Tetralogy of Fallot with Hypercyanotic Spell
Children's NationalThe patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...
The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...
Preeclampsia
SimXYou are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a proper history and physical, you also note right upper quadrant abdominal pain, leg swelling, and she is obviously pregnant. She is a G1P0 who is...
You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a...
Sepsis
SimXThe learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was previously told his gallbladder was bad and needs to be removed. Upon initial assessment, the patient is febrile, tachycardic, and hypotensive. If treated aggressively with...
The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was...
Pediatric Dysrhythmia (Resuscitation)
SimXIn this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...
In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...
COVID-19 Triage
SimXIn this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient comes in with complaints of fever and chills as well as 1 day of coughing. The learner must put on the correct form of PPE,...
In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient...
GI Bleed
Ohio State UniversityThe patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...
The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...
Sepsis Care
University of Nebraska Medical CenterThe patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and should recognize signs that the patient is sick. The learner must perform an assessment where they will find fever, tachycardia, decreased urine output, abdominal pain,...
Sepsis Care
The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and...
Prioritization of Multiple Patients
University of Nebraska Medical CenterIn this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an 82-year-old woman with a knee abscess and a drain that needs to be removed. Another patient is a 45-year-old man who is post colon resection....
Prioritization of Multiple Patients
In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an...
Primary Care COVID-19
University of Nebraska Medical CenterA 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...
A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...
Outpatient Preeclampsia
University of Nebraska Medical CenterA 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and symptoms of preeclampsia including hypertension, weight gain, and proteinuria on urinalysis. After discussing with the physician, the patient is admitted to the hospital where the...
A 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and...
Geriatric Pneumonia—Inpatient
University of Nebraska Medical CenterA 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that the patient is in respiratory distress and begin interventions to treat him, including administering oxygen via nasal cannula or non-rebreather. The learner is expected to...
Geriatric Pneumonia—Inpatient
A 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that...
Post-op Mobility and Elimination
University of Nebraska Medical CenterA 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper personal protective equipment and perform an initial assessment, including a focused musculoskeletal exam. The learner should notice that the patient needs to be cleaned–including appropriate...
Post-op Mobility and Elimination
A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper...
Community Newborn Checkup
University of Nebraska Medical CenterA 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to appropriately assess the new mother’s concerns. During this visit, the learner will discuss breastfeeding, identify any safety issues in the home environment, and examine the...
Community Newborn Checkup
A 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to...
Suicidal Risk Assessment
Mount Saint Mary's UniversityIn this scenario, the learner must treat a 38-year-old female with a historyof bipolar disorder who is admitted overnight in the behavioral unit of the hospital due to suicidal ideation. The patient exhibits rapid and pressured speech, fear, and despair in their voice. The learner should use open ended questions...
Suicidal Risk Assessment
In this scenario, the learner must treat a 38-year-old female with a historyof bipolar disorder who is admitted overnight in the behavioral unit of the...
Hypoglycemic Shock
Mount Saint Mary's UniversityThe patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner who then performs an initial assessment. In that assessment, the learner should recognize that the patient has low blood sugar and is altered from baseline....
Hypoglycemic Shock
The patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner...
Neonatal Abstinence Syndrome
Indiana University School of NursingThe patient is a 2-day-old newborn baby girl, presented to the learner in its bassinet in the mother's room crying with no monitors. The patient’s mother is standing next to the baby and the learner is informed–via EMR progress notes on VR tablet–that the patient exhibits fussiness overnight and poor...
Neonatal Abstinence Syndrome
The patient is a 2-day-old newborn baby girl, presented to the learner in its bassinet in the mother's room crying with no monitors. The patient’s...
C. Diff
Indiana University School of NursingThis scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress notes on VR tablet. The learner must note positive C Diff results on the tablet, don gown and gloves to enter the treatment room, counsel...
This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress...
New-onset Type 2 Diabetes in Adult
Indiana University School of NursingIn this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...
In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...
Brief Psychotic Disorders
Indiana University School of NursingSam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the past couple of weeks; in particular, he noticed poor hygiene, bizarre behaviors, and interrupted sleep patterns. He also believes she has auditory and visual hallucinations....
Brief Psychotic Disorders
Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the...
Cumulative Complex Patient
Indiana University East School of Nursing and Health SciencesDeanne Ross is a 62-year-old female admitted to the progressive care unit this morning with increased fatigue, lethargy, new confusion, and ESRD (CRF). Deanne has a long history of anemia, non-insulin dependent diabetes mellitus, HTN, and chronic pyelonephritis resulting in permanent damage to her kidneys. Learners are expected to prioritize...
Cumulative Complex Patient
Deanne Ross is a 62-year-old female admitted to the progressive care unit this morning with increased fatigue, lethargy, new confusion, and ESRD (CRF). Deanne has...
Postpartum Depression
Indiana University East School of Nursing and Health SciencesAnaLee Diaz is a Hispanic non-english speaking female and a single parent who delivered her first child in the U.S. six weeks ago. She is doing well physically but her sister called the OB/GYN office and shared that she is concerned about AnaLee’s abnormal behavior and lowered mood. They believe...
Postpartum Depression
AnaLee Diaz is a Hispanic non-english speaking female and a single parent who delivered her first child in the U.S. six weeks ago. She is...
Domestic Violence
Indiana University East School of Nursing and Health SciencesFarrah Essa is a 20-year-old middle eastern woman that arrived at the emergency department with her husband. She has arrived for acute burns to both arms and hands and a bath towel is wrapped around both of her arms. The patient is reluctant to talk and her husband is anxious...
Domestic Violence
Farrah Essa is a 20-year-old middle eastern woman that arrived at the emergency department with her husband. She has arrived for acute burns to both...
Violent Adolescent Drug Abuse
Indiana University East School of Nursing and Health SciencesSamuel is a 15-year-old male arriving on a Wednesday evening to the Anger and Substance Abuse Clinic. Samuel has been in the foster care system for thirteen years and with his current family for a year. The learner will have the chance to speak to the foster parents alone and...
Violent Adolescent Drug Abuse
Samuel is a 15-year-old male arriving on a Wednesday evening to the Anger and Substance Abuse Clinic. Samuel has been in the foster care system...
Pediatric Tonsil and Adenoid
Indiana University East School of Nursing and Health SciencesRicky Stone is an 8-year-old African American male that arrived at the emergency department with his mom. He is seven days postoperative from a tonsil and adenoidectomy. Today, he vomited at home and filled a bowl of clotted blood. After the initial examination, learners are expected to articulate pertinent findings...
Pediatric Tonsil and Adenoid
Ricky Stone is an 8-year-old African American male that arrived at the emergency department with his mom. He is seven days postoperative from a tonsil...