S1A1ICN 7

Station courtesy of Dr E. Lee. Edited by Dr L. C. Saint

!"##$ &'()*+,*-#)


1|m|ngs

1 mloote fot cooJlJote to move to stotloo/ teoJ tosk

11 mlootes fot cooJlJote to be ossesseJ oo O5c stotloo



k|t requ|red

Cne examlner, one paLlenL
aLlenL lnformaLlon leafleL
Cne nLWS charL
Cne fluld charL

8r|ef|ngs

8tlef slmoloteJ potleot/stoJeots/exomloets

Doma|ns assessed

commoolcotloo skllls
ltesctlbloq
Moooqemeot of oowell potleot













S1A1ICN 7
Station courtesy of Dr E. Lee. Edited by Dr L. C. Saint
INS1kUC1ICNS LkAMINLk - !"##$ &'()*+,*-#)

Cverv|ew
1bls ls o 11 mloote exomlootloo stotloo to test tbe cooJlJotes oblllty to
commoolcote wltb tbe potleot. 1bey ote tepolteJ to ptesctlbe 2 oolts of
blooJ oo tbe ptovlJeJ flolJ fotm. lt ls oot o vlvo ot test of koowleJqe pet
se, bowevet tbe poestlooloq pott of tbe stotloo wlll tepolte lotetptetotloo
ooJ loteqtotloo of slqos loto o Jloqoosls ooJ oo loltlol moooqemeot ploo.

Cand|dates 1ask- A paLlenL presenLed wlLh a Pb of 7 g/L. ?ou have Laken
a Croup and Save blood sample and ordered 2 unlLs of blood. ?ou now
need Lo consenL Lhe paLlenL for a blood Lransfuslon and answer any
subsequenL quesLlons from Lhe examlner.

Cb[ect|ves
1be cooJlJote sboolJ.
1. CommunlcaLe well wlLh Lhe slmulaLed paLlenL
2. ulsplay knowledge regardlng blood Lransfuslon , explaln rlsks and
beneflLs
3. lnLerpreL observaLlons wlLhln Lhe cllnlcal conLexL
4. SuggesL approprlaLe managemenL

1ask
1. rescrlbe blood
2. ConsenL Lhe paLlenL for blood Lransfuslon
3. Answer any quesLlons

ULS1ICNS] INS1kUC1ICNS

1: ALLCW 1nL CANDIDA1L 1C DISCUSS 1kANSIUSICN WI1n A1ILN1

2: ALCW CANDIDA1L 1C kLSCkI8L CN 1nL ILUID CnAk1 kCVIDLD

3: nAND 1nL S1UDLN1 1nL MLWS CnAk1. ULS1ICN 1: 1nL A1ILN1
IS C1nLkWISL ILLLING WLLL. WnA1 WCULD CUk MANAGLMLN1
8L?

4: ULS1ICN 2: WnA1 WCULD CU DC II CU SUSLC1LD A8C
INCCMA1I8ILI1?

S1A1ICN 7
Station courtesy of Dr E. Lee. Edited by Dr L. C. Saint
INS1kUC1ICNS CANDIDA1L

8ackground:
A paLlenL presenLed wlLh a Pb of 7 g/L. ?ou have Laken a Croup and
Save blood sample and ordered 2 unlLs of blood. ?ou now need Lo
prescrlbe Lhe blood, consenL Lhe paLlenL for a blood Lransfuslon and
answer any subsequenL quesLlons.






























S1A1ICN 7
Station courtesy of Dr E. Lee. Edited by Dr L. C. Saint
INS1kUC1ICNS SIMULA1LD A1ILN1 - !"##$ &'()*+,*-#)
1bls ls o commoolcotloo stotloo so tbe cooJlJote Joes oot oeeJ to toke o
blstoty/exom ftom yoo bot wlll explolo blooJ ttoosfosloo ooJ toke
cooseot.

?ou are a 19-year-old woman/man. ?ou are a paLlenL who has been
experlenclng shorLness of breaLh and Llredness for some Llme now and
have dlscovered you have severe lron deflclency anaemla, and need a
blood Lransfuslon. 1hls ls your flrsL blood Lransfuslon. ?ou are noL a
!evonah's wlLness or have any rellglous/culLural bellefs. ?ou are worrled
abouL havlng a Lransfuslon - lf noL dlscussed ask abouL Lhe rlsk of 'mad
cow dlsease'. ?ou wanL Lo know why Lhe Lransfuslon wlll help?

