Nursing Essentials: Gastric Decompression and Specimen Collection
California State University, Los Angeles SimXA 75-year-old male patient with active hematemesis is admitted to the emergency department. The patient has a history of Coumadin and NSAID use. In this scenario, learners must complete a focused abdominal assessment, implement fluid resuscitation, and initiate an anticoagulant reversal protocol. Essentials procedural skills include nasogastric tube insertion, pH...
A 75-year-old male patient with active hematemesis is admitted to the emergency department. The patient has a history of Coumadin and NSAID use. In this...
Nursing Essentials: Hygiene and Daily Cares
California State University, Los Angeles SimXAn 83-year-old female was admitted to a high-acuity Skilled Nursing Facility (SNF) 25 days ago after experiencing a significant left-sided ischemic stroke. She has significant right-sided deficits and requires assistance completing Activities of Daily Living (ADLs). In this scenario, learners must assist a dependent patient in completing daily cares, including...
An 83-year-old female was admitted to a high-acuity Skilled Nursing Facility (SNF) 25 days ago after experiencing a significant left-sided ischemic stroke. She has significant...
Nursing Essentials: Postoperative Pain Management and Respiratory Care
California State University, Los Angeles SimXA 58-year-old female who underwent a right-sided video-assisted thoracoscopic surgery resection earlier today is admitted to the medical-surgical unit following an uneventful stay in the post-anesthesia care unit. The patient is experiencing significant "stabbing" pain at the surgical site. In this scenario, learners must complete a focused postoperative assessment, manage...
A 58-year-old female who underwent a right-sided video-assisted thoracoscopic surgery resection earlier today is admitted to the medical-surgical unit following an uneventful stay in the...
Nursing Essentials: Airway Management and Oxygen Therapy
California State University, Los Angeles SimXA 78-year-old female was admitted to the hospital overnight from her long-term care facility with suspected influenza. She has an established tracheostomy due to a history of laryngeal cancer and a subsequent partial laryngectomy 5 years ago. In this scenario, learners will need to obtain a specimen sample from the...
A 78-year-old female was admitted to the hospital overnight from her long-term care facility with suspected influenza. She has an established tracheostomy due to a...
Nursing Essentials: Urinary Output and Elimination
California State University, Los Angeles SimXAn 86-year-old male was admitted the medical-surgical unit for altered mental status secondary to a urinary tract infection. The patient is pleasant but disoriented to place and time and experiencing urinary retention due to Benign Prostatic Hyperplasia (BPH). In this scenario, learners must complete a focused assessment, manage care for...
An 86-year-old male was admitted the medical-surgical unit for altered mental status secondary to a urinary tract infection. The patient is pleasant but disoriented to...
Nursing Essentials: Colostomy and Palliative Care Management
California State University, Los Angeles SimXA 42-year-old male with stage IV colorectal cancer has recently been transferred to a long-term care facility for palliative care management. In this scenario, learners must manage care for a terminally ill patient with a colostomy and chronic pain, balancing physical and psychosocial needs.
A 42-year-old male with stage IV colorectal cancer has recently been transferred to a long-term care facility for palliative care management. In this scenario, learners...
Nursing Essentials: IV Access and Medication Administration
California State University, Los Angeles SimXA 56-year-old female was admitted to the oncology unit 8 days ago for chemotherapy management and supportive care due to treatment complications following a recurrence of breast cancer. She has a past history of a right-sided mastectomy with axillary lymph node removal. She has a left-sided tunneled central venous catheter...
A 56-year-old female was admitted to the oncology unit 8 days ago for chemotherapy management and supportive care due to treatment complications following a recurrence...
Nursing Essentials: Infection Control and Patient Safety
California State University, Los Angeles SimXAn 83-year-old female was admitted to a high-acuity Skilled Nursing Facility (SNF) 25 days ago after experiencing a significant left-sided ischemic stroke. She has significant right-sided deficits and requires assistance completing Activities of Daily Living (ADLs). In this scenario, learners must assist a dependent patient in completing daily cares, including...
An 83-year-old female was admitted to a high-acuity Skilled Nursing Facility (SNF) 25 days ago after experiencing a significant left-sided ischemic stroke. She has significant...
Nursing Essentials: Head to Toe Assessment
SimXA 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.
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...
Multi-Patient Safe Medication Administration
George Mason UniversityA 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...
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...
Mixed Mass Casualty Incident Triage
Uniformed Services University of the Health SciencesIn this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of four among the injured: a father, mother, a five-year-old child, and an infant. The scenario is designed to test the learners' ability to perform under...
In this scenario, learners are plunged into the chaotic aftermath of a military airshow accident. They arrive on the scene to discover a family of...
Surgical Nursing: Fire in the OR
VALOR ProgramThe 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...
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...
Surgical Nursing: Malignant Hyperthermia
VALOR ProgramThe 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...
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...
