MCQs, short practical answers, synthetic cases, finding errors and qualitative ordering use the existing MICA assessment formats. Sessions, history, progress and optional timing stay within Mon MICA.
FICTIONAL SITUATION · REFLECTION WITHOUT A SCORE
Fictional situation: rigors develop shortly after a pack is started. Blood pressure is preserved and a colleague suggests slowing without stopping.
What immediate response is appropriate?
Stop transfusion and escalate for assessment. Preserved blood pressure excludes neither contaminated product, haemolysis nor another serious reaction. Monitor ABC and observations, recheck identity, preserve the pack and giving set and follow transfusion service instructions. Maintain usable venous access according to procedure without flushing the suspected line or independently restarting transfusion after improvement.