OBANA / NMBA OSCE · Week 1 · Day 3 — S33 Referral & MDT Collaboration
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OSCE Preparation · Week 1 · Day 3
Welcome to today

Referral & Multidisciplinary Collaboration

Skill S33 — scope, teamwork and cultural safety: the professional context that frames every clinical skill you'll be assessed on.

Facilitator
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Date
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Running time
9:00am – 4:00pm
Acknowledgement of Country

We acknowledge the Traditional Custodians of the lands on which we meet and learn today, and pay our respects to Elders past, present and emerging.

We extend that respect to all Aboriginal and Torres Strait Islander peoples here today — and carry it into today's focus on culturally safe practice.

The plan

Day at a glance

09:00–10:30Session 1 — Theory A: scope of practice & the NMBA Decision-Making Framework90m
10:30–10:45☕ Morning tea15m
10:45–12:15Session 2 — Theory B: the structured (ISOBAR) referral, consent & privacy90m
12:15–12:45🍽 Lunch30m
12:45–14:00Session 3 — Deep-dive: common errors, documentation & Skills-Book walkthroughs75m
14:00–15:15Session 4 — Interactive scenarios (worked live as a class)75m
15:15–16:00Session 5 — Consolidation: formative quiz, recap & set practice45m

Press Agenda (bottom-right) any time to jump to a block. Use the Timer to keep sessions and breaks on track.

The importance behind the skill

Why this matters

Patient safety

Decisions made outside scope, and incomplete handovers, are leading causes of avoidable harm. A clear referral is the safety net that gets the patient to the right clinician.

Where IQRNs lose marks

Australian practice differs from many systems: flat teams, explicit documented consent, and audited documentation. These differences — not clinical skill — are where candidates most often fall short.

It threads every station

Scope, consent and cultural safety are assessed across the OSCE — not in one station. Get these right and you protect your marks everywhere.

By the end of today you can…

Learning objectives

1

Identify a clinical, functional or psychosocial need that exceeds RN scope and select the correct referral pathway.

2

Make a structured (ISOBAR) referral with consent, sharing only the minimum necessary information.

3

Apply the NMBA Decision-Making Framework to scope-of-practice decisions.

4

Describe culturally safe practice for IQRNs and the key Australian-practice differences (consent, flat teams, documentation, audited standards).

The exam lens

What AHPRA & the NMBA assess

How the OSCE works
  • A multi-station OSCE, marked criterion-referenced against the NMBA Registered Nurse Standards for Practice.
  • Assessors score observable behaviours — what you say and do, not what you intend.
  • This skill maps to the assessment, planning, communication and professional practice domains.
  • Pass = meeting the station criteria and committing no critical-safety breach.
CRITICAL-SAFETY — AUTO-FLAGS THIS SKILL
1 · Acting outside RN scope

Performing or accepting tasks beyond your competence/authorisation instead of escalating.

2 · Breach of consent / privacy

Sharing information without consent, or sharing more than is necessary.

Either can fail the station regardless of other marks.

The actual rubric · each criterion marked S / NYS

How Station 33 is marked

1 · Identification of referral need
  • Identifies a clinical, functional, psychosocial or risk-related need beyond RN scope
  • Confirms the appropriate referral pathway
2 · Communication of the referral
  • Uses structured communication (ISOBAR)
  • Clear background, current status, specific request & urgency
  • Confirms receipt & accepted action by the receiver
3 · Consent & information sharing
  • Obtains informed consent for the referral & sharing
  • Shares only the minimum necessary information (Privacy Act, NMBA Code)
4 · Documentation & follow-up
  • Documents who, when, why & the response
  • Confirms the patient is informed of next steps
  • Follows up that the referral is actioned in time
FRAMEWORK ALIGNMENTNSQHS Std 6 — Communicating for Safety·NSQHS Std 2 — Partnering with Consumers·NMBA RN Standards 2, 3, 5, 6·Privacy Act 1988 (Cth)
Session 1 · Theory block A · 90 min

Scope of practice & the NMBA Decision-Making Framework

What you may do, how you decide, and what to do when a need exceeds your scope.

Foundations

What is scope of practice?

The full range of roles, functions and responsibilities that an RN is educated, competent and authorised to perform. Scope is both what your profession may do and what you, individually, are currently competent to do.

Education & competence

Have you been trained and assessed, and do you maintain currency?

Context & policy

Does your setting, employer policy and available support permit this activity?

Authorisation

Are you authorised to do it — and accountable for the outcome?

