A resident declines a recommended hospital assessment
RN OSCE practice station
Patient communication · 2 min to read · 8 min to perform
Try a real conversation · RN OSCEAI practice
The GP has recommended hospital assessment, but he does not want to go.
George BennettI am not going back to hospital.
Free · no sign-up · uses your one free station
Open the full station (charts, voice, result letter) →The task
George Bennett has a painful swollen leg. The GP has recommended hospital assessment, but he does not want to go. Explore his reasons and understanding, discuss the risks and obtain a clinician-supported plan. Do not coerce transfer. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. His daughter Helen can be phoned with his permission.
What this station tests
- A refusal alone does not establish incapacity.
- Explore barriers that may make recommended care acceptable to the person.
- Record the patient’s reasoning, discussion and actual decision with a clear safety plan.
Sources for the clinical content
- ACSQHC: Making informed choices (informed consent)
- ACSQHC: Comprehensive Care Standard
- ACSQHC: Communicating for Safety Standard
An original practice scenario with invented patients. Not an exam question.