School-Based Instructional Support Team
Molloy University, School of Education and Human ServicesEthan is a 10-year-old, Latino boy who is in fifth grade. He and his mother are meeting with a professional team to create a support plan. He has academic performance issues, behavior outbursts in class (e.g., meltdowns during transitions), and is increasingly withdrawn from peers. His mother feels overwhelmed and...
Ethan is a 10-year-old, Latino boy who is in fifth grade. He and his mother are meeting with a professional team to create a support...
Lumbar Spine Discitis/Osteomyelitis
Parker UniversityPatient presents to chiropractor with low back pain. Participant reviews intake paperwork. Participant then completes a history of present illness (HPI) regarding the patient’s chief complaint. Initially, the participant must use the patient’s intake paperwork and HPI to provide three appropriate differential diagnoses. In subsequent states, the participant must perform...
Patient presents to chiropractor with low back pain. Participant reviews intake paperwork. Participant then completes a history of present illness (HPI) regarding the patient’s chief...
Ossification of Posterior Longitudinal Ligament (OPLL)
Parker UniversityA 55 year old male presents with a complaint of neck pain. He has had pain, tingling and numbness in bilateral hands for several years. Today he started to note loss of bladder control. Patient will want to schedule an MRI for next week when he is not as busy....
A 55 year old male presents with a complaint of neck pain. He has had pain, tingling and numbness in bilateral hands for several years....
Cervical Spondylotic Myelopathy
Parker University65 year old male presents complaining of neck pain. In further questioning he admits to difficulty writing and two recent falls due to unsteady gait. Examination shows atrophy of hand muscles, widened and slower gait, diminished reflexes over brachioradialis, positive supinator reflexes, and hyperreflexia over triceps and lower extremity MSRs....
65 year old male presents complaining of neck pain. In further questioning he admits to difficulty writing and two recent falls due to unsteady gait....
Women’s Wellness—Interprofessional Consultation
Arizona State University, Edson College of Nursing and Health InnovationIn this scenario, learners will explore an interprofessional healthcare team tasked with developing a holistic care plan for Olivia Buffington, a 55-year-old woman referred to the Wellness Clinic for healthy lifestyle modifications following recent lab work. Learners review patient documentation and perform assessments, mirroring real-world practice. Each learner, representing their...
In this scenario, learners will explore an interprofessional healthcare team tasked with developing a holistic care plan for Olivia Buffington, a 55-year-old woman referred to...
Pediatric Blunt Abdominal Trauma and Hemorrhage
Children's Mercy Kansas CityThis scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a community hospital emergency department trauma room. An EMS provider arrives with the patient and provides a report. The patient is an irritable child with blood...
This scenario involves a 4-year-old Spanish-speaking male after he was struck by a vehicle while running across a road. The scenario is set in a...
Management of Pediatric Trauma
Air MethodsSeven-year-old Ethan and his friend Jake were playing unsupervised at Jake’s house when they discovered a 9mm handgun in an unlocked nightstand drawer. Curious and unaware of the danger, they handled the firearm, and in a tragic moment, it discharged, striking Ethan in the right temple. The gunshot sent Jake...
Seven-year-old Ethan and his friend Jake were playing unsupervised at Jake’s house when they discovered a 9mm handgun in an unlocked nightstand drawer. Curious and...
Management of Infant Hyponatremia
Air MethodsThis scenario involves the assessment and management of infant hyponatremia and hypoglycemia in a 5-day-old male. Learners are dispatched to a small community ER to transport the patient, Davy Humphrey, who presents with lethargy and irritability. Report and dialogue with the Mother reveal that the Mother has been diluting and...
This scenario involves the assessment and management of infant hyponatremia and hypoglycemia in a 5-day-old male. Learners are dispatched to a small community ER to...
Virtual Manikin™ — Interprofessional Trauma Management
VALOR ProgramSet in a community hospital, participants will evaluate injured patients who require immediate stabilization and resuscitation before eventually being transferred to a trauma center. There are options to start the scenario in a home garage, a rural roadside, or the hospital trauma Bay. Patients can be transported via ambulance to...
Set in a community hospital, participants will evaluate injured patients who require immediate stabilization and resuscitation before eventually being transferred to a trauma center. There...
Pediatric Gastroenteritis and Dehydration
SimXA 2-year-old boy presents to the hospital with severe dehydration and gastroenteritis. His father reports multiple episodes of vomiting and diarrhea following a visit to the carnival. Despite attempting oral rehydration at home, the patient’s condition worsened, leading to lethargy and decreased responsiveness. Learners will assess, intervene, and communicate with...
A 2-year-old boy presents to the hospital with severe dehydration and gastroenteritis. His father reports multiple episodes of vomiting and diarrhea following a visit to...
Addressing Horizontal Violence in Medication Wasting
St. John Fisher University, Wegmans School of NursingThis 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...
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...