Clinician wellbeing, fatigue and sustainable practice — branching viva

Opening (candidate)

My first priority is the patient: the error was intercepted and the child is unharmed, so I would confirm the child is safe and the dose never reached them, and reassure the nurse who acted well. Then I would look after the registrar. She is acutely impaired by fatigue and showing a second-victim response, so I would relieve her from further high-risk tasks, ensure she is supported and not alone, and speak with her privately once the clinical situation is stable. I would also report the near miss, because it is a systems signal, not only a personal one. [1] [5]