Counselling a family after a neonatal morphine error — OSCE

Station brief (8–10 minutes)

A 7-day-old term neonate became briefly apnoeic after a weight-based morphine infusion was prescribed from an adult chart rather than the paediatric formulary. The nurse stopped the infusion, naloxone was given, and the baby has recovered. You are the registrar. The parent is at the bedside. Disclose what happened, explain why a 'standard' dose produced toxicity in this baby, and describe the prevention plan. Do not invent local statutory wording or compensation detail. ^{[1] [5]}