Your decision tool

The NMBA Decision-Making Framework (DMF)

Use the DMF to decide whether an activity is within your scope. Work the questions in order — if any answer is "no", you don't proceed alone.

01
Is the activity in the patient's best interest and supported by evidence?
02
Am I educated & competent to perform it safely?
03
Is it supported by policy, protocol and my role?
04
Am I authorised, and are the right resources & support available?
05
Am I prepared to be accountable for the decision and outcome?
If any answer is "no"
Do not proceed alone → seek support, escalate or refer, and document your reasoning.
Apply it

Worked example — the pressure to "just do it"

Scenario: A patient needs a medication via a route you've never been credentialed to administer. The ward is short-staffed; a colleague says, "you'll be fine, just do it."

Work the DMF — what do you decide?
  • Competent? No — never credentialed for this route. Authorised? No.
  • Best interest? An unsafe administration is not in the patient's interest.
  • Decision: Decline to proceed alone. Seek a credentialed colleague or escalate to the team leader; arrange supervision/credentialing if appropriate.
  • Then: Document the decision and your reasoning. Peer pressure does not change scope.
CRITICAL-SAFETY POINT 1

Acting outside RN scope

What it looks like
  • Performing tasks beyond your competence or authorisation
  • Accepting unsafe delegation or verbal pressure
  • Not escalating a need you can't safely meet
  • "Helping out" beyond role in a busy moment
The safe behaviour
  • Recognise the limit of your scope
  • Decline to proceed unsafely
  • Escalate / refer to the right person
  • Document the decision and rationale
Consequences of getting this wrong: patient harm · critical fail in the OSCE · professional accountability and possible AHPRA notification.
Objective 1

Identifying a need that exceeds RN scope

Your assessment may reveal a need you can't safely meet alone. Name the type of need — it points you to the right referral.

Clinical

e.g. a wound deteriorating beyond protocol, a medication review, early signs of deterioration.

→ medical review / escalation
Functional

e.g. mobility, swallowing, activities of daily living, equipment needs.

→ physio / OT / speech / dietitian
Psychosocial

e.g. housing, finances, grief, family safety, isolation.

→ social work / mental health
Who do you refer to?

Referral pathways & the team

Medical

GP, nurse practitioner, medical officer, specialist teams.

Allied health

Physio, OT, dietitian, speech pathology, pharmacist.

Specialist & community nursing

Wound, stomal, diabetes & mental-health nurses; community / Hospital-in-the-Home.

NDIS & My Aged Care

Disability & aged-care assessment, supports and care coordination.

Social work, mental health & palliative care

Psychosocial & safety, crisis/liaison, and end-of-life care.

Internal escalation

Team leader, rapid-response / MET, and Aboriginal & Torres Strait Islander Health Workers for culturally safe care.

Talk it through · reveal the model answer

Discussion — in scope, or refer?

A participant asks you to adjust their wheelchair seating.
Functional need beyond RN scope — seating prescription is an OT/physio role. Acknowledge, ensure comfort/safety now, and refer to OT.
A patient quietly says they feel unsafe at home.
Psychosocial + safety. Respond with empathy, gain consent, and refer to social work / the relevant safety pathway. Share only what's necessary; document.
A wound looks infected and is beyond the dressing protocol.
Clinical need beyond scope — escalate for medical review. Hand over with ISOBAR; don't continue an inappropriate plan.
☕ Morning tea
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Back at 10:45 for Session 2 — the structured referral.

Session 2 · Theory block B · 90 min

The structured referral — ISOBAR, consent & privacy

Saying it clearly, with consent, sharing only what's necessary.

Objective 2 · the Australian handover standard

ISOBAR — structure every referral & handover

I
Identify — yourself, the patient, and who you're referring to.
S
Situation — why you're referring, right now.
O
Observations — relevant, current findings (vitals, assessment).
B
Background — the relevant history and context.
A
Agreed plan — your clear ask, the actions and who is responsible.
R
Read-back & risk — confirm shared understanding; flag any risks.
A condition of sharing

Consent in referral

Valid consent is…
  • Voluntary — free from pressure
  • Informed — what, why and with whom
  • Specific — to this referral / sharing
  • Current, by a person with capacity
Australian-practice difference

Consent is explicit and documented — not assumed. Implied consent within the care team is limited. Explain the referral and ask, then record it.

Exceptions (serious risk to safety, legal obligations) are narrow — escalate if unsure.

Share only what's needed

Privacy & the minimum necessary

Information sharing in Australia is governed by the Privacy Act 1988 and the Australian Privacy Principles. The rule of thumb: need-to-know, minimum necessary.

