Trigger
You are a junior doctor working in the anaesthetic department at a major hospital. The next patient on your list is Mrs Jones, a 48 year old lady booked for an elective laparoscopic cholecystectomy.
Your consultant has assessed Mrs Jones and have now asked you to gain Mrs Jonesโ consent for the general anaesthesetic.
Tasks
- Consent Mrs Jones for a general anaesthetic.
Actorโs Script
You are Mrs Jones, a 48 year old lady having an elective cholecystectomy today. The candidate has been asked to gain your consent for a general anaesthetic and to answer your questions.
Do not provide the patient with any history. If asked, say โI donโt knowโ to any questions.
Marking Key
Introduction
- Washes hands
- Introduces name and role
Procedure
- Gives a brief description of general anaesthesia
Before
- Brought into a special room
- Monitoring equipment attached
- IV cannulation
- Medications to fall asleep
During
- Intubation and ventilation
- Continuous monitoring and correction
- Anaesthetist present throughout
After
- Wake up in a special recovery area
- Cannot drive or sign documents for 24 hours
Benefits
- No recollection of surgery or pain
Risks
Common
- Sore throat
- Dental injury
- Confusion and drowsiness
- Postoperative nausea and vomiting
Uncommon
- Anaphylaxis
- Awareness
- Aspiration
- Death
Alternatives
- No realistic alternatives
Professionalism
- Confirms understanding
- Solicits patientโs questions and concerns
- Avoids use of jargon