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Nursing Workforce Readiness: Inpatient Altered Mental Status

SimX

William Kotari, a 72-year-old male, is currently admitted to the medical-surgical unit for the management of an infected diabetic foot ulcer. While in the room, his wife, Susan Kotari, alerts the nurse to sudden neurological changes. She states that he was last seen normal 45 minutes ago, but now exhibits...

Medical/Surgical

William Kotari, a 72-year-old male, is currently admitted to the medical-surgical unit for the management of an infected diabetic foot ulcer. While in the room,...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: Acute ischemic stroke, altered mental status, FAST mnemonic, geriatric care, inpatient nursing, neurological assessment, stroke protocol, thrombolytic therapy,

Nursing Workforce Readiness: Management of Metabolic Disorders

SimX

Sara Ramirez, a 24-year-old female with a known history of type 1 diabetes, is brought to the emergency department by ambulance after several days of feeling unwell. Family reports that she has been excessively thirsty, urinating frequently, and complaining of abdominal pain, nausea, and fatigue. She admits to missing several...

Emergency Medical/Surgical

Sara Ramirez, a 24-year-old female with a known history of type 1 diabetes, is brought to the emergency department by ambulance after several days of...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Emergency, Medical/Surgical
Author: SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: Anion Gap Acidosis, Diabetic Ketoacidosis (DKA), hyperglycemia, Kussmaul Respirations, Metabolic Acidosis, Type 1 Diabetes Mellitus,

Nursing Workforce Readiness: Systemic Infection Response

SimX

A 68-year-old male presents to the Emergency Department with a 4-day history of worsening cough, fever, and shortness of breath. Family reports the cough is productive of yellow sputum, and they note poor appetite and increasing confusion. Despite initial EMS oxygen administration, the patient's condition deteriorated en route, exhibiting persistent...

Emergency Medical/Surgical

A 68-year-old male presents to the Emergency Department with a 4-day history of worsening cough, fever, and shortness of breath. Family reports the cough is...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Emergency, Medical/Surgical
Author: SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: altered mental status, emergency department, Infection to Systemic Inflammatory Response (SIRS), medication administration, Organ Dysfunction (Acute Kidney Injury, pneumonia, rapid deterioration, sepsis, sepsis screening tools, septic shock, Severe Sepsis,

Nursing Workforce Readiness: Refractory Hypoxemia in the ICU

SimX

A 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness of breath following severe pneumonia. The patient is sedated and on assist-control ventilation, but despite initial settings, the patient’s condition worsens, with the patient hypotensive...

Medical/Surgical

A 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: Acute Respiratory Distress Syndrome, ards, hypoxemia, icu, mechanical ventilation, Nursing, patient assessment, PEEP, pneumonia, prioritization, Prone Positioning, respiratory distress, Respiratory Therapy, team communication, Vasopressors,

Nursing Workforce Readiness: Prenatal Care and Complications

SimX

In this scenario, learners will care for a 29-year-old G1P0 patient in a Labor & Delivery setting who has a diagnosis of severe preeclampsia, and learners will implement seizure precautions, recognize clinical deterioration despite Magnesium Sulfate prophylaxis, and manage an eclamptic seizure, including post-ictal stabilization and assessment for Magnesium toxicity....

Maternal and Child Health (MCH)

In this scenario, learners will care for a 29-year-old G1P0 patient in a Labor & Delivery setting who has a diagnosis of severe preeclampsia, and...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Maternal and Child Health (MCH)
Author: SimX
Language: English
Room size: 16x16
Setting: Maternity Unit
Patient ect:
Patient Gender: Female
Tags: Clonus, Deep Tendon Reflexes, Eclampsia, eclamptic seizure, fetal heart rate, High-Risk OB, Hypertensive Crisis in Pregnancy, Labor and Delivery (L&D), Magnesium Sulfate, Maternal-Child Health, Nursing, Obstetrics, Prenatal Complications, sbar, seizure, Severe Preeclampsia,

Nursing Workforce Readiness: Postpartum Emergency

SimX

A 37-year-old female is arriving at the postpartum unit after delivering a male via vaginal delivery 4 hours ago at 38 and 2 weeks of gestation. The patient's labor was complicated by maternal preeclampsia, and she received magnesium sulfate during labor. Learners will have the opportunity to assess and manage...

Maternal and Child Health (MCH)

A 37-year-old female is arriving at the postpartum unit after delivering a male via vaginal delivery 4 hours ago at 38 and 2 weeks of...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Maternal and Child Health (MCH)
Author: SimX
Language: English
Room size: 16x16
Setting: Maternity Unit
Patient ect:
Patient Gender: Female
Tags: Hypovolemic shock, Maternal preeclampsia, Nursing readiness, Patient safety protocols, postpartum emergency, postpartum hemorrhage, QBL, SBAR communication,

Nursing Workforce Readiness: Family Centered Care during Psychological Diagnosis

SimX

A young adult male is admitted to the psychiatric unit with symptoms of acute mania. The patient has just been diagnosed with Bipolar I and is ordered for stabilization, education, and medication initiation and titration. The patient lives with their brother who is very supportive and present during this admission....

Mental Health

A young adult male is admitted to the psychiatric unit with symptoms of acute mania. The patient has just been diagnosed with Bipolar I and...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Mental Health
Author: SimX
Language: English
Room size: 16x16
Setting: Psychiatric Ward
Patient ect:
Patient Gender: Male
Tags: bipolar I, family-centered care, inpatient psychiatric care, mania, medication initiation, mental health, new diagnosis, patient education,

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,

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,

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,

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,

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,

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,

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,

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,