Stop the codeine — opioids and acute pain medicines

Candidate instructions

You are the after-hours registrar reviewing a four-year-old boy admitted overnight after adenotonsillectomy for obstructive sleep apnoea. On the prescription chart you see paracetamol, ibuprofen, and codeine. You have eight minutes to review the chart with the nurse, identify any prescribing error, explain your reasoning to the examiner, and propose a safe analgesia plan for the night. ^{[1] [2]}