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Addressing Horizontal Violence in Medication Wasting

St. John Fisher University, Wegmans School of Nursing

This scenario involves an elderly male patient experiencing agitation in the Intensive Care Unit (ICU), requiring immediate and skilled nursing intervention. But as the scenario unfolds, Learners are placed in a position of simulated horizontal violence related to unsafe medication administration. The scenario begins with the patient's escalating agitation, prompting...

Fundamentals Leadership
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This scenario involves an elderly male patient experiencing agitation in the Intensive Care Unit (ICU), requiring immediate and skilled nursing intervention. But as the scenario...

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Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals, Leadership
Author: St. John Fisher University, Wegmans School of Nursing
Language: English
Room size: 10x10
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: clinical judgment, conflict resolution, Horizontal violence, ICU simulation, lateral violence, lorazepam administration, medication errors, medication wasting, nursing debriefing, nursing ethics, nursing leadership, Patient Safety, peer pressure in nursing, professional communication,
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Pediatric Traumatic Brain Injury (TBI)—Deployed

Uniformed Services University of the Health Sciences

A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...

Critical Care Emergency Medicine Family Medicine Internal Medicine Pediatric Surgery Trauma
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A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...

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Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Military, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Pediatric, Family Medicine, Surgery, Trauma
Author: Uniformed Services University of the Health Sciences
Language: English
Room size: 12x12
Setting: Outdoor, Emergency Department, ICU, PICU
Patient ect:
Patient Gender: Female, Male
Tags: Abnormal Neurologic Exam, Arm Fracture, Arm Injury, Arm Splint, atls, AVPU, brain herniation, C-Spine, c-spine protection VR, cervical spine precautions, CT, Cultural Differences, Epidural Hematoma, Epidural Hemorrhage, epidural hemorrhage VR, Evaluates for Hemorrhage, Foreign Language, Full Exposure, GCS, GCS <8 airway management, Glucose, head injury, Hypertonic Solution, Hypothermia Management, increased intracranial pressure management, interpreter, intubation, medical VR simulation, Neck Injury, Neurology, neurosurgery, Open Fracture, pediatric pharmacology, pediatric seizure management, pediatric TBI simulation, pediatric traumatic brain injury, Rapid Sequence Intubation, RSI, sedation, seizure, Serious Head Injury, SimX, TBI, Translation, Trauma Assessment, trauma primary survey MARCH, Trauma Surgery, traumatic brain injury, Ventilator, virtual reality trauma training, VR medical education, VR neurosurgery consult, X-Ray,
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Pediatric Traumatic Brain Injury (TBI)—Hospital-Based

Uniformed Services University of the Health Sciences

A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their exam is remarkable for superficial scrapes and a left arm fracture. The patient’s head is covered, hiding a significant scalp wound. After completion of the...

Critical Care Emergency Medicine Family Medicine Internal Medicine Pediatric Surgery Trauma
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A 9-year-old is evaluated after a traumatic injury. The trainee must stabilize the patient in a hospital-based environment. On arrival, the child appears agitated. Their...

View Scenario
Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Pediatric, Family Medicine, Surgery, Trauma
Author: Uniformed Services University of the Health Sciences
Language: English
Room size: 12x12
Setting: Outdoor, Emergency Department, ICU, PICU
Patient ect:
Patient Gender: Female, Male
Tags: Abnormal Neurologic Exam, airway protection, anti-epileptic medications, Arm Fracture, Arm Injury, Arm Splint, atls, AVPU, brain herniation, C-Spine, cervical spine precautions, Critical Care, CT, Cultural Differences, emergency medicine, Epidural Hematoma, Epidural Hemorrhage, Evaluates for Hemorrhage, Foreign Language, Full Exposure, GCS, GCS assessment, Glucose, head injury, healthcare simulation, Hypertonic Solution, Hypothermia Management, increased intracranial pressure management, interpreter, intubation, Neck Injury, neuro decline, Neurology, neurosurgery, neurosurgery consultation, Open Fracture, pediatric trauma care, pediatric traumatic brain injury, Peds TBI, Rapid Sequence Intubation, RSI, sedation, seizure, Serious Head Injury, SimX, TBI, TBI simulation, Translation, trauma, Trauma Assessment, Trauma Surgery, traumatic brain injury, traumatic seizure, Ventilator, virtual reality simulation, VR medical training, VR training, X-Ray,
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Altered Mental Status—MVA

Children's National

A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.

