Post-operative complications — emergency management station

Station brief

Format. Emergency management station, approximately 12 minutes. You are the gynaecology registrar on the post-operative ward at 03:00. The nurse calls you for the deteriorating patient; the senior registrar is on call but the consultant is 30 minutes away. The assessor will run the clock and feed you new observations.^[1]

Candidate instruction. Lead the management of a post-operative complication with a NEWS2 score of 6 on day 5 after major gynaecologic oncology surgery. Verbalise your actions, your drug orders with doses, your escalation triggers, and your communication with the team, the consultant and the patient.^[2][3]