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Nursing Essentials: Hygiene and Daily Cares

California State University, Los Angeles SimX

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 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...

Fundamentals

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: activities of daily living, aspiration precautions, bed bathing, clinical judgement, clinical reasoning, daily cares, dependent adult, elderly, feeding, fundamentals, geriatric, insulin, interprofessional care coordination, long-term care, medication administration, nutrition assistance, oral care, patient assessment, Patient Safety, perineal care, personal hygiene, point-of-care glucose testing (POCT), skilled nursing facility (SNF), stroke rehabilitation, subcutaneous medication administration, therapeutic communication,
Coming Soon

Nursing Essentials: Gastric Decompression and Specimen Collection

California State University, Los Angeles SimX

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 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...

Fundamentals

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: active bleeding, anticoagulant, elderly, fluid resuscitation, focused abdominal assessment, fundamentals, gastric decompression, gastrointestinal bleed, geriatric, gi bleed, hand-off report, hematemesis, hypotension, Hypovolemic shock, intravenous medications, IV access, medication administration, nasogastric tube insertion, ng tube, occult stool testing, patient assessment, Patient Safety, sbar, tachycardia, therapeutic communication, vital signs,
Coming Soon

Nursing Essentials: Postoperative Pain Management and Respiratory Care

California State University, Los Angeles SimX

A 58-year-old female who underwent a right-sided video-assisted thoracoscopic surgery resection earlier today is admitted to the medical-surgical unit following an uneventful stay in the post-anesthesia care unit. The patient is experiencing significant "stabbing" pain at the surgical site. In this scenario, learners must complete a focused postoperative assessment, manage...

Fundamentals

A 58-year-old female who underwent a right-sided video-assisted thoracoscopic surgery resection earlier today is admitted to the medical-surgical unit following an uneventful stay in the...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: and Respiratory Assessment, chest tube, chest tube management, fundamentals, hipaa, Incentive Spirometry, Incision Splinting, nursing ethics, pain management, Patient Confidentiality, Patient-Controlled Analgesia (PCA), postoperative care, Pulmonary Hygiene, Respiratory Care, VATS Surgery,
Coming Soon

Nursing Essentials: Airway Management and Oxygen Therapy

California State University, Los Angeles SimX

A 78-year-old female was admitted to the hospital overnight from her long-term care facility with suspected influenza. She has an established tracheostomy due to a history of laryngeal cancer and a subsequent partial laryngectomy 5 years ago. In this scenario, learners will need to obtain a specimen sample from the...

Fundamentals

A 78-year-old female was admitted to the hospital overnight from her long-term care facility with suspected influenza. She has an established tracheostomy due to a...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: Airway Management, Braden Scale, Droplet Precautions, fall risk, fall risk assessment, fundamentals, Gerontology, infection control, Influenza, interprofessional communication, isolation precautions, oxygen therapy, Patient Safety, respiratory assessment, Respiratory Therapy, specimen collection, Sterile Specimen Collection, tracheostomy care,
Coming Soon

Nursing Essentials: Urinary Output and Elimination

California State University, Los Angeles SimX

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 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...

Fundamentals

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: acute urinary retention, Bladder Scanner, bladder scanning, BPH, confusion in older adult, fundamentals, indwelling catheter, indwelling urinary catheter insertion, iv antibiotics, nursing assessment, patient education, Urinary Elimination, urinary output and elimination, urinary retention, uti,
Coming Soon

Nursing Essentials: Colostomy and Palliative Care Management

California State University, Los Angeles SimX

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 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...

Fundamentals

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: chronic pain, colorectal cancer, colostomy care, end stage cancer, fundamentals, pain assessment, palliative care, spiritual support, terminal illness, transdermal medication administration,
Coming Soon

Nursing Essentials: IV Access and Medication Administration

California State University, Los Angeles SimX

A 56-year-old female was admitted to the oncology unit 8 days ago for chemotherapy management and supportive care due to treatment complications following a recurrence of breast cancer. She has a past history of a right-sided mastectomy with axillary lymph node removal. She has a left-sided tunneled central venous catheter...

