Interprofessional Medication Error Management and Disclosure
George Mason UniversityCarmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing nurse who reports that the patient is feeling unwell. Learner(s) will enter the room to assess the patient, identify that she has hypoglycemia from an...
Carmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing...
Recognition and Management of Cardiogenic Shock
TriHealthThis scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry floor, Learners receive handoff inside the patient's room from the nurse coming off their shift. Upon entering the patient's room, the Learner should actively assess...
This scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry...
Pediatric Traumatic Brain Injury (TBI)—Deployed
Uniformed Services University of the Health SciencesA 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...
A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...
Pediatric Traumatic Brain Injury (TBI)—Hospital-Based
Uniformed Services University of the Health SciencesA 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...
A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...
Adolescent Respiratory Distress
Children's NationalPatient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion since yesterday evening. He was initially brought to the ED where he received initial treatment, was placed on BiPAP and was transferred to the PICU....
Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion...
Pediatric Fever with Sickle Cell Disease
Children's NationalPatient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child has had a low-grade fever for 2 days, vomiting, diarrhea and today refused to eat and has been sleeping all day. Patient has a history...
Patient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child...
School Nurse—Administration Conflict Resolution
George Mason UniversityThis simulation takes place in a school administrative setting with no requirement to provide clinical care. This simulation is a seated single-player experience. Learners must utilize their conflict resolution skills to navigate two confrontations. The first is an aggressive colleague entering the learner's office and demonstrating combative behavior. The second...
This simulation takes place in a school administrative setting with no requirement to provide clinical care. This simulation is a seated single-player experience. Learners must...
Sudden Onset Respiratory Distress
Children's NationalA 16-year-old with Duchenne Muscular Dystrophy with tachycardia, tachypnea and hypoxemia, found to have a pulmonary embolism, which proceeds to cardiac arrest.
A 16-year-old with Duchenne Muscular Dystrophy with tachycardia, tachypnea and hypoxemia, found to have a pulmonary embolism, which proceeds to cardiac arrest.
NICU Nutrition Management
George Mason UniversityA 3-day-old preterm infant, born at 32 weeks gestation, is in the NICU receiving care for growth restriction and feeding support. The infant is transitioning from parenteral to enteral nutrition. Participants will collaborate to assess the infant's condition, monitor feeding tolerance, calculate nutritional needs, and communicate updates to the healthcare...
A 3-day-old preterm infant, born at 32 weeks gestation, is in the NICU receiving care for growth restriction and feeding support. The infant is transitioning...
School Nurse—Administrative Coaching
George Mason UniversityThis simulation takes place in the school district environment. Learners will engage in a coaching conversation with Kyson Potts, a nurse who has been in the district for 20 years. Kyson is having performance issues. Learners will need to assess why Kyson is not performing as expected, and develop an...
This simulation takes place in the school district environment. Learners will engage in a coaching conversation with Kyson Potts, a nurse who has been in...
Community Crisis Response
George Mason UniversityA local crisis hotline receives a call regarding a 17-year-old individual displaying signs of acute emotional distress. The individual, identified as "Lucia," stands alone near the edge of a wooded area in a public space. Lucia appears visibly upset and distant, potentially in need of immediate assistance. The county Crisis...
A local crisis hotline receives a call regarding a 17-year-old individual displaying signs of acute emotional distress. The individual, identified as "Lucia," stands alone near...
Team Dynamics During Patient Escalation
Nationwide Children's HospitalRiley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.
Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.
Altered Mental Status—MVA
Children's NationalA 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.
A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.
Artificial Airway
University of Pennsylvania School of NursingRuma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has been weaned off of mechanical ventilation and is breathing on her own, receiving oxygen via a humidified trach collar. Ruma is alert and oriented. A...
Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has...
Heat Stroke Pain Management in an Adult
Mount Saint Mary's UniversityThe patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized but the nurse reports that he was complaining of general fatigue & a mild headache. He was given acetaminophen 650 mg PO about 3 hours...
The patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized...
ICU Clinical Swallow Evaluation—Speech Pathology
University of Delaware College of Health SciencesThe learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The learner will complete a case history, oral motor exam, therapeutic PO trials, make recommendations, and complete a FEES study.
The learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The...
Pharmacotherapy of Endocarditis and Septic Shock
University of Pittsburgh School of PharmacyA 46-year-old man with a history of prosthetic mitral valve replacement presents to the emergency department with fevers and hypotension. The Learner will identify their diagnosis on rounds and guide the team’s treatment plan as well as communicate that plan with the patient’s family.
A 46-year-old man with a history of prosthetic mitral valve replacement presents to the emergency department with fevers and hypotension. The Learner will identify their...
Women’s Health, UG Nursing—Prenatal, Intrapartum, and Newborn Care
St. John Fisher University, Wegmans School of NursingTonya is a 32-year-old woman who will be seen across the pregnancy continuum from antepartum to intrapartum through NB stabilization. This case has a special focus on identifying and discussing SDOH for UG nursing students enrolled in a women’s health course. During each phase the student team will complete an...
Tonya is a 32-year-old woman who will be seen across the pregnancy continuum from antepartum to intrapartum through NB stabilization. This case has a special...
TCCC Blast Injury
VALOR ProgramSet in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg tourniquets, identify all wounds, recognize tension pneumothorax, perform a needle decompression, and give a dose of antibiotics.
Set in a field environment, the casualty has suffered a right leg amputation and right sided pneumothorax after IED injury. Participants must apply two leg...
TCCC Blunt Trauma
VALOR ProgramSet in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for hemorrhagic shock. If performed, an ultrasound will demonstrate free abdominal fluid indicating intra abdominal hemorrhage. They should attend to a patient's pain, give antibiotics, provide...
Set in a field environment, casualty is suffering from multiple traumatic injuries. Participants should conduct a MARCH survey, give TXA, and initiate blood transfusion for...
TCCC Dual Patient
VALOR ProgramSet in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic injuries. One casualty has a significant blunt head injury. The other casualty had blunt abdominal, chest, and lower extremity injuries. Participants will have to work...
Set in a field environment, participants need to perform a MARCH assessment and manage life-threatening injuries for two wounded casualties. They both suffered blunt traumatic...
TCCC Entrapment
VALOR ProgramSet in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound that requires a tourniquet, but they can be pulled to safety. The driver has a pinned/crushed leg and is unable to be moved, requiring a...
Set in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound...
TCCC Mass Casualty
VALOR ProgramSet in a field environment, participants respond to the scene of a mass casualty event. There are six casualties that require initial triage, and participants should perform immediate life-saving interventions as indicated. The scene then moves to the casualty collection point, where participants can complete a MARCH survey and prepare...
Set in a field environment, participants respond to the scene of a mass casualty event. There are six casualties that require initial triage, and participants...
TCCC Penetrating Trauma
VALOR ProgramSet in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey, decompress tension pneumothorax, place leg tourniquet, and apply a foley to a junctional axillary wound.
Set in a field environment, participants evaluate a casualty who suffered multiple gunshot wounds. The location is now secure. Participants should perform a MARCH survey,...