Consent and prepare a child for a procedure — OSCE

Candidate instructions

You are the paediatric registrar on the ward. A 4-year-old child needs an intravenous cannula for antibiotic therapy. The bedside team has suggested holding the child down. You have 8 minutes to take valid consent and assent, deliver the preparation conversation, outline the comfort bundle, and explain your approach to restraint and the documentation. ^[1]

The four tasks are: take valid consent and developmentally appropriate assent from the parent and child and explain the framework you are using; deliver the preparation conversation for this preschool child and her anxious parent, including what to say, what to avoid, and how you will brief the parent; outline the bedside comfort bundle you will assemble; and explain your approach to restraint versus a comfort position and the documentation you will complete. ^{[1] [3]}

You may use the parent as the simulated participant. You do not need to perform the cannulation. ^[6]