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SimX Nursing Bundle
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Complexity
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Patient Ect

Acute Myocardial Infarction

SENA

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are expected to recognize inferior STEMI by history, exam, and EKG, activate cath lab, and start fluids, heparin, and pressors if needed. If the participant does...

Cardiology

Female patient, 55 years old attends Emergency Department with chest pain that started 2 hours ago and radiates to arm, neck and jaw. Participants are...

Case Information:
Bundles:
Learner Population: EMS, Nursing
Specialty: Cardiology
Author: SENA
Language: English
Room size: 16x13
Setting: Emergency Department
Patient ect: Adult
Patient Gender: Female
Tags: AMI, cardiology, emergency department, emergency medicine, English, inferior stemi, myocardial infarction, Nursing,

Adult Seizure in EMU

Baylor College of Medicine

Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed several AEDs and is admitted to the EMU for seizure classification as part of a presurgical workup for epilepsy surgery. The learner must perform an...

Neurology
Pediatrics

Adult Seizure in EMU

SimX Nursing Bundle

Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing, Resident
Specialty: Neurology, Pediatrics
Author: Baylor College of Medicine
Language: English
Room size: 17x14
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: aura, epilepsy, generalized tonic clonic seizure, seizure,

Aggressive Behavior Management for Dementia Patient

Dymstec

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing aggressive behaviors such as screaming and swearing. She is able to communicate easily with an MMSE score of 15/30, but she is angry with her...

Internal Medicine

A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing...

Case Information:
Bundles:
Learner Population: Nursing, Students
Specialty: Internal Medicine
Author: Dymstec
Language: English, Korean
Room size: 16x13
Setting: Hospital
Patient ect: Geriatric: 65+
Patient Gender: Female
Tags: aggressive behavior, behavior management, dementia, elder care, fall injury, fall risk, high blood pressure, hyperlipidemia, MMSE,

Anesthesia Post-op

University of Pennsylvania SoN

In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is completed, the Student Registered Nurse Anesthetist (SRNA) turns the anesthesia off. Still, the deficiency causes the patient to remain under the influence of the paralytic...

Nursing

In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Nursing
Author: University of Pennsylvania SoN
Language: English
Room size: 20x20
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: Anesthesia, anesthesia complication, extubation, extubation protocol, paralytic, pseudocholinesterase deficiency, train of four, ventilator management, ventilator settings,

Asthma & Anxiety

Elsevier

This Simulated Patient Encounter maps to Scenario MED 04 - Kimberly Dunning - Asthma Exacerbation & Anxiety - Communication & Oxygen Delivery on the Elsevier Evolve Platform Kimberly Dunning, a 20-year-old female with a 1-year history of adult onset asthma, presented to the emergency department with shortness of breath despite...

Internal Medicine

Asthma & Anxiety

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario MED 04 - Kimberly Dunning - Asthma Exacerbation & Anxiety - Communication & Oxygen Delivery on the Elsevier...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty: Internal Medicine
Author: Elsevier
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: adult onset asthma, anxiety, asthma exacerbation, asthma medication, communication, mild respiratory distress, oxygen delivery,

Brief Psychotic Disorders

IUPUC

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 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....

Emergency Medicine
Psychiatry

Brief Psychotic Disorders

Social Determinants of Health

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...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Advanced Practice Provider, Nursing
Specialty: Emergency Medicine, Psychiatry
Author: IUPUC
Language: English
Room size: 12x12
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: ativan, mental health, nursing students, psych rotation, psychiatric, psychiatric medications, psychosis,

BTT Shunt Occlusion in Interstage Patient with HLHS

Children's National

The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5. Her intraoperative and postoperative course was relatively unremarkable, and she had been in the hospital for two weeks post-op, working on feeding issues. She has...

Pediatrics

The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5....

Case Information:
Bundles:
Learner Population: Nursing, Resident
Specialty: Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Pediatric
Patient Gender: Female
Tags: emesis, hypoplastic, infant, norwood, pediatrics, postoperative, shunt,

CBRN Dirty Bomb Urban Attack

SimX VALOR

Set in an urban environment, the learner responds to the scene after an attack and concern for a dirty bomb. The patient suffers bilateral lower extremity amputations and will require one tourniquet placement on each leg. The patient will also require decontamination and treatment for exposure.

