
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...

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...

Team Dynamics During Patient Escalation
Nationwide Children's HospitalRiley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.
Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

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...

SDOH Food Insecurity, Women’s Health
St. John Fisher University, Wegmans School of NursingPatient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that “mom never eats.” After obtaining a thorough history using open-ended questions and reviewing the patient’s available lab and imaging results, the patient is identified as...
Patient presents to OB triage accompanied by her 10-year-old daughter with complaints of “feeling dizzy and lightheaded.” Child in the room informs the provider that...

Critical Care Post-MVA
Southeastern Illinois CollegeA 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple injuries, including facial trauma, pneumothorax which has been treated with a chest tube, head injury, and hemorrhage. The participant must stabilize the patient through the...
A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple...

Establishing Vascular Access in a Difficult Intravenous Access Patient
CLINSPEC Solutions CVC Health Care PICC ProsA 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately, the nursing staff were unable to establish peripheral IV access after several attempts. The learner will evaluate the patient, review medical history, and establish vascular...
A 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately,...

Establishing Vascular Access for Long-Term Antibiotic Therapy
CLINSPEC Solutions CVC Health Care PICC ProsA 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will evaluate the patient, review medical history, and establish vascular access using the appropriate technique.
A 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will...

Rapid Sequence Intubation
TriHealthThe patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks. He was placed on BiPAP and transferred to the ICU. The learner will evaluate and facilitate the resuscitation of the patient.
The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks....

De-escalation of Agitated Patient
College of St. Scholastica30-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.
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...

Virtual Manikin™ — Pediatric Respiratory
SimXPatient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other...
Patient is a pediatric patient in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator...

Virtual Manikin™ — Adult Chest Pain
SimXPatient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will have the ability to select from several patients, and then adjust vital signs, lab/imaging results, and exam findings live during the case. In other words,...
Patient is an adult in either a hospital or ambulance setting. There are no predetermined learning objectives, critical actions, states, or outcomes. The moderator will...

Alcohol Withdrawal, CIWA
Houston VAMolly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she drinks heavily and thinks she passed out drunk. She came to the ER alert and oriented x 3. She is ambulatory but stumbles occasionally. She...
Molly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she...

PALS Assessment And Resuscitation
Sacramento VAMCA six-year-old boy presents to a community ED BIBA with mom in acute distress. Learners must use their PALS training to perform an initial, primary, and secondary assessment and effectively manage the patient’s clinical condition. This case has two different clinical presentations for the learner to address appropriately. The moderator...
A six-year-old boy presents to a community ED BIBA with mom in acute distress. Learners must use their PALS training to perform an initial, primary,...