Do
  • Share only information relevant to this referral
  • Use secure, professional channels
  • Record what was shared, with whom and why
Avoid
  • Oversharing history that isn't relevant
  • Corridor / lift conversations about patients
  • Social, cultural or family detail with no bearing on care
CRITICAL-SAFETY POINT 2

Breach of consent / privacy in sharing

What it looks like
  • Sharing information without consent
  • Sharing more than is necessary
  • Discussing patients where others can hear
  • Accessing records without a care reason
The safe behaviour
  • Consent first, then share
  • Minimum necessary information
  • Use secure channels
  • Document the consent obtained
Consequences: loss of trust & harm · critical fail in the OSCE · breach of the Privacy Act · AHPRA accountability.
Worked example · social-work referral

A full ISOBAR referral, said aloud

I — "Hi, I'm Aria, RN on ward 4B, calling the social work team about Mrs Patel, bed 12."
S — "She's medically ready for discharge tomorrow but has told me she can't manage at home alone and is fearful about her living situation."
O — "Obs stable. She's independent with care on the ward but anxious and tearful when discharge is discussed."
B — "72, admitted with a fall, lives alone, limited supports. She has consented to this referral."
A — "Could you complete a psychosocial assessment and discharge-planning review before tomorrow? I'll document and flag it to the team."
R — "So you'll see her this afternoon and let me know the plan — is that right?"
What did the nurse do well?
Got and stated consent; shared minimum necessary info; made a clear ask with a timeframe; closed with a read-back; committed to document.
Talk it through · reveal the model answer

Discussion — getting sharing right

A relative phones asking how the patient is. What do you do?
Don't assume consent to disclose. Confirm the patient's wishes/consent first; if not established, don't share — explain why politely and check the documented preferences.
You're rushed — is it okay to skip the read-back?
No — read-back is where errors are caught. It takes seconds and is an assessed behaviour. Never trade it for speed.
The patient lacks capacity to consent right now.
Act in their best interests, involve the substitute decision-maker per policy, share only what's necessary for safe care, and document the basis for your decision.
🍽 Lunch
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Back at 12:45 for the deep-dive & skill walkthroughs.

Session 3 · Deep-dive · 75 min

Common errors, documentation & the Skills Book

Where marks are won and lost — and the cultural-safety differences at the heart of this skill.

Reveal the fix

Common errors IQRNs make — and the fix

Deferring entirely to doctors
Flat teams expect nurses to contribute, question and escalate. Speaking up is your role.
Assuming implied consent
Ask explicitly and document it. Don't assume sharing is okay because it's "within the team".
Oversharing in the referral
Share only what's relevant to the ask. More is not better.
Vague referral, no clear ask
State the action you want and confirm with a read-back. The "A" and "R" of ISOBAR.
Acting on verbal pressure
"Just do it" doesn't change your scope. Apply the DMF; decline and escalate if unsafe.
Under-documenting reasoning
Record the need, your decision and consent. "Not documented = not done."
"Not documented = not done"

Documentation standards

What to document for a referral
  • Assessment findings & the need identified
  • Your DMF reasoning / scope decision
  • Consent obtained
  • The referral — who, when, what was shared
  • Read-back & agreed plan
  • Follow-up / evaluation
Australian standard
  • Contemporaneous — at the time, or as soon as possible
  • Factual, objective, legible
  • Signed, dated, timed
  • Audited against standards — and discoverable as a legal record
Recap from Day 1 · any breach can be an auto-fail

The eight critical-safety behaviours

01
Patient identification & consent
02
Practise within scope; escalate
03
Hand hygiene & infection control
04
Safe medication practice
05
Recognise & respond to deterioration
06
Privacy & confidentiality
07
Accurate, contemporaneous documentation
08
Culturally safe, respectful communication
Facilitator note: confirm this list matches your program's Day 1 Skills Book; #2 and #6 are the two that apply most directly to S33.
The heart of today

Cultural safety & the Australian-practice differences

Cultural safety is defined by the person receiving care, not the practitioner. It means examining your own assumptions, power and bias — and the NMBA Code requires it. For IQRNs, name the practice differences where marks are most often lost:

Consent
Explicit, patient-led and documented — not assumed.
Flat teams
Nurses question, advocate and escalate; hierarchy is functional, not deferential.
Documentation
Detailed, audited and accountable.
Standards & autonomy
Criterion-referenced, evidence-based; patient autonomy & shared decision-making are central.
Against the checklist · reveal each step