Fundamentals

A 56-year-old female was admitted to the oncology unit 8 days ago for chemotherapy management and supportive care due to treatment complications following a recurrence...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: and SBAR Communication, Cancer Care, Central Line Dressing Change, Central Venous Catheter, chemotherapy, electrolyte imbalance, Emotional Support, Fatigue and Sleep Disturbance, fluid and electrolyte management, hypokalemia, IV Electrolyte Replacement, IV medication administration, Mastectomy, Medication Barcode Scanning, Medication Safety, Neutropenic Precautions, Non-Pharmacologic Pain Management, Oncology Nursing, Patient-Centered Care, Peripheral IV Discontinuation, Peripheral IV Insertion, sterile technique,
Coming Soon

Nursing Essentials: Infection Control and Patient Safety

California State University, Los Angeles SimX

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 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...

Fundamentals

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...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals
Author: California State University, Los Angeles, SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: AIDET, barcode scanning, clinical reasoning, contact precautions, doffing, donning, dressing change, elderly, fundamental skills, fundamentals, geriatric, geriatric care, infection control, intravenous medications, IV medication administration, medical-surgical nursing, medication administration, mrsa, MRSA precautions, Nursing, Patient Safety, post-operative, post-operative care, restraints, sbar, sterile dressing change, sterile procedure, wound care, wound management,

PCC Severe Traumatic Brain Injury

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including bilateral lower extremity amputations. The learner should assess the patient, initially recognizing that the cric placed in the field is a false passage. They should...

Prolonged Casualty Care (PCC)

PCC Severe Traumatic Brain Injury

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered severe TBI and blast injury including...

Case Information:
Bundles: PCC Bundle
Learner Population: Military
Specialty: Prolonged Casualty Care (PCC)
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female, Male
Tags: blast injury, blood resuscitation, brain herniation, cricothyrotomy, endotracheal intubation, lateral canthotomy, multiple patients, palliative care, prolonged casualty care, retrobulbar hematoma, Severe TBI,

PCC Burn Management

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess the patient and determine TBSA burn. They should upgrade the airway to an endotracheal tube or surgical airway and place the patient on a ventilator....

Prolonged Casualty Care (PCC)

PCC Burn Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty that suffered extensive burns. The learner should assess...

Case Information:
Bundles: PCC Bundle
Learner Population: Military
Specialty: Prolonged Casualty Care (PCC)
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female
Tags: airway control, analgesia and anxiolysis, burn management, fluid resuscitation, prolonged casualty care, surgical airway, TBSA calculation, telemedical consult, ventilator management, wound dressing,

PCC Crush Syndrome

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush injury. During the evaluation, the casualty develops compartment syndrome that requires fasciotomy, and rhabdomyolysis with hyperkalemia. The learner should identify hyperkalemia and give appropriate medications...

Prolonged Casualty Care (PCC)

PCC Crush Syndrome

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty 2 hours out from vehicle entrapment with crush...

Case Information:
Bundles: PCC Bundle
Learner Population: Military
Specialty: Prolonged Casualty Care (PCC)
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Male
Tags: compartment syndrome, Crush injury, evacuation planning, fasciotomy, hyperkalemia, iv fluids, prolonged casualty care, rhabdomyolysis, sepsis management, teleconsultation,

PCC Sepsis Management

VALOR Program

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation the casualty decompensates into septic shock with hypotension, tachycardia, and prolonged capillary refill. The learner should provide local wound care, debride the wound, administer appropriate...

Prolonged Casualty Care (PCC)

PCC Sepsis Management

PCC Bundle

Starting in a building of opportunity in a far forward location, participants receive handoff for a casualty three days post blast injury. During the evaluation...

