Stage 1

You are an FY1 doctor covering the paediatric wards and the emergency department (ED) in a district general hospital on a Friday evening shift.

Your registrar is currently in ED reviewing a critically unwell child.

You have been handed over three tasks from the day team.

Location

Name

Age

SBAR

Children’s
Ward

Nathan

2 years

S: 2 day history of diarrhoea and vomiting
B: Previously well child
A: initially 5% dehydration, IV fluids for previous 24 hours, drip tissued
R: Needs new cannula to continue IV fluids

Postnatal
ward

Baby Potter 

1 day

S: Poor feeding
B: Term baby
A: Grunting, RR 70 breaths/min
R: Midwife requests doctor to review

ED

Orode

3 days

S: Referred by community midwife for review of jaundice
B: Term baby, breastfeeding, mother’s blood group B+ve
A: HR 150 bpm, sclerae yellow
R: Nurse requests doctor to review

What is the appropriate next action?

Map: TAME case 6 - Bella (Branched Tutor version) (364)
Node: 6175
Score:

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