Multi-Patient Safe Medication Administration
George Mason UniversityA learner is assigned three patients during a morning medication pass on a medical-surgical unit. Each patient has unique health conditions requiring the administration of multiple medications. The learner must assess patient status, identify potential safety concerns, and use clinical judgment to determine the appropriateness of each medication. Throughout the...
A learner is assigned three patients during a morning medication pass on a medical-surgical unit. Each patient has unique health conditions requiring the administration of...
Interprofessional Medication Error Management and Disclosure
George Mason UniversityCarmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing nurse who reports that the patient is feeling unwell. Learner(s) will enter the room to assess the patient, identify that she has hypoglycemia from an...
Carmel Johnson is a 22-year-old female who was admitted for overnight observation after a minor surgical procedure. Learner(s) will receive a handoff from the outgoing...
Recognition and Management of Cardiogenic Shock
TriHealthThis scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry floor, Learners receive handoff inside the patient's room from the nurse coming off their shift. Upon entering the patient's room, the Learner should actively assess...
This scenario is designed to assess an individual learner's ability to recognize signs and symptoms of cardiogenic shock in a 60-year-old male. On a telemetry...
Medical/Surgical UTI/DKA
Southeastern Illinois CollegePatient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report from the nursing staff in the ED and the ED paperwork/EHR. The participant should administer ordered IV antibiotics (initially Bactrim ordered but participant needs to...
Patient has been admitted to the Medical/Surgical unit from the ED with diagnosis of UTI and DKA. The participant will be given a brief report...
Atypical Presentation of an Older Adult
St. John Fisher University, Wegmans School of NursingElderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The student will have the opportunity to assess the patient, recognize confusion and s/sx of UTI/pyelonephritis, and order point of care testing, including glucose, dipstick U/A,...
Elderly female in a long term care facility develops acute confusion, diminished appetite, and intermittent complaints of back pain over the past 2 days. The...
ICU Sepsis – CVVHD
Houston VANick O. Kidman, a 54-year-old male patient admitted from ED for COPD exacerbation and uncontrolled DM Type 2; was transferred to ICU from the medical floor unit ED 2 days ago for PNA, ARF/AKI, and Sepsis. Patient has AKI with hyperkalemic fluid-overload, requiring dialysis. He also has sever hypotension, requiring...
Nick O. Kidman, a 54-year-old male patient admitted from ED for COPD exacerbation and uncontrolled DM Type 2; was transferred to ICU from the medical...
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...
Effects of Opioid Abuse on Children and Families
George Mason UniversityJerome 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...
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...
Tracheostomy Complications—Occluded Inner Cannula (Fresh Tracheostomy)
NYU Grossman School of MedicineThe patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...
The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...
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...
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...
Tracheostomy Complications—Displacement (Fresh Total Laryngectomy)
NYU Grossman School of MedicineThe patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for 24 hours. He had a total laryngectomy performed one day prior for laryngeal carcinoma. He required mechanical ventilatory support immediately postoperatively via a #8 cuffed...
The patient in this scenario is a 65-year-old man with a 120-pack-year smoking history who has been in the surgical intensive care unit (SICU) for...
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...
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....
MED 43 – Keola Akana – Acute Renal Failure | Hyperkalemia
ElsevierThis Simulated Patient Encounter maps to Scenario MED 43 - Keola Akana - Acute Renal Failure - on the Elsevier Evolve Platform. Keola Akana is a 70-year-old male with a history of heart failure. He was admitted to the med-surg unit for medication adjustment, monitoring, and cardiac rehabilitation. During this...
MED 43 – Keola Akana – Acute Renal Failure | Hyperkalemia
This Simulated Patient Encounter maps to Scenario MED 43 - Keola Akana - Acute Renal Failure - on the Elsevier Evolve Platform. Keola Akana is...
MED 24 – Lou Thao – Abdominal Surgery and Postoperative Fluid Volume Deficit
ElsevierThis Simulated Patient Encounter maps to Scenario MED 24 - Lou Thao - Abdominal Surgery - Postoperative Fluid Volume Deficit Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection....
MED 24 – Lou Thao – Abdominal Surgery and Postoperative Fluid Volume Deficit
This Simulated Patient Encounter maps to Scenario MED 24 - Lou Thao - Abdominal Surgery - Postoperative Fluid Volume Deficit Lou Thao is a 43-year-old...
Tracheostomy Complications—Displacement (Fresh Tracheostomy)
NYU Grossman School of MedicineThe patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed two days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...
The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...
Pediatric Asthma Requiring Airway in a Rural ED
Air MethodsA 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires transfer to a pediatric capable facility. Learners must recognize severe asthma and initiate usual asthma treatment, but the child does not respond to these basic...
A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires...
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...
Pediatric Asthma Exacerbation
Southeastern Illinois CollegeThe 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...
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...
Precipitous Labor & Neonatal Resuscitation
SimXThis scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital in time, even if they are paged. Delivery becomes imminent, and the mom gives birth to a baby with a poor tone and low heart...
This scenario starts in the emergency department. There is an obviously pregnant mom who is screaming in pain. The OB/GYN cannot arrive at the hospital...
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...
Tetralogy of Fallot with Hypercyanotic Spell
Children's NationalThe patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...
The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...
Preeclampsia
SimXYou are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a proper history and physical, you also note right upper quadrant abdominal pain, leg swelling, and she is obviously pregnant. She is a G1P0 who is...
You are working in a rural Emergency Department. You see a 35 year-old female who comes into the emergency department for a headache. Through a...