GP Stage 3 Simulated Consultation - Healthcare Professional 10
You are a new SHO in Paediatrics and one of the nurses, Jenny has asked to speak to you. You have enjoyed your rotation to date, and have encountered a number of new challenges compared to your previous geriatric rotation.
You are Jenny, a paediatric nurse and you have arranged to speak with one of the doctors about their practice. You are wondering if the doctor would like some cannulation training as you note that they have struggled with a number of cannulas on young children; you would be more than happy to offer your time to train the doctor should they find this beneficial. You are concerned that young children are being subjected to repeated trauma as a result of the numerous failed attempts. Seeing the upset children and parents is bringing back bad memories of your childhood, where you were regularly admitted to hospital with chest infections. Unfortunately, these childhood memories are also bringing flashbacks of when you were sexually abused in hospital by one of the doctors. You have never mentioned this to anyone as you did not feel that they would believe you.
You are not keen for this to be investigated or discuss this in significant detail. If asked specifically, regarding the suspects current status, you report seeing him last week when you attended a course at a nearby hospital and understand that he is still working as a Consultant Paediatrician.
You are otherwise coping well, and despite your fluctuating emotions over the last week, you do not believe that your clinical care has been compromised. At home, you live with your partner and two children, and are generally well supported.
The kind offer from the nurse regarding cannulation training is somewhat unusual, and should be probed further to evaluate underlying concerns. Most candidates will establish the nurse’s personal history of recurrent childhood admissions, however the mention of childhood abuse will only be discussed with candidates probing sensitively and offering appropriate emotional support. It is clear that the recent encounter has upset the nurse, and supportive measures may include recommending the nurse to see the GP for counselling referral, as well as offering the nurse an open door policy should she wish to discuss the matter further at any time. Excellent candidates will also recognise the potential on-going risk to children given that the ‘suspect’ is presently working as a consultant paediatrician, which requires urgent attention.