Emergency Medicine
Anesthesiology
Disaster Medicine
Prehospital
Trauma

CBRN Dirty Bomb Urban Attack

CBRN Bundle

Set in an urban environment, the learner responds to the scene after an attack and concern for a dirty bomb. The patient suffers bilateral lower...

Case Information:
Bundles: CBRN Bundle
Learner Population: Allied Health Professionals, Physician, Military, Respiratory Therapist
Specialty: Emergency Medicine, Anesthesiology, Disaster Medicine, Prehospital, Trauma
Author: SimX VALOR
Language: English
Room size: 20x13
Setting: Outdoor, Tent
Patient ect: Adult
Patient Gender: Female
Tags: blast injury, decon, decontamination, dirty bomb, HAZMAT, leg amputations, lower extremity amputations, radiation exposure, tourniquet placement, urban disaster response,

CBRN Opiate Gas Attack

SimX VALOR

Set in the subway environment, the learner responds to the scene after a bombing. The victim is suffering from opiate gas exposure and will require decontamination along with antidote administration.

Emergency Medicine
Anesthesiology
Disaster Medicine
Prehospital
Trauma

CBRN Opiate Gas Attack

CBRN Bundle

Set in the subway environment, the learner responds to the scene after a bombing. The victim is suffering from opiate gas exposure and will require...

Case Information:
Bundles: CBRN Bundle
Learner Population: Allied Health Professionals, Physician, Military, Respiratory Therapist
Specialty: Emergency Medicine, Anesthesiology, Disaster Medicine, Prehospital, Trauma
Author: SimX VALOR
Language: English
Room size: 19x14
Setting: Outdoor, Tent
Patient ect: Adult
Patient Gender: Female
Tags: decon, decontamination, dirty bomb, HAZMAT, naloxone, narcan, opiate gas, Opiate overdose, subway, urban disaster response,

CBRN Subway Attack with Cyanogen Chloride Exposure and Respiratory Failure

SimX VALOR

Set in the subway environment, the Learner responds to the scene after a bombing. The victim is suffering from cyanogen chloride exposure and will require decontamination along with antidote administration and immediate airway interventions.

Emergency Medicine
Anesthesiology
Disaster Medicine
Prehospital
Trauma

CBRN Subway Attack with Cyanogen Chloride Exposure and Respiratory Failure

CBRN Bundle

Set in the subway environment, the Learner responds to the scene after a bombing. The victim is suffering from cyanogen chloride exposure and will require...

Case Information:
Bundles: CBRN Bundle
Learner Population: Allied Health Professionals, Physician, Military, Respiratory Therapist
Specialty: Emergency Medicine, Anesthesiology, Disaster Medicine, Prehospital, Trauma
Author: SimX VALOR
Language: English
Room size: 18x15
Setting: Outdoor, Tent
Patient ect: Adult
Patient Gender: Female
Tags: airway protection, B12, Cherry Red, cyanide, Cyanokit, decon, decontamination, dirty bomb, HAZMAT, Hydroxocobalamin, intubation, naloxone, narcan, opiate gas, Opiate overdose, Sodium Thiosulphate, subway, urban disaster response,

Coarctation of the Aorta

Children's National

2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding less. She has an older brother (3-year-old who is in daycare). Symptoms have been getting worse over the last couple days. She was seen at...

Cardiology
Pediatrics

2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding...

Case Information:
Bundles:
Learner Population: Advanced Practice Provider, Nursing, Physician
Specialty: Cardiology, Pediatrics
Author: Children's National
Language: English
Room size: 16x13
Setting: Hospital
Patient ect: Infant
Patient Gender: Female
Tags: CXR, ED, icu, pediatrics, PGE, respiratory distress,

COM 02 – Margaret Chan – Home Health – Hospice

Elsevier

This Simulated Patient Encounter maps to Scenario COM 02 - Margaret Chan - Home Health: Hospice on the Elsevier Evolve Platform Margaret Chan is a 69-year-old Asian female diagnosed with advanced metastatic non-small cell lung carcinoma 15 months ago. She has spinal metastases and has been referred to hospice for...

