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: 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. This scenario has been designed for...
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...
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, 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...
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...
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...
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....
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...
Surgical Skills Trainer: Patient Prep
VALOR ProgramThis 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...
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...
Postoperative Cardiac Emergency
Cleveland ClinicThe patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was successfully extubated and has been recovering in the CVICU. Patient is alert, oriented and able to converse with the medical team. Patient reports on initial...
The patient is a 55yo man, 24 hours post cardiac surgery admitted in the CVICU. The surgery was performed without complication and the patient was...
Patient Advocacy in Correctional Nursing
St. John Fisher University, Wegmans School of NursingThis 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...
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...
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...
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...
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...
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...