Location: You have been called by the ward sister to see a patient who is scoring in their MEWS
Patient: 40 year old patient, has become acutely unwell whilst on the ward
– Take a focused history from the patient
– Perform a full ACDE assessment, a nurse will be available to help you with investigations or management that you require.
– After 6 minuets you will be asked a series of questions by the examiner.
– Answer any questions that the patient may have
Note to actor: Try to restrain yourself from volunteering to much information – you may do so when prompted (that is, by a specific question, not a general one). If a student is on the wrong line of clinical reasoning do not fuel this line of thinking, state no to the question as being ambiguous may prompt further questioning and does not allow the student to be appropriately tested. The aim of the exercise is to take a focused history; short answers are required.
You are usually fit and well, working as a gardener. You become unwell and went to see your GP who has sent you up to the hospital. You are a little confused and keep mixing up the details. You apologise to the doctor a lot as you are not making sense. You do not regularly see a doctor about anything, take no regular medications and do not have any drug allergies.