Home Health

COM 02 – Margaret Chan – Home Health – Hospice

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario COM 02 - Margaret Chan - Home Health: Hospice on the Elsevier Evolve Platform Margaret Chan is a...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty: Home Health
Author: Elsevier
Language: English
Room size: 17x13
Setting: Home
Patient ect: Geriatric: 65+
Patient Gender: Female
Tags: cancer, carcinoma, dyspnea, end-of-life, home health, hospice, lorazepam, lung cancer, metastatic, nasal cannula, pain management, respiratory distress,

COM 05 – Emilia Garcia – School Health – Asthma Exacerbation

Elsevier

This Simulated Patient Encounter maps to Scenario COM 05 - Emilia Gracia - School Health: Asthma Exacerbation on the Elsevier Evolve Platform Emilia Garcia is a 9-year-old Hispanic female with a history of chronic reactive airway disease. She was recently hospitalized with an acute exacerbation caused by allergies and returned...

Pediatrics

COM 05 – Emilia Garcia – School Health – Asthma Exacerbation

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario COM 05 - Emilia Gracia - School Health: Asthma Exacerbation on the Elsevier Evolve Platform Emilia Garcia is...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty: Pediatrics
Author: Elsevier
Language: English
Room size: 15x15
Setting: Nurse Office
Patient ect: Pediatric
Patient Gender: Female
Tags: allergies, asthma, asthma triggers, pediatric asthma, pediatric respiratory distress, reactive airway disease, rescue medications,

COM 06 – Darlene Hall – Public Health – STI

Elsevier

This Simulated Patient Encounter maps to Scenario COM 06 - Darlene Hall - Public Health: STI on the Elsevier Evolve Platform Darlene Hall is a 19-year-old Caucasian female. She is visiting the women’s clinic today for treatment of vaginal discharge. She was initially diagnosed with gonorrhea and a chlamydia infection...

COM 06 – Darlene Hall – Public Health – STI

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario COM 06 - Darlene Hall - Public Health: STI on the Elsevier Evolve Platform Darlene Hall is a...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty:
Author: Elsevier
Language: English
Room size: 15x15
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags: hiv, hiv testing, intimate partner violence, ipv, sexually transmitted infection, social worker, sti, well child care, wic, women's health, women’s clinic,

COM 07 – Mary Cohen – Occupational Health – Workplace Injury

Elsevier

This Simulated Patient Encounter maps to Scenario COM 07 - Mary Cohen - Occupational Health: Workplace Injury on the Elsevier Evolve Platform Mary Cohen is a 50-year-old Caucasian female who reported to her company’s employee health clinic after having caught her arm in a machine at work. Mary is known...

Community Health

COM 07 – Mary Cohen – Occupational Health – Workplace Injury

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario COM 07 - Mary Cohen - Occupational Health: Workplace Injury on the Elsevier Evolve Platform Mary Cohen is...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty: Community Health
Author: Elsevier
Language: English
Room size: 15x15
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags: employee health, first aid, laceration, ligament injury, occupational health, occupational nurse, sbar, workplace injury, wound dressing, wrist injury,

COM 08 – Kelly Grey – Occupational Health – Stroke/MI Assessment

Elsevier

This Simulated Patient Encounter maps to Scenario COM 08 - Kelly Grey - Occupational Health: Stroke/MI Assessment on the Elsevier Evolve Platform Kelly Grey is a 48-year-old Caucasian female with a history of hypertension and gastroesophageal reflux. Kelly was participating in an early morning meeting when she told her co-worker...

Community Health

COM 08 – Kelly Grey – Occupational Health – Stroke/MI Assessment

SLS for RN Bundle

This Simulated Patient Encounter maps to Scenario COM 08 - Kelly Grey - Occupational Health: Stroke/MI Assessment on the Elsevier Evolve Platform Kelly Grey is...

Case Information:
Bundles: SLS for RN Bundle
Learner Population: Nursing
Specialty: Community Health
Author: Elsevier
Language: English
Room size: 18x18
Setting: Workplace
Patient ect: Adult
Patient Gender: Female
Tags: aed, blood pressure, cholesterol, cpr, defibrillator, hypertension, mi assessment, occupational health, sbar, stroke, workplace healthcare,

Community Health Worker Program

South Carolina State University

A Community Health Worker (CHW) or Community Health Coach (CHC) will collaborate with the medical team. Afterwards, the CHW/CHC will call the patient to review the doctor’s care plan, and will then give a presentation and answer questions on basic health maintenance topics – mental health, high blood pressure, and...

