School health plan and nurse call — OSCE

Objectives

1. Convert a form request into a full school-health safety plan. [1] [4]
2. Counsel on anaphylaxis emergency steps and on-site medicine access. [4]
3. Partner with school nursing realities and medical-home linkage. [1] [2]
4. Safety-net after school incidents and attendance collapse. [1] [10]

Candidate brief

12-minute station. Caregiver present (child optional). Task: complete a focused school-health plan discussion and counsel. A brief nurse phone update may be introduced. [1] [4]

Expected actions

• Open agenda beyond signature: school-day risks, last incidents, attendance. [1]
• Write/explain executable anaphylaxis steps with IM adrenaline first. [4]
• Check device access, training, nurse coverage and excursions. [1] [4]
• Link plan to medical home and any SBHC involvement. [2] [3]
• Avoid antihistamine-first teaching as replacement for adrenaline. [4]
• Set disposition after any school reaction and plan-review timing. [4]
• Use clear non-jargon language and teach-back. [1]

Marking

Pass: executable plan, adrenaline-first counselling, operational checks, medical-home linkage, clear safety-net. [1] [4]
Fail: form-signing only; antihistamine-first; assumes continuous nurse without checking; no on-site medicine plan; no follow-up after incident. [1] [4]