Original RN OSCE scenario · IS-04
Shift handover for a resident with acute confusion
ISBAR handover practice in aged-care.
2 minutes reading · 8 minutes practice. Reading is free; AI practice requires sign-in and an available station allowance.
Complete candidate reading card
Your scenario and task
You are the RN in an aged care facility. Ruth Thompson, aged 82, has a new fluctuating confusion and is awaiting a booked urgent clinician review. You are handing over to the next RN. Give ISBAR handover, include current safety needs and confirm responsibility for follow-up. Complete the supplied practice record. A second RN is available. You have eight minutes; describe and select physical actions in this online exercise.
What this type of station practises
Make a clear clinical request using Introduction, Situation, Background, Assessment and Recommendation. The listener should understand both the concern and the action needed.
In “Shift handover for a resident with acute confusion”, use the task in the reading card to decide what to assess, explain and record in aged-care. Practise a telephone escalation, a shift handover or a transfer of care. Prepare a brief opening, relevant background, measured findings and an explicit request. Do not delay emergency assistance to finish a routine call.
These are general rehearsal aims, not the answers to this scenario. Respond to information obtained during practice rather than a memorised solution.
Say-and-do preparation
Prepare the sequence and language with a related checklist. Online rehearsal develops thinking and explanations; physical technique needs supervised in-person practice.
ISBAR telephone rehearsal checklist →
Explore all isbar handover scenarios → · RN OSCE exam structure →
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Last checked 2026-10-30 · NMBA exam information · RN Standards for Practice