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St. John Fisher University, Wegmans School of Nursing

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Addressing Horizontal Violence in Medication Wasting

St. John Fisher University, Wegmans School of Nursing

This scenario involves an elderly male patient experiencing agitation in the Intensive Care Unit (ICU), requiring immediate and skilled nursing intervention. But as the scenario unfolds, Learners are placed in a position of simulated horizontal violence related to unsafe medication administration. The scenario begins with the patient's escalating agitation, prompting...

Fundamentals Leadership

This scenario involves an elderly male patient experiencing agitation in the Intensive Care Unit (ICU), requiring immediate and skilled nursing intervention. But as the scenario...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals, Leadership
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 10x10
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: clinical judgment, conflict resolution, Horizontal violence, ICU simulation, lateral violence, lorazepam administration, medication errors, medication wasting, nursing debriefing, nursing ethics, nursing leadership, Patient Safety, peer pressure in nursing, professional communication,
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Patient Advocacy in Correctional Nursing

St. John Fisher University, Wegmans School of Nursing

This scenario places Learners in a correctional facility where they must assess an inmate who sustained a head injury during a prison fight. Learners will navigate the complexities of this unique environment, utilizing the TeamSTEPPS protocol to advocate for a thorough neurological assessment, recognizing potential biases, and ensuring proper communication...

Ambulatory Care/Outpatient Services Community/Public Health Leadership SDOH Trauma

This scenario places Learners in a correctional facility where they must assess an inmate who sustained a head injury during a prison fight. Learners will...

Case Information:
Bundles:
Learner Population: Nursing, Social Worker
Specialty: Ambulatory Care/Outpatient Services, Community/Public Health, Leadership, SDOH, Trauma
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 10x10
Setting: Infirmary, Prison
Patient ect:
Patient Gender: Male
Tags: correctional nursing, decompensating patient, documentation, head injury assessment, interprofessional communication, neurological assessment, Nursing Interventions, patient advocacy, prison healthcare, resource limitations, security concerns, TeamSTEPPS,

Women’s Health, UG Nursing—Prenatal, Intrapartum, and Newborn Care

St. John Fisher University, Wegmans School of Nursing

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 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...

Community/Public Health Maternal and Child Health (MCH) SDOH

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health, Maternal and Child Health (MCH), SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 13x15
Setting: Maternity Unit, Other
Patient ect:
Patient Gender: Female
Tags: discharge planning, Discussion-Based, Intrapartum care, Labor progress, Newborn stabilization, nursing assessment, OB Clinic, prenatal care, SDOH (Social Determinants of Health), therapeutic communication, women's health,

SDOH Food Insecurity, Women’s Health

St. John Fisher University, Wegmans School of Nursing

Patient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that “mom never eats.” After obtaining a thorough history using open-ended questions and reviewing the patient’s available lab and imaging results, the patient is identified as...

Community/Public Health Maternal and Child Health (MCH) SDOH

Patient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health, Maternal and Child Health (MCH), SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 16x13
Setting: Other
Patient ect:
Patient Gender: Female
Tags: community-based organizations, food insecurity, nutrition discussion, nutritional needs, ob triage, open-ended questions, pica signs, point-of-care testing, pregnant patient, SDOH,

SDOH Housing Instability

St. John Fisher University, Wegmans School of Nursing

Maria Gomez is a 19-year-old, Latina female who currently lives in an urban encampment in Rochester, NY. Maria has been living at the encampment for 6 months. She does not have access to routine healthcare and is not currently utilizing any social services. The first touchpoint with Maria is at...

Community/Public Health Emergency Medicine Family Medicine Internal Medicine Medical/Surgical SDOH

Maria Gomez is a 19-year-old, Latina female who currently lives in an urban encampment in Rochester, NY. Maria has been living at the encampment for...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Community/Public Health, Family Medicine, Medical/Surgical, SDOH
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 13x15
Setting: Outdoor, Emergency Department, Other
Patient ect:
Patient Gender: Female
Tags: discharge planning, DKA, health history, Housing Instability, patient education, prenatal care, SDOH, social determinants of health, therapeutic communication, urban encampment,

Adult with Worsening Cough

St. John Fisher University, Wegmans School of Nursing

A 57-year-old male presents to a primary care clinic with a worsening cough over the past month. Learners need to identify and manage the acute COPD exacerbation and advance the treatment of the patient’s chronic condition according to GOLD criteria. The scenario includes an option for the student to present...

Family Medicine Internal Medicine Pulmonology

A 57-year-old male presents to a primary care clinic with a worsening cough over the past month. Learners need to identify and manage the acute...

Case Information:
Bundles:
Learner Population:
Specialty: Internal Medicine, Family Medicine, Pulmonology
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 15x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: acute COPD exacerbation, copd, cough, GOLD criteria, Smoking,

6 Year Old with Sore Throat

St. John Fisher University, Wegmans School of Nursing

Nolan is a 6-year-old male who presents to the primary care with complaints of sore throat for the past 3 days. The learner will be expected to evaluate the patient; this includes subjective and objective data collection, determining a differential diagnosis with a plan, ordering appropriate prescriptions, and educating the...

Family Medicine

Nolan is a 6-year-old male who presents to the primary care with complaints of sore throat for the past 3 days. The learner will be...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Family Medicine
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 16x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: POC Testing, Sore Throat, Strep,

Atypical Presentation of an Older Adult

St. John Fisher University, Wegmans School of Nursing

Elderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The student will have the opportunity to assess the patient, recognize confusion and s/sx of UTI/pyelonephritis, and order point of care testing, including glucose, dipstick U/A,...

Internal Medicine

Elderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Internal Medicine
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: antibiotics, Back pain, Dipstick urinalysis, EKG, Pyelonephritis, SOAP format, uti,