Explain a sentinel oral injury and the safeguarding plan to a carer — OSCE

Candidate instructions

Explain to the carer, with empathy and without accusation, that the torn frenum and ear bruise are injuries that require a full safeguarding assessment because they are not typical of the described mechanism in a non-mobile infant. Outline what the assessment involves (skeletal survey, scans, eye exam, blood tests), why the baby cannot go home until the assessment is complete, and that a report to child protection will be made as part of standard duty of care — not as an accusation. Agree a clear plan and safety-net. The examiner plays the mother. ^{[3] [5]}