Critical Care Emergency Medicine Pediatric Trauma
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A 10-year-old male who presented after trauma with subdural hematoma who develops increased intracranial pressure.

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Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Pediatric, Trauma
Author: Children's National
Language: English
Room size: 12x12
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: abnormal neurological exam, altered mental status, brain herniation, emergency treatment, increased intracranial pressure, intubation, neurological assessment, neurological exam, neurosurgery, pediatric trauma, severe head injury, subdural hematoma, traumatic brain injury, VR medical training,

ICU Clinical Swallow Evaluation—Speech Pathology

University of Delaware College of Health Sciences

The learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The learner will complete a case history, oral motor exam, therapeutic PO trials, make recommendations, and complete a FEES study.

Critical Care
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The learner is called to the intensive care unit to complete a clinical swallow evaluation of a 55-year-old male who self-extubated following prolonged intubation. The...

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Case Information:
Bundles:
Learner Population: Interprofessional, Speech-Language Pathologist
Specialty: Critical Care
Author: University of Delaware College of Health Sciences
Language: English
Room size: 16x13
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: aspiration, Clinical Swallow Evaluation, Dysphagia, Endocarditis, FEES Study, Oral Motor Exam, Prolonged Intubation, septic shock, Speech-Language Pathology, swallow evaluation, Therapeutic PO Trials, Vocal Fold Paralysis,

Critical Care Post-MVA

Southeastern Illinois College

A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple injuries, including facial trauma, pneumothorax which has been treated with a chest tube, head injury, and hemorrhage. The participant must stabilize the patient through the...

Critical Care Emergency
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A 33-year-old male presenting after having presented to the ICU from the Emergency Department following a motor vehicle crash. He is known to have multiple...

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Case Information:
Bundles:
Learner Population: Nursing, Interprofessional
Specialty: Critical Care, Emergency
Author: Southeastern Illinois College
Language: English
Room size: 17x18
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: blood transfusion, chest tube management, critical thinking, evidence-based practice, hemorrhage control, ICU stabilization, intubation, motor vehicle crash, nursing process, trauma care,

Rapid Sequence Intubation

TriHealth

The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks. He was placed on BiPAP and transferred to the ICU. The learner will evaluate and facilitate the resuscitation of the patient.

Anesthesiology Critical Care Emergency Emergency Medicine Geriatric
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The patient is a 65-year-old male who has a long-standing history of COPD. He has been having dyspnea on exertion for the past 2 weeks....

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Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Respiratory Therapist
Specialty: Critical Care, Emergency Medicine, Anesthesiology, Emergency, Geriatric
Author: TriHealth
Language: English
Room size: 16x18
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: BiPAP, copd, Failed Intubation, icu, intubation, medication administration, Patient Safety, respiratory distress, resuscitation,

Tracheostomy Complications—Chronic Tracheostomy with Tracheoinnominate Fistula

NYU Grossman School of Medicine

Patient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia, requiring continued mechanical ventilatory support, who underwent percutaneous tracheostomy insertion 20 days ago. The learner is called to the bedside by the MICU nurse due to bright red blood oozing from the tracheostomy and from the stoma....

Anesthesiology Critical Care Emergency Medicine Internal Medicine
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Patient is a 65-year-old man with prolonged recovery from ARDS due to pneumonia, requiring continued mechanical ventilatory support, who underwent percutaneous tracheostomy insertion 20 days...

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Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Anesthesiology
Author: NYU Grossman School of Medicine
Language: English
Room size: 16x13
Setting: ICU
Patient ect:
Patient Gender: Male
Tags: Airway, Airway Management, Arterial Bleed, Fistula, hemorrhage, hemorrhagic shock, intubation, Trach, tracheostomy, Utley Maneuver,