Skills Book walkthrough — the referral, step by step

1 · Prepare
Hand hygiene, introduce yourself, confirm patient identity, ensure privacy.
2 · Assess & identify need
Name the clinical / functional / psychosocial need.
3 · Apply the DMF
Decide in/out of scope; if out, refer/escalate.
4 · Gain consent
Explain what, why and to whom; obtain and note consent.
5 · Structure with ISOBAR
Deliver a clear, structured handover with a defined ask.
6 · Read-back, document & evaluate
Confirm understanding, document the episode, follow up on the outcome.
Facilitator note: demonstrate against your Skills Book checklist and have learners tick each step as you go.
Session 4 · Interactive scenarios · 75 min

Work the scenarios — together

Three live briefs. For each: identify the need, decide scope, gain consent, and structure the referral. Reveal the model decision after the class commits to an answer.

Scenario 1

Mrs P — discharge & safety

Brief: Mrs P, 72, is medically ready for discharge. During discharge planning she tells you she can't manage at home and is fearful of her son. She becomes tearful.

What need(s) are present?
Functional (managing at home) + psychosocial + a potential safety concern.
In scope to resolve alone?
No — refer to social work and escalate the safety concern per policy; don't discharge unsafely.
Consent & information?
Explain who you'll involve and why, gain consent, document it, and share only the minimum necessary.
Structure the referral
ISOBAR to social work with a clear ask (psychosocial & safety assessment before discharge) and a read-back.
Scenario 2

A busy shift — delegation & pressure

Brief: It's a busy shift. You consider delegating a task to an AIN, and a medical officer asks you to perform a procedure you're not credentialed for, saying "it's quick".

Can you delegate the task?
Only if it's within the AIN's scope and you apply the rights of delegation (right task, circumstance, person, direction, supervision). You remain accountable.
The procedure you're not credentialed for?
Apply the DMF — not competent/authorised → decline, explain why, offer to find a credentialed clinician, and document.
The cultural-safety angle?
Speaking up to a senior is expected here. A respectful "no, because…" is professional, not insubordinate.
What's the critical-safety risk?
Acting outside scope under pressure — auto-flag #1. Pressure never changes scope.
Scenario 3

A deteriorating wound

Brief: A wound looks infected and is beyond the dressing protocol. Observations are trending up — early signs of deterioration.

What's the need & is it in scope?
Clinical need beyond the protocol → medical review; escalate per the deterioration pathway.
Recognising deterioration
Act on the trend — escalate early (critical-safety behaviour 05). Don't wait for a crisis.
Structure the escalation
ISOBAR to the medical officer; clear ask for review within a timeframe; read-back; document.
Do consent & privacy still apply?
Yes — keep the patient informed and share only what's necessary, even under time pressure.
Session 5 · Consolidation · 45 min

Consolidation & set practice

Formative quiz, recap of the critical-safety behaviours, and the self-directed work to complete before Day 4.

Check understanding · reveal the answer

Formative quiz

1 · Name the two critical-safety points specific to this skill.
Acting outside RN scope; breach of consent / privacy in information sharing.
2 · What does the "A" in ISOBAR stand for — and why does it matter?
Agreed plan — your clear ask, the actions and who's responsible. Without it, a referral is just information.
3 · Before sharing information to refer, what must you obtain and document?
Consent — and share only the minimum necessary information.
4 · An MO pressures you to work beyond scope. Which framework guides you?
The NMBA Decision-Making Framework — decline if not competent/authorised, escalate, and document.
The one thing to remember

Recap — protect these, protect your marks

TWO CRITICAL-SAFETY POINTS
1 · Stay within scope — escalate when a need exceeds it.
2 · Consent first, then share the minimum necessary.
And remember…
  • Use the DMF to reason aloud about scope.
  • Structure every referral with ISOBAR — clear ask + read-back.
  • In a flat team, speak up and escalate.
  • Document — not documented = not done.
  • Cultural safety is defined by the patient.
Before Day 4

Set practice — self-directed work

1
Complete the self-directed scenarios in your Skills Book.
2
Practise an ISOBAR referral aloud with a peer — include consent and read-back.
3
Read the NMBA Decision-Making Framework and the cultural-safety section of the Code of Conduct.
That's Day 3

Scope. Consent. Cultural safety.

Today you learned to recognise when a need exceeds your scope, refer with a structured ISOBAR handover, protect consent and privacy, and practise in a culturally safe way.

Thank you — see you on Day 4.

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