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Nursing Essentials: Head to Toe Assessment

SimX

A 65-year-old male was admitted to the hospital 3 days ago for antibiotic treatment for pneumonia. Learners should conduct a comprehensive head-to-toe assessment on the patient. This scenario has been designed for a moderatorless experience and focuses on developing skills such as AIDET Communication, Comprehensive Adult Physical Assessment, and more.

Fundamentals

A 65-year-old male was admitted to the hospital 3 days ago for antibiotic treatment for pneumonia. Learners should conduct a comprehensive head-to-toe assessment on the...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: SimX
Language: English, German
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: abnormal findings, clinical reasoning, clinical skills, Geriatric Nursing, Head-to-Toe, medical training, nursing assessment, nursing education, patient assessment, Physical Exam, Physical Examination Techniques, pneumonia, Simulation Healthcare, vital signs, VR Simulation,

Multi-Patient Safe Medication Administration

George Mason University

A learner is assigned three patients during a morning medication pass on a medical-surgical unit. Each patient has unique health conditions requiring the administration of multiple medications. The learner must assess patient status, identify potential safety concerns, and use clinical judgment to determine the appropriateness of each medication. Throughout the...

Fundamentals

A learner is assigned three patients during a morning medication pass on a medical-surgical unit. Each patient has unique health conditions requiring the administration of...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: George Mason University
Language: English
Room size: 20x20
Setting: Hospital
Patient ect:
Patient Gender: Female, Male
Tags: barcode medication administration, BCMA, clinical judgment, ehr, electronic health records, entry-level, med-surg, medical-surgical, medication pass, medication rights, multi-patient, nursing simulation, patient assessment, prioritization, safe medication administration,

Surgical Nursing: Fire in the OR

VALOR Program

The learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, a fire breaks out when the Bovie is used on the patient. The learner(s) must assist the operative team in calling for help, putting out any fires, assessing the patient, and giving handoff to...

Perioperative

The learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, a fire breaks out when the Bovie is used...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Perioperative
Author: VALOR Program
Language: English
Room size: 15x15
Setting: Operating Room
Patient ect:
Patient Gender: Male
Tags: Bovie Safety, Emergency Handoff, Fire Management, healthcare simulation, medical VR, open appendectomy, Operating Room Fire, OR Safety, Patient Safety, perioperative nursing, Pre-operative Timeout, Surgical Fire, surgical nursing, VALOR Program,

Surgical Nursing: Malignant Hyperthermia

VALOR Program

The learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, before the procedure starts, the patient develops malignant hyperthermia from the induction. The learner(s) must assist the operative team in calling for help, requesting the malignant hyperthermia cart, preparing dantrolene for the anesthesiologist, and...

Perioperative

The learner(s) will participate in an open appendectomy case for an otherwise medically uncomplicated patient. However, before the procedure starts, the patient develops malignant hyperthermia...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Perioperative
Author: VALOR Program
Language: English
Room size: 15x15
Setting: Operating Room
Patient ect:
Patient Gender: Male
Tags: Anesthesia Complications, crisis resource management, Dantrolene Reconstitution, Emergency Protocol, Malignant Hyperthermia, medical VR, Nursing Skills, open appendectomy, OR Simulation, Patient Cooling, Perioperative Care, surgical nursing, VALOR Program,

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...

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: 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,

Surgical Skills Trainer: Patient Prep

VALOR Program

This skills module will focus on basic preoperative patient setup skills. The Learner will prep a patient for an open appendectomy by reviewing and/or completing the following skills: - Hair Removal - Patient Positioning - Electrosurgical Unit (ESU) Setup - Sequential Compression Device (SCD) Placement - Patient Warming - Skin...

Perioperative

This skills module will focus on basic preoperative patient setup skills. The Learner will prep a patient for an open appendectomy by reviewing and/or completing...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Perioperative
Author: VALOR Program
Language: English
Room size: 15x15
Setting: Operating Room
Patient ect:
Patient Gender: Male
Tags: appendectomy, electrosurgical unit, ESU, hair removal, med-ed, open appendectomy, operating room, OR skills, patient positioning, patient prep, patient warming, preoperative, SCD, sequential compression device, skin prep, surgical nursing, surgical setup, surgical skills, surgical sterility, surgical technology, VR Simulation,

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...

Community/Public Health

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
Specialty: Community/Public Health
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,

Interprofessional Medication Error Management and Disclosure

George Mason University

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 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...

Leadership

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Leadership
Author: George Mason University
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: accountability, apology, error disclosure, error management, healthcare administration, hypoglycemia, insulin error, interprofessional medication, medication error, nursing leadership, nursing simulation, patient communication, Patient Safety, VR Simulation,

School Nurse—Administration Conflict Resolution

George Mason University

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 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...

Leadership

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Leadership
Author: George Mason University
Language: English
Room size: 12x12
Setting: Office Building
Patient ect:
Patient Gender: Female, Male
Tags: administrative conflict, advocacy, communication skills, conflict resolution, De-escalation, difficult conversations, healthcare simulation, medical VR, nurse training, nursing education, professional development, school nurse, SimX, virtual reality training, VR Simulation,

NICU Nutrition Management

George Mason University

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 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...

Pediatric

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Pediatric
Author: George Mason University
Language: English
Room size: 12x12
Setting: NICU
Patient ect:
Patient Gender: Female
Tags: AACN Essentials, Care Planning, Competency-Based Training, Critical Care, Dietetics, Enteral Nutrition, Family Communication, Feeding Support, Growth Restriction, Healthcare Training, Infant Health, interdisciplinary team, Medical Simulation, neonatal, NICU, Nursing, Nutrition Management, Parenteral Nutrition, patient care, Pediatric Care, Preterm Infant, Virtual Reality, VR Simulation,

School Nurse—Administrative Coaching

George Mason University

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 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...

