Calling for a child with increasing oxygen needs
RN OSCE practice station

The task

Samir Khan is in a paediatric ward with a respiratory illness. You are asked to telephone the reviewing doctor using the supplied observations. Confirm immediate safety, provide ISBAR, obtain and read back a plan, then complete the handover record. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Farah Khan is present.

What this station tests

• Escalate the child’s current distress before giving a long background history.
• State whether a saturation was measured on room air or after oxygen started.
• A useful telephone handover ends with a confirmed response and interim care plan.

Sources for the clinical content

• 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

• Telephone escalation for worsening infection
• Calling from a clinic about sudden breathlessness
• RN handover after a minor head injury
• Shift handover for a resident with acute confusion
• Telephone escalation of a falling neurological score