Nursing Workforce Readiness: Inpatient Altered Mental Status
SimXWilliam 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...
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,...
Nursing Workforce Readiness: Recognition and Management of Acute Cardiac Decompensation
SimXWhile caring for a patient on an inpatient medical-surgical unit, the learner will encounter a sudden cardiac emergency. The participant must activate hospital response systems, initiate Basic Life Support (BLS), and delegate roles to arriving support staff based on their scope of practice