Toddler home injury prevention — communication OSCE

Objectives

1. Elicit real home hazards without shaming. [1]
2. Deliver age-banded, passive-first anticipatory guidance. [1] [2]
3. Correct window-screen and poison-storage misconceptions. [3] [5]
4. Use teach-back and address equity barriers. [1] [2]

Candidate brief

12-minute station. Caregivers of a well 15-month-old are present. No acute distress. [1]

Expected actions

• Open with partnership: mobility changes risk; you will build a short plan together. [1]
• Ask about stairs, windows, poisons/medicines, batteries, hot drinks/water, choking hazards and water access. [1] [4]
• Explain flyscreens are not barriers; advise locks/guards and furniture placement. [5] [6]
• Prefer locked storage and child-resistant packaging for medicines/poisons; education plus equipment mindset. [2] [3]
• Mention button-battery house sweep if remotes/toys are present. [4]
• Rank three actions for tonight; teach-back; offer practical help if cost/landlord blocks devices. [1] [2]
• Safety-net: when to seek emergency care for possible ingestion, burn or serious fall. [1] [4]

Marking

Pass: non-judgemental history, passive-first ranked plan, window/poison specifics, teach-back. [1] [2]
Fail: shaming; calling injuries inevitable accidents; endorsing flyscreens as barriers; no clear plan; ignoring batteries/poisons. [1] [5]