
Postpartum Hemorrhage—Hospital
Southeastern Illinois College30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at 39 weeks gestation, P3G2A1. Patient had a retained placenta requiring manual extraction. Patient has had 3 pads saturated in 1 hour and currently feels a...
30-year-old African American female arriving at the Mother Baby Unit after delivering a male via vaginal delivery approximately 1 and a half hours ago at...

Shoulder Dystocia in a Rural ED
Air MethodsThis scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing shoulder dystocia and is in active labor/imminent delivery. Following successful delivery, the infant will require basic assessment and care, and the mother will require care...
This scenario leads learners through an encounter with a patient in active labor. As the case progresses, learners must recognize that the patient is experiencing...

Pedestrian Injury from Distracted Driver
Northshore University Healthcare SystemIt’s a day like any other and you are a passenger in a vehicle bound for school. Your friend Max (the driver) gets distracted by a series of notifications on his phone. It all happens too fast, the next thing you know a skateboarder is on the ground and Max...
It’s a day like any other and you are a passenger in a vehicle bound for school. Your friend Max (the driver) gets distracted by...

EMS MCA Stroke
SimXUpon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment, the learner finds that he has focal right sided weakness with right sided facial droop with last known normal 45 minutes ago. The learner should...
EMS MCA Stroke
Upon arrival learners find the patient arguing with his wife and telling the learner they don’t need to go to the hospital. Upon initial assessment,...

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...

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...

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...

Domestic Violence
Indiana University East School of Nursing and Health SciencesFarrah 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...
Domestic Violence
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...

Fall in the Hospital
Nambu UniversityA 78-year-old woman with a history of a stroke is currently admitted with a GI bleed. The learner does a basic nursing assessment including a neurologic exam consistent with previous deficits related to the stroke and leaves the room. While they are absent the patient falls, which requires the learner...
A 78-year-old woman with a history of a stroke is currently admitted with a GI bleed. The learner does a basic nursing assessment including a...

Infant with Bronchiolitis
Queensland Health ServiceA 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize respiratory distress, and escalate oxygen. The patient will decompensate, which requires the learner(s) to call a code blue, support the patient’s airway, suction the airway,...
A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize...

Cellulitis and PICC Line Care Skills
Queensland Health ServiceA middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and follow medication administration orders. The Learner(s) will also perform a PICC line dressing change procedure which includes, cleaning the area, monitoring for movement of the...
A middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and...

ACLS Knowledge Update
Air MethodsIn this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will progress to unstable Vtach, Vfib arrest, and then PEA arrest throughout the case. Learners will work to provide compressions, medications, electrical therapy, and airway interventions...
In this scenario, a 56-year-old male patient arrives at the emergency department with chest pain with symptomatic bradycardia and unstable vital signs. The patient will...

PED 06 – Haley Medvedev – Bronchiolitis, Management of Respiratory Distress
ElsevierThis Simulated Patient Encounter maps to Scenario PED 06 - Haley Medvedev - Bronchiolitis Presumptive Respiratory Syncytial Virus - Infant - Management of Respiratory Distress on the Elsevier Evolve Platform Haley Medvedev is a 5-month-old Caucasian female who was admitted with a diagnosis of bronchiolitis. Respiratory syncytial virus (RSV) is...
PED 06 – Haley Medvedev – Bronchiolitis, Management of Respiratory Distress
This Simulated Patient Encounter maps to Scenario PED 06 - Haley Medvedev - Bronchiolitis Presumptive Respiratory Syncytial Virus - Infant - Management of Respiratory Distress...

MED 41 – Mathias Hedding – Wound Debridement and Pain Management
ElsevierThis Simulated Patient Encounter maps to Scenario MED 41 - Mathias Hedding - Wound Debridement - Pain Management on the Elsevier Evolve Platform Mathias Hedding is a 62-year-old Caucasian male admitted for surgical debridement of infected foot wounds. He has a history of type 2 diabetes mellitus and heart failure....
MED 41 – Mathias Hedding – Wound Debridement and Pain Management
This Simulated Patient Encounter maps to Scenario MED 41 - Mathias Hedding - Wound Debridement - Pain Management on the Elsevier Evolve Platform Mathias Hedding...