EMS Inferior STEMI
SimXA patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize inferior STEMI by the patient’s history, exam, and EKG. They must successfully activate the cath lab and start fluids, heparin, and pressors if needed. If...
EMS Inferior STEMI
A patient is being brought into the ED via ambulance with chest pains and presents initially normotensive and normocardic. The learner is expected to recognize...
Chest Pain in the ED (Resuscitation)
SimXA patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging. The learner must assess the patient's ABCs and provide initial resuscitation. They must then correctly diagnose PE. This case is successfully completed by treating the...
A patient is presented to the ED with chest pain and shortness of breath and the learner is informed of onset of CP/SOB while jogging....
COVID-19 Triage
SimXIn 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,...
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...
Lumbar Radiculopathy
Parker UniversityA 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized chiropractic evaluation and look through the x-rays available in the EMR. Exams will consist of a range of motion, neuro, orthopedic, and palpation tests including...
A 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized...
Spinal Tumor
Parker UniversityA 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a complete range of motion, palpation, orthopedic, and neuro exam. During the testing process, the learner will discover that the patient has been having worsening pain...
A 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a...
Lumbar Stenosis
Parker UniversityA 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination including a range of motion, palpation, orthopedic, and neuro evaluation. Following the exam, the learner will formulate a differential diagnosis and have access to xrays...
A 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination...
GI Bleed
Ohio State UniversityThe patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...
The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...
STEMI V-Fib Arrest
Ohio State UniversityA patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The case starts off with an EMS handoff. Their symptoms are progressively worsening since first appearing one hour before; upon arrival at the ED, they are...
A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The...
Tracheostomy Complications—Cuff Leak
NYU Grossman School of MedicineIn this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm on the ventilator. The patient has a prolonged recovery from ARDS and requires a continual mechanical ventilatory support. He also underwent percutaneous tracheostomy insertion 10...
In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm...
Sepsis Care
University of Nebraska Medical CenterThe patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and should recognize signs that the patient is sick. The learner must perform an assessment where they will find fever, tachycardia, decreased urine output, abdominal pain,...
Sepsis Care
The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and...
Prioritization of Multiple Patients
University of Nebraska Medical CenterIn this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an 82-year-old woman with a knee abscess and a drain that needs to be removed. Another patient is a 45-year-old man who is post colon resection....
Prioritization of Multiple Patients
In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an...
Primary Care COVID-19
University of Nebraska Medical CenterA 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...
A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...
Outpatient Preeclampsia
University of Nebraska Medical CenterA 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and symptoms of preeclampsia including hypertension, weight gain, and proteinuria on urinalysis. After discussing with the physician, the patient is admitted to the hospital where the...
A 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and...
Geriatric Pneumonia—Inpatient
University of Nebraska Medical CenterA 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that the patient is in respiratory distress and begin interventions to treat him, including administering oxygen via nasal cannula or non-rebreather. The learner is expected to...
Geriatric Pneumonia—Inpatient
A 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that...
Post-op Mobility and Elimination
University of Nebraska Medical CenterA 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper personal protective equipment and perform an initial assessment, including a focused musculoskeletal exam. The learner should notice that the patient needs to be cleaned–including appropriate...
Post-op Mobility and Elimination
A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper...
Community Newborn Checkup
University of Nebraska Medical CenterA 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 Newborn Checkup
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...
Suicidal Risk Assessment
Mount Saint Mary's UniversityIn this scenario, the learner must treat a 38-year-old female with a historyof bipolar disorder who is admitted overnight in the behavioral unit of the hospital due to suicidal ideation. The patient exhibits rapid and pressured speech, fear, and despair in their voice. The learner should use open ended questions...
Suicidal Risk Assessment
In this scenario, the learner must treat a 38-year-old female with a historyof bipolar disorder who is admitted overnight in the behavioral unit of the...
Hypoglycemic Shock
Mount Saint Mary's UniversityThe patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner who then performs an initial assessment. In that assessment, the learner should recognize that the patient has low blood sugar and is altered from baseline....
Hypoglycemic Shock
The patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner...
Goals of Care Discussion
Maimonides Medical CenterIn this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer, appears frail and very ill, and is in the emergency department requiring BIPAP for respiratory support. The learner must take the role of the emergency...
In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer,...
Neonatal Abstinence Syndrome
Indiana University School of NursingThe patient is a 2-day-old newborn baby girl, presented to the learner in its bassinet in the mother's room crying with no monitors. The patient’s mother is standing next to the baby and the learner is informed–via EMR progress notes on VR tablet–that the patient exhibits fussiness overnight and poor...
Neonatal Abstinence Syndrome
The patient is a 2-day-old newborn baby girl, presented to the learner in its bassinet in the mother's room crying with no monitors. The patient’s...
C. Diff
Indiana University School of NursingThis scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress notes on VR tablet. The learner must note positive C Diff results on the tablet, don gown and gloves to enter the treatment room, counsel...
This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress...
New-onset Type 2 Diabetes in Adult
Indiana University School of NursingIn this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...
In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...
Brief Psychotic Disorders
Indiana University School of NursingSam 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....
Brief Psychotic Disorders
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...
Cumulative Complex Patient
Indiana University East School of Nursing and Health SciencesDeanne 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...
Cumulative Complex Patient
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...