Community Health
Psychiatry
Prehospital

A Community Health Worker (CHW) or Community Health Coach (CHC) will collaborate with the medical team. Afterwards, the CHW/CHC will call the patient to review...

Case Information:
Bundles:
Learner Population: Allied Health Professionals
Specialty: Community Health, Psychiatry, Prehospital
Author: South Carolina State University
Language: English
Room size: 16x13
Setting: Office Building
Patient ect: Adult
Patient Gender: Female
Tags: Community Health Coach, Community Health Worker, Conference Room, counseling, interprofessional team, outreach, outreach skills,

Community Newborn Checkup

University of Nebraska Medical Center

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 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 Health
Pediatrics

Community Newborn Checkup

SimX Nursing Bundle
Social Determinants of Health

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...

Case Information:
Bundles: SimX Nursing Bundle, Social Determinants of Health
Learner Population: Nursing
Specialty: Community Health, Pediatrics
Author: University of Nebraska Medical Center
Language: English
Room size: 15x15
Setting: Home
Patient ect: Infant
Patient Gender: Female
Tags: breastfeeding, community health, home safety, home visit, house call, newborn, obstetrics and gynecology, parenting, pediatrics, postpartum, public health, social determinants of health,

COVID-19 Triage

SimX

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 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,...

Emergency Medicine

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician, Resident
Specialty: Emergency Medicine
Author: SimX
Language: English
Room size: 14x14
Setting: Outpatient Clinic
Patient ect: Adult
Patient Gender: Female
Tags: chills, cough, covid, covid-19, discharge instructions, fever, history, isolation, ppe, triage, vital signs,

Cumulative Complex Patient

Indiana University East SoN

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 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...

Internal Medicine

Cumulative Complex Patient

SimX Nursing Bundle

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...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Internal Medicine
Author: Indiana University East SoN
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: anemia, anemia of chronic kidney disease av fistula, chronic kidney disease, confusion, end stage renal disease, fatigue, lethargy, organ failure,

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.

Emergency Medicine
Psychiatry
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: Emergency Medicine, Psychiatry, Mental Health
Author: College of St. Scholastica
Language: English
Room size: 17x17
Setting: Emergency Department
Patient ect: Adult
Patient Gender: Female
Tags: communication, De-escalation, interdisciplinary team,

Domestic Violence

Indiana University East SoN

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 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...

Emergency Medicine

Domestic Violence

SimX Nursing Bundle
Social Determinants of Health

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...

Case Information:
Bundles: SimX Nursing Bundle, Social Determinants of Health
Learner Population: Nursing
Specialty: Emergency Medicine
Author: Indiana University East SoN
Language: English
Room size: 15x15
Setting: Hospital
Patient ect: Adult
Patient Gender: Female
Tags: bruising, burns, communication skills, domestic violence, mid-eastern, non accidental trauma,

EMS Anaphylaxis with Difficult Airway

SimX VALOR

Learner will arrive on-scene to find a 53-year-old female patient lying on the floor next to a dining table experiencing significant respiratory distress. A family member says the patient was eating take-out food and suddenly had difficulty breathing. The patient has a known severe peanut allergy. Learner will perform an...

Emergency Medicine
Prehospital

EMS Anaphylaxis with Difficult Airway

EMS Bundle

Learner will arrive on-scene to find a 53-year-old female patient lying on the floor next to a dining table experiencing significant respiratory distress. A family...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 10x10
Setting: Ambulance, Home
Patient ect: Adult
Patient Gender: Female
Tags: Adult, AEMT, als, anaphylaxis, bls, Distributive shock, EMT, Military, Paramedic, prehospital, respiratory distress,

EMS Combative—Suicidal Intent

SimX VALOR

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The patient refuses to talk to police at the beginning of the case. Police ask the EMS providers to help convince the patient to be transported...

Emergency Medicine
Prehospital

EMS Combative—Suicidal Intent

EMS Bundle

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS, Military
Specialty: Emergency Medicine, Prehospital
Author: SimX VALOR
Language: English
Room size: 16x14
Setting: Ambulance, Home
Patient ect: Adult
Patient Gender: Female
Tags: Alcohol Intoxication, De-escalation, EMT, Firearm Safety, Homicidal Ideation, Military, Paramedic, psychiatric, psychiatry, ptsd, scene safety,