Hospital
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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...

Adult Seizure in EMU
Baylor College of MedicineJamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed several AEDs and is admitted to the EMU for seizure classification as part of a presurgical workup for epilepsy surgery. The learner must perform an...
Adult Seizure in EMU
Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed...

Aggressive Behavior Management for Dementia Patient
Keimyoung UniversityA 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing aggressive behaviors such as screaming and swearing. She is able to communicate easily with an MMSE score of 15/30, but she is angry with her...
A 79-year-old elderly woman with dementia has been unable to adjust to the three-person room at the nursing hospital for three weeks and is showing...

Anesthesia Post-op
University of Pennsylvania School of NursingIn the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is completed, the Student Registered Nurse Anesthetist (SRNA) turns the anesthesia off. Still, the deficiency causes the patient to remain under the influence of the paralytic...
In the Operating Room, a 23-year-old female patient with an undiagnosed pseudocholinesterase deficiency is undergoing general anesthesia for a D&E. As the surgical case is...

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...

BTT Shunt Occlusion in Interstage Patient with HLHS
Children's NationalThe patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5. Her intraoperative and postoperative course was relatively unremarkable, and she had been in the hospital for two weeks post-op, working on feeding issues. She has...
The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5....

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...

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...

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....

Chest Pain—ACS
Queensland Health ServiceA middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and has a cardiac arrest with ventricular tachycardia, which can be seen on the monitor. The learner is expected to evaluate the patient, order and interpret...
A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and...

Coarctation of the Aorta
Children's National2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding less. She has an older brother (3-year-old who is in daycare). Symptoms have been getting worse over the last couple days. She was seen at...
2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding...

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...

Desaturation and Bradycardia in Infant
Children's NationalIn this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is POD#0 from stitch closure of ASD and patch repair of the VSD. The post-op TEE shows a small residual ASD, no residual VSD, and good...
In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is...

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...

EMS Prehospital Pediatric Trauma
Servicio Nacional de Aprendizaje (SENA)In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is confused with recent amnesia, but responds to orders. Two EMS must secure the area, give him first attention, and take him in their ambulance to...
In a car accident, a pediatric patient suffers trauma, head injury, fracture of one of his arms with deformity and bruises in thorax. He is...

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...

FUN 04 – Jesus Garcia – Colostomy Care and Teaching
ElsevierThis Simulated Patient Encounter maps to Scenario FUN 04 - Jesus Garcia - Colostomy Care and Teaching on the Elsevier Evolve Platform Jesus Garcia is a 28-year-old Hispanic male with a history of ulcerative colitis. He was directly admitted with dehydration after undergoing a partial colectomy with creation of a...
FUN 04 – Jesus Garcia – Colostomy Care and Teaching
This Simulated Patient Encounter maps to Scenario FUN 04 - Jesus Garcia - Colostomy Care and Teaching on the Elsevier Evolve Platform Jesus Garcia is...

FUN 05 – Lisa Rae – Fall and Pressure Ulcer Risk Assessment
ElsevierThis Simulated Patient Encounter maps to Scenario FUN 05 - Lisa Rae - Fall and Pressure Ulcer Risk Assessment on the Elsevier Evolve Platform Lisa Rae, a 78-year-old Caucasian female, was admitted with complaints of dizziness following a fall at her assisted living facility. Mrs. Rae was found to be...
FUN 05 – Lisa Rae – Fall and Pressure Ulcer Risk Assessment
This Simulated Patient Encounter maps to Scenario FUN 05 - Lisa Rae - Fall and Pressure Ulcer Risk Assessment on the Elsevier Evolve Platform Lisa...

FUN 06 – Nancy Gilbert – Tracheostomy Care
ElsevierThis Simulated Patient Encounter maps to Scenario FUN 06 - Nancy Gilbert - Tracheostomy Care on the Elsevier Evolve Platform Nancy Gilbert is a 65-year-old Caucasian female with a history of laryngeal cancer. She was admitted with pneumonia and placed in contact isolation for methicillin-resistant Staphylococcus aureus (MRSA). During this...
FUN 06 – Nancy Gilbert – Tracheostomy Care
This Simulated Patient Encounter maps to Scenario FUN 06 - Nancy Gilbert - Tracheostomy Care on the Elsevier Evolve Platform Nancy Gilbert is a 65-year-old...

FUN 07 – Carl Rogers – Diabetic Wound Care and Insulin Administration
ElsevierThis Simulated Patient Encounter maps to Scenario FUN 07 - Carl Rogers - Diabetic Wound Care and Insulin Administration on the Elsevier Evolve Platform Carl Rogers is a 67-year-old African American male with a history of type I diabetes mellitus. He was directly admitted from his provider’s office to the...
FUN 07 – Carl Rogers – Diabetic Wound Care and Insulin Administration
This Simulated Patient Encounter maps to Scenario FUN 07 - Carl Rogers - Diabetic Wound Care and Insulin Administration on the Elsevier Evolve Platform Carl...

FUN 08 – Maurice Arviso – Oxygenation and Hygiene
ElsevierThis Simulated Patient Encounter maps to Scenario FUN 08 - Maurice Arviso - Oxygenation and Hygiene on the Elsevier Evolve Platform Maurice Arviso is a 60-year-old Native American male admitted to the inpatient medical unit with pneumonia. Maurice is determined to maintain his independence and dignity and refuses assistance with...
FUN 08 – Maurice Arviso – Oxygenation and Hygiene
This Simulated Patient Encounter maps to Scenario FUN 08 - Maurice Arviso - Oxygenation and Hygiene on the Elsevier Evolve Platform Maurice Arviso is a...