• SITUATION
  • Who – Introduce yourself, check you are speaking to the correct person and identify the patient you are calling about
  • Where – where are you and where is the child
  • What – what is the current problem
  • When – what was the timing of the current problem
  • Why – what you need advice about

• BACKGROUND
  • Patient’s details (name, gender and age)
  • Reason for admission,
  • Relevant past medical history
  • Diagnosis
  • Progress, interventions, key recent investigation results

• ASSESSMENT
  • Specific physiological observations (e.g. Paediatric Advanced Warning Score, PAWS) using ABCDE approach
  • Present findings in ABCDE structure

• RECOMMENDATION
  • State very specifically to the person you are calling what you want/expect them to do and when you expect it to be done by.
  • A discussion of the following could then be helpful: Management plan? Further investigations? Whether senior review is required? Is transfer to higher level of care required?

• READBACK/ RESPONSE
  • Ask the respondent to readback information given
  • Document the respondent's: name, grade, bleep number, their advice & when it should be done

S
It's Sue here the nurse on the assessment unit, is that the junior doctor? I've got a 8 month old here called Caleb Carter. I'd like you to review him please as he has difficulty in breathing
B
Caleb is 8 months child and was born prematurely at 30 weeks gestation. He had an uncomplicated stay on the neonatal unit for support of his feeding.
A
He is maintaining his own airway. He has respiratory distress and a respiratory rate of 71rpm. He's currently got saturations of 89% on air. He has a pulse rate of 180bpm and refill time (CRT) of 4 seconds.
I'm worried he may have bronchiolitis and has a raised paediatric warning score
R
Can you review him immediately please? Is there anything you would like me to do whilst you are on your way?