Handover, referral and consultation in paediatrics — branching viva

Station stem

You have four linked oral tasks. Speak as you would on the ward. Structure is marked. [1]

Branch A — I-PASS night handoff

Examiner: Hand over a 4-year-old post-ictal after a first long seizure, glucose corrected, neurology review pending, parent still worried. [1] [7]

Expected

• Illness severity and residual risk named.
• Summary with age, event, response, pending neurology.
• Actions with owners; if-then contingency for further seizure or reduced consciousness.
• Invite receiver synthesis; include caregiver concern. [1] [7]

Branch B — Specialty consult

Examiner: Call cardiology about a neonate with duct-dependent physiology concern. [2]

Expected

• ISBAR with clear question, urgency, what was done, specific ask, callback. [2]

Branch C — Closed-loop in a code

Examiner: Give one critical drug order and show closed-loop. [3]

Expected

• Precise dose/route; read-back; confirm. [3]

Branch D — Complex child, language discordance

Examiner: Transfer a technology-dependent child; family has limited English. [4] [6]

Expected

• Baseline, devices, emergency plan; professional interpreter; no child interpreter; family-inclusive structured communication where safe. [4] [5] [6]

Pass criteria

Candidate uses structure without dumping, names residual risk, forces synthesis or read-back, and protects equity and ownership of pending actions. [1] [4] [5]