Leadership

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Leadership
Author: George Mason University
Language: English
Room size: 12x12
Setting: Office Building
Patient ect:
Patient Gender: Female
Tags: administrative coaching, closed-loop communication, coaching techniques, difficult conversations, generational dynamics, interpersonal communication, leadership skills, performance improvement, school nurse, team communication,

Artificial Airway

University of Pennsylvania School of Nursing

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 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...

Medical/Surgical

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway Management, anemia, Artificial airway, clinical evaluation, cough, fever, hemorrhagic stroke, mechanical ventilation, oxygen therapy, patient monitoring, respiratory assessment, stroke, tracheostomy, tracheostomy care, vital signs assessment,

Heat Stroke Pain Management in an Adult

Mount Saint Mary's University

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 but the nurse reports that he was complaining of general fatigue & a mild headache. He was given acetaminophen 650 mg PO about 3 hours...

Fundamentals

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: Mount Saint Mary's University
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: alternative pain relief, dehydration, discomfort evaluation, electrolyte imbalance, emergency department, headache, Heat stroke, medication administration, nursing intervention, pain management, patient assessment,

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...

Maternal and Child Health (MCH)

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: Maternal and Child Health (MCH)
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

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
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,

Critical Care Post-MVA

Southeastern Illinois College

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple injuries, including facial trauma, pneumothorax which has been treated with a chest tube, head injury, and hemorrhage. The participant must stabilize the patient through the...

Critical Care

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Critical Care
Author: Southeastern Illinois College
Language: English
Room size: 17x18
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: blood transfusion, chest tube management, critical thinking, evidence-based practice, hemorrhage control, ICU stabilization, intubation, motor vehicle crash, nursing process, trauma care,

De-escalation of Agitated Patient

College of St. Scholastica

30-year-old female named Eleanor is found in the community agitated and brought to the emergency department by EMS. Medical history is unknown. The RNs and APRNs will work together with an interdisciplinary approach to de-escalate the client.

Mental Health

30-year-old female named Eleanor is found in the community agitated and brought to the emergency department by EMS. Medical history is unknown. The RNs and...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Mental Health
Author: College of St. Scholastica
Language: English
Room size: 17x17
Setting: Emergency Department
Patient ect:
Patient Gender: Female
Tags: communication, De-escalation, interdisciplinary team,

Alcohol Withdrawal, CIWA

Houston VA

Molly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she drinks heavily and thinks she passed out drunk. She came to the ER alert and oriented x 3. She is ambulatory but stumbles occasionally. She...

Medical/Surgical

Molly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway, asthma, Croup, De-escalation, pals, respiratory distress,

Suicidal Veteran

Houston VA

68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son said that there were empty pill bottles at home, which were the patient's heart/blood pressure medications. However, the patient reports taking only a few pills....

Mental Health

68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Mental Health
Author: Houston VA
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: bradycardia, clinical skills, communication skills, Critical Care, De-escalation, dehydration, emergency medicine, healthcare education, healthcare simulation, Healthcare Training, hypotension, inpatient care, medical education, Medical Simulation, medical training, medical VR, mental health, National Patient Safety Goals, nursing education, nursing simulation, overdose, patient care, Patient Safety, physician training, professional development, SAVE policy, SBAR communication, SimX, Suicidal Veteran, suicide prevention, veteran care, Virtual Reality, VR Simulation,

Non-Fatal Suicide Attempt in an Adult

Southeastern Illinois College

A 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by her mother. Initially, the participant should perform a mental health assessment for a client in a short-term mental health setting, exhibit professional caring attitude, and...

Mental Health

A 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Mental Health
Author: Southeastern Illinois College
Language: English
Room size: 14x13
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: anxiety, college age, Depressions, mental health, mental health assessment, mood disorder, overdose, personality disorder, substance abuse, suicidal ideation, suicide attempt, therapeutic communication, wound care,

Hepatic Encephalopathy with AMS

Southeastern Illinois College

A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had a change in mood the last day or so and now appears confused. The patient's family reports he had just been treated for a UTI...

Medical/Surgical

A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 15x13
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: altered mental status, babinksi sign, Hepatic Encephalopathy, hyperreflexia, jaundice,

Interprofessional Gender-Affirming Care in an Adult

George Mason University

Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t eaten much in the last three days because she’s been sleeping in a friend’s car after being “kicked out” of the house. The RN notices...

Ambulatory Care/Outpatient Services

Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Ambulatory Care/Outpatient Services
Author: George Mason University
Language: English
Room size: 15x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Transgender
Tags: anxiety, BPSS, depression, Dietetics, GAD-7, Gender-Affirming Care, Nutrition, PHQ-9, Social Work, Transgender,

Primary Care MI

University of Nebraska Medical Center

Mr. Simmons is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He is in the office for a routine checkup and becomes diaphoretic, complaining of chest and arm pain.  

Ambulatory Care/Outpatient Services

Mr. Simmons is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He is in the office for a routine checkup...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Ambulatory Care/Outpatient Services
Author: University of Nebraska Medical Center
Language: English
Room size: 16x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: acute coronary syndrome, chest pain, ecg, sbar, stemi,

Medical/Surgical UTI/DKA

Southeastern Illinois College

Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report from the nursing staff in the ED and the ED paperwork/EHR. The participant should administer ordered IV antibiotics (initially Bactrim ordered but participant needs to...

Medical/Surgical

Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: Southeastern Illinois College
Language: English
Room size: 16x13
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: allergic reaction, diabetes, interdisciplinary team, medication reaction, nursing measures,