Cnce Lhe sLudenL has lefL Lhe sLaLlon, you wlll be asked Lo award Lhe
sLudenL a mark based on Lhelr lnLeracLlon wlLh you. 1he LoLal marks LhaL
you can award are 3 marks and you can award Lhe full range of marks
from 0 Lo 3. lease base Lhls score on, uld Lhe sLudenL clearly explaln Lo
you Lhe beneflLs and compllcaLlons of blood Lransfuslon? uld Lhey
explaln lL ln a way LhaL you could easlly undersLand, wlLhouL uslng
Lechnlcal/medlcal language? uld you feel LhaL Lhey were empaLheLlc and
supporLlve Lowards you? uld Lhey ask you lf you had any quesLlons or
concerns?

?ou wlll be asked Lo grade Lhe sLudenL's communlcaLlon skllls as follows:
3 marks = LxcellenL clarlLy, hlghly supporLlve
2 marks = MosLly clear, qulLe supporLlve
1 mark = oor clarlLy/dls[olnLed, noL supporLlve
0 marks = noL aLLempLed

lL ls lmporLanL LhaL you grade sLudenLs as accuraLely as you can so LhaL
Lhe performance of Lhe sLudenL lo tbe exom ls accuraLely reflecLed ln Lhe
marks Lhey recelve. We appreclaLe LhaL sLudenLs wlll be nervous and
may noL glve Lhelr besL performance, buL please only grade Lhe
consulLaLlon LhaL has [usL Laken place.


S1A1ICN 7
Station courtesy of Dr E. Lee. Edited by Dr L. C. Saint
Mark Sheet- CSCL. /('$-#0(*1,"(' 23(4-)(5-#) 65(5-#)

Lxamlner's name: CandldaLe name:

Scorlng: 0=lnadequaLe/noL done, 1=adequaLe, 2/3 =done well
1he global score reflecLs Lhe general aLLlLude and compeLence of Lhe candldaLe.

Sklll

Marks CommenLs
ALLlLude lnLroducLlon, washes hands, approach Lo paLlenL, clarlLy of
explanaLlons, empaLhy
0 1
Conflrm paLlenLs deLalls and allergy sLaLus 0 1
ConsenL Cffers explanaLlon of whaL he/she would llke Lo dlscuss and galns
consenL
0 1
Lxplalns beneflLs: Lo correcL Lhe low Pb, sympLomaLlc rellef, less
SC8/Llred.
0 1 2
Lxplalns rlsks (Award max 3 marks lf any Lhree are menLloned:
haemolyLlc Lransfuslon reacLlons, anaphylaxls, lmmedlaLe (A8C
lncompaLlblllLy), delayed anaemla and [aundlce, febrlle Lransfuslon
reacLlons, 18ALl, |nfect|on, fluld overload, lron overload, eLc.)
0 1 2 3
Lxplalns how Lhe blood ls glven (Lhrough a cannula slowly) 0 1 2
Lxplalns LhaL vlLal slgns wlll be monlLored before, every 13 mlnuLes
durlng, and Lhen 13 mlnuLes afLer Lhe Lransfuslon has flnlshed.
0 1
Lxplalns Lhe sympLoms of compllcaLlons for paLlenL Lo be aware of
and alerL sLaff (such as SC8, dyspnoea, fever, cough, hypoLenslon,
rlgors, lumbar paln)
0 1 2
Lxplalns safeLy checks (donors screened, blood screened, group and
save for lab Lo check blood, hosplLal proLocols Lo ensure correcL
paLlenL for correcL blood)
0 1 2
Checks LhaL Lhe paLlenL has undersLood and verbally consenLs Lo go
ahead.
0 1
Asks for quesLlons and glve leafleL 0 1
rescrlpLlon Lnsured charL was for correcL paLlenL/paLlenL deLalls wrlLLen
correcLly
0 1
Checked allergles 0 1
CorrecLly prescrlbes as packed red cells, 2 unlL prescrlbed
separaLely, prescrlbed over 3-4 hours
0 1 2
CuesLlons 1.Acknowledges febrlle non-haemolyLlc reacLlon and suggesLs
paraceLemol
0 1 2
2. (Score 0 lf does noL sLop blood). 1ake blood down and reLurn Lo
lab, assess as per A8CuL, conLacL senlors ls suspecL ulC
0 1 2 3
lmpresslon Agreed global score (paLlenL/examlner) 0 1 2 3
1oLal
/29


Lxamlners please make Lhls [udgemenL:
Clobal !udgemenL
Clear fall 8orderllne Clear pass very Cood
pass
LxcellenL
pass




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