Explaining the ASCIA action plan and demonstrating the autoinjector — OSCE

Candidate instructions (8-minute station)

You are the paediatric registrar in the discharge bay of the emergency department. A 6-year-old child weighing 19 kg is ready to go home after an anaphylactic reaction to peanut, treated with intramuscular adrenaline. The child has never had an adrenaline autoinjector prescribed before. The child's mother and the child's class teacher (who is present to learn the school plan) are in the room. ^[10]

Your tasks are: ^[10]

1. Explain the green ASCIA Allergic Reaction Plan and the red ASCIA Anaphylaxis Action Plan, and the single decision that takes a carer from green to red. ^[10]
2. Demonstrate correct adrenaline autoinjector technique on a trainer device, to the mother and the teacher, and have them practise. ^[9]
3. Explain the lie-flat positioning, the five-minute repeat rule, and why every community device use means ambulance and hospital observation. ^[12]
4. Agree the school plan with the teacher — where the device is stored, who is trained, and how the response is rehearsed. ^[10]

You are not expected to manage the reaction itself — that is done. You are building the prevention package the family and school will carry home. ^[10]