Case Information:
Bundles: PCC Bundle
Learner Population: Military
Specialty: Prolonged Casualty Care (PCC)
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Male
Tags: antibiotic administration, evacuation request, hypotension management, IV fluid bolus, MARC2H3-PAWS-L algorithm, prolonged casualty care, sepsis management, septic shock, teleconsultation, wound debridement,

Virtual Manikin™ — Prolonged Casualty Care (PCC)

VALOR Program

Learner starts the scenario in a far forward location. The moderator has options to choose the environment location and also choose the virtual manikin patient. Moderator can choose injury patterns and will have control over the patient's physiology through the scenario. All of the tools from the PCC curriculum are...

Prolonged Casualty Care (PCC)

Virtual Manikin™ — Prolonged Casualty Care (PCC)

PCC Bundle

Learner starts the scenario in a far forward location. The moderator has options to choose the environment location and also choose the virtual manikin patient....

Case Information:
Bundles: PCC Bundle
Learner Population: Military
Specialty: Prolonged Casualty Care (PCC)
Author: VALOR Program
Language: English, German
Room size: 16x16
Setting: Outdoor, Other
Patient ect:
Patient Gender: Female, Male
Tags: airway interventions, burn management, circulation management, desert, evisceration, hygiene, hypothermia, jungle, MARC2H3-PAWS-L algorithm, massive hemorrhage management, pallor, patient care, prolonged casualty care, resuscitation, teleconsultation, urban warzone, woodlands, wound care,

Virtual Manikin™ — Outpatient Soft Skills

SimX

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over the patient's physiology throughout the scenario. The conditions available are obesity, traumatic brain injury, language disorders, Parkinson’s disease, hearing loss, type 2 diabetes, and malnutrition.

Advanced EMT Community/Public Health Emergency Medicine EMT Fundamentals Internal Medicine Mental Health Neurology Paramedic Psychiatry

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Neurology, Advanced EMT, Community/Public Health, EMT, Fundamentals, Mental Health, Paramedic, Psychiatry
Author: SimX
Language: English
Room size: 16x16
Setting: Outpatient Clinic, Other
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory care, communication skills, diabetes management, healthcare simulation, outpatient care, Parkinson's disease, patient assessment, soft skills training, traumatic brain injury, Virtual Manikin,

EMS Congestive Heart Failure

VALOR Program

Learner responds to a 70-year-old male patient experiencing shortness of breath and chest tightness related to pulmonary edema. Learner should perform an initial assessment on scene, identify the patient's dyspnea and hypoxia, and provide appropriate respiratory support. The patient is in respiratory distress and can speak in only 1-2 syllable...

Cardiology Critical Care Emergency Medicine Internal Medicine

EMS Congestive Heart Failure

EMS Bundle

Learner responds to a 70-year-old male patient experiencing shortness of breath and chest tightness related to pulmonary edema. Learner should perform an initial assessment on...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine
Author: VALOR Program
Language: English
Room size: 16x16
Setting: Ambulance, Home
Patient ect:
Patient Gender: Male
Tags: AEMT, als, bls, CHF, CPAP, EMT, Flash Pulmonary Edema, heart failure, Left Bundle Branch Block, Military, Nitroglycerine, Paramedic, Pulmonary Edema, respiratory failure,

Effects of Opioid Abuse on Children and Families

George Mason University

Jerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian man who struggles with an opioid addiction. Jerome has a younger half-sister, Namazzi (age 12). Namazzi told Jerome that her stepfather has been sleeping a...

Community/Public Health SDOH

Jerome Marshall, 19-year-old, refugee from Uganda, lives in a high opioid abuse, imporverished neighborhood. His father is deceased, and his mother remarried a middle-aged Caucasian...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Community/Public Health, SDOH
Author: George Mason University
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: Child Welfare, Crisis Intervention, Family Impact, Opioid Abuse, social services,

Primary Care UTI/BPH

University of Nebraska Medical Center

In this scenario, the patient is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He came to the hospital with symptoms of UTI. Learners must successfully assess the patient, recognize any abnormal findings, and respond with appropriate care. Throughout the scenario, learners must also communicate...

Community/Public Health Internal Medicine Medical/Surgical

In this scenario, the patient is a 60 year old male with a history of HTN, CAD, and hyperlipidemia. He came to the hospital with...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Internal Medicine, Community/Public Health, Medical/Surgical
Author: University of Nebraska Medical Center
Language: English
Room size: 16x16
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: BPH, HTN, hyperlipidemia, patient education, sbar, urine collection, uti,

Pediatric Asthma Exacerbation

Southeastern Illinois College

The patient is a fifteen-year-old teenage male that presents to the medical clinic with asthma exacerbation. He is attended by his parent. The patient reports having played a football game earlier this week in cold, damp weather. He has a two-day history of a non-productive cough, shortness of breath, and...

Pediatric

The patient is a fifteen-year-old teenage male that presents to the medical clinic with asthma exacerbation. He is attended by his parent. The patient reports...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Pediatric
Author: Southeastern Illinois College
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: asthma, asthma exacerbation, cough, pediatric asthma, respiratory distress, sbar, shortness of breath, therapeutic communication,

Chiari Malformation

Parker University

A 35-year-old male presents to the chiropractor with a headache and neck pain. The learner must assess the patient and view imaging studies including an MRI and x-ray in the EMR. The examination will include a range of motion, palpation, orthopedic, and neuro evaluation. Following these tests, the learner will...

A 35-year-old male presents to the chiropractor with a headache and neck pain. The learner must assess the patient and view imaging studies including an...

Case Information:
Bundles:
Learner Population: Chiropractor
Specialty:
Author: Parker University
Language: English
Room size: 16x16
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: cerebellar symptoms, chiropractics, headache, mri, myotome, neck pain, neuro exam, range of motion, spine x-ray,

Car Accident—Prehospital

XR Support Center Europe

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver having a cardiac event due to a complication of atrial fibrillation with rapid ventricular response. One patient is a middle aged male who is ambulatory...

Advanced EMT Emergency Medicine EMT Paramedic Trauma

This is a prehospital scenario with two patients at the scene of a high speed motor vehicle accident which is secondary to the elderly driver...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Advanced EMT, EMT, Paramedic, Trauma
Author: XR Support Center Europe
Language: English, Dutch
Room size: 16x16
Setting: Outdoor
Patient ect:
Patient Gender: Male
Tags: altered mental status, atls, bystander cpr, cardiac arrest, multiple casualties, mva, needle decompression, pneumothorax, prehospital, trauma,

Lumbar Radiculopathy

Parker University

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 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...

Case Information:
Bundles:
Learner Population: Chiropractor
Specialty:
Author: Parker University
Language: English
Room size: 16x16
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: babinski reflex, chiropractor, dermatomes, duel inclinometer, extremity pain, low back pain, lumbar spine, musculoskeletal exam, neuro exam, pelvic x-ray, radiculopathy, spine x-ray,

Spinal Tumor

Parker University

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 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...

Case Information:
Bundles:
Learner Population: Chiropractor
Specialty:
Author: Parker University
Language: English
Room size: 16x16
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Female
Tags: chiropractics, dual inclinometer, foot drop, low back pain, mri, neuro exam, reflexes, spine xray, urinary incontinence,

Lumbar Stenosis

Parker University

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 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...

Case Information:
Bundles:
Learner Population: Chiropractor
Specialty:
Author: Parker University
Language: English
Room size: 16x16
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Male
Tags: babinski reflex, chiropractic manipulative therapy, chiropractics, dual inclinometer, lateral recumbent treatment, low back pain, lumbar stenosis, mri, neuro exam, spine xray,

Post-op Mobility and Elimination

University of Nebraska Medical Center

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 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...

Fundamentals Geriatric Perioperative

Post-op Mobility and Elimination

SimX Nursing Bundle

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...

Case Information:
Bundles: SimX Nursing Bundle
Learner Population: Nursing
Specialty: Fundamentals, Geriatric, Perioperative
Author: University of Nebraska Medical Center
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ambulation, c diff, diarrhea, gait belt, hip pain, infection, perineal care, physical therapy, post surgery, sequential compression device (scds), thromboembolic deterrent hose (ted hose), wound care,