Trial OSCE exam: 'Clarence&Emma2' by ClaireGo

You are taking part in a trial exam created by ClaireGo. There are 4 OSCEs in this exam including 1 double stations (50 minutes).
 

You have 3 minutes reading time. This OSCE will run for a maximum of 7 minutes.

Scenario:

You are the ED Consultant on duty on a Saturday afternoon in a busy tertiary ED. You have 50 beds, 4 resus rooms, and a 14 bed short stay. Currently there are 10 admitted patients awaiting inpatient beds, 1 resus room is occupied (septic elderly patient), and you've got 10 waiting to be seen. Ambulance control calls to inform you of a stadium collapse (approx 5 km away from your hospital) and confirm there are multiple injured patients who will probably be sent to your ED. You are about to enter an emergency meeting that you have convened with your most senior ED registrar, and your ED nurse coordinator.

Instructions for the candidate

Discuss the steps to prepare for the anticipated influx of patients.

Domains being examined

  • Medical Expertise
  • Prioritisation And Decision Making
  • Teamwork and Collaboration
  • Leadership and Management
 
The candidate has 3 minutes reading time. This OSCE is expected to run for a maximum of 7 minutes.

For the actor

Appear to be listening intently. Take notes. Prompts allowed include: "What else do we need to do?"/ "Is there anything else we can do?".
Ask at appropriate time:
- How sick are the patients likely to be?
- Why can't the other nearby hospitals share the burden?

For the examiner

Domains Assessment Objectives

Medical Expertise
Knowledge of disaster definition, preparation that includes ED but requires whole-of-hospital approach.

Prioritisation And Decision Making
Identifies important steps

Teamwork and Collaboration
- Delegation of tasks required
- Mentions other areas of hospitals

Leadership and Management
- mention of staff rotation, awareness of stress/distress for staff, debriefing at later date

Other Assessment Notes

Key elements of discussion
- Activate disaster plan
-- Set-up of central command area with relevant people (ED/hospital director)
-- Means of communication (radio)
- Disaster triage team
- ED surge management
-- Space: Create space in ED, utilise other areas of hospital
-- Staff: teams, visible ID, involve other specialties, relevant services
-- Supplies
-- Patient tracking
- Other
-- managing staff rotation
-- managing staff stress/distress
-- debriefing