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: 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. 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: 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 and focuses on developing skills such as AIDET Communication, Comprehensive Adult Physical Assessment, and more.
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, 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...
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....
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...
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...
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...
Pediatric Traumatic Brain Injury (TBI)—Deployed
Uniformed Services University of the Health SciencesA 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...
A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...
Pediatric Traumatic Brain Injury (TBI)—Hospital-Based
Uniformed Services University of the Health SciencesA 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...
A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...
Adolescent Respiratory Distress
Children's NationalPatient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion since yesterday evening. He was initially brought to the ED where he received initial treatment, was placed on BiPAP and was transferred to the PICU....
Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion...