Perioperative nerve injury — communication and disclosure station

Station brief

Format. Communication and disclosure station, approximately 12 minutes. You are the gynaecology registrar on PACU. A 52-year-old had a 4-hour robotic radical hysterectomy in steep Trendelenburg. She has a weak left arm and numbness in the C5-C6 dermatomal distribution. The patient is alert and her partner is at the bedside. The consultant is in theatre.^[1]

Candidate instruction. Assess the patient's neurological deficit, document the finding, and disclose the event to the patient and her partner. Verbalise your clinical assessment, your documentation, and your communication. The assessor will role-play the patient and partner.^[1]