We discussed discussion with parents of a newborn baby noted to be dusky 4 hours after birth. Registrar’s assessment in likely congenital cyanotic heart disease, possible Transposition of Great Arteries – TGA.
The learning points are:
- Read the TASK carefully. Pay attention to details of scenario provided.
- Do NOT go into the room with prefixed – NON movable ideas / plan.
- If diagnosis NOT confirmed – consider how to confirm in a simple manner. EXPLAIN.
- Offer basic differential.
- Ask for partner to be present – offer the chance.
- Take ward sister with you – mention in setting the scene
- Respond to Role players ‘concerns’.
- ‘Is he going to die?” a common question – HAS to be answered HONESTLY
- DO NOT brush aside and move on with your own plan.
- Read the Task before reading the information on the sheet outside.
Please add your comments if I have missed any other points.