)
Ireland Aptitude Examination
Ireland Aptitude Examination
Ireland Aptitude Examination
- Aptitude Test: The NMBI requires internationally educated nurses and midwives to undergo a Competence Assessment (aptitude test) to assess their readiness to practice in Ireland. This assessment evaluates their nursing or midwifery knowledge, clinical skills, and language proficiency.
- Content: The aptitude test may include multiple-choi
- Aptitude Test: The NMBI requires internationally educated nurses and midwives to undergo a Competence Assessment (aptitude test) to assess their readiness to practice in Ireland. This assessment evaluates their nursing or midwifery knowledge, clinical skills, and language proficiency.
- Content: The aptitude test may include multiple-choice questions (MCQs) covering various nursing or midwifery topics such as clinical skills, patient care, ethics, and legal considerations. It may also include a practical skills assessment to evaluate clinical competencies.
- Preparation: Candidates are advised to prepare thoroughly for the aptitude test by reviewing nursing or midwifery textbooks, clinical guidelines, and practicing clinical skills. Language proficiency is also crucial, so candidates should ensure they are proficient in English, which may involve taking an English language proficiency test like the IELTS or OET.
- Registration Process: Candidates must apply for registration with the NMBI and undergo an assessment of their education and qualifications. Once deemed eligible, they will be scheduled for the aptitude test.
- Test Centers: The aptitude test is typically conducted at designated test centers in Ireland. Candidates may need to travel to Ireland to take the assessment.
- Passing Score: The passing score for the aptitude test may vary, and candidates must achieve the required score to proceed with their registration process.
- Retakes: If a candidate fails the aptitude test, they may be allowed to retake the assessment after a specified waiting period. The number of retakes permitted may be subject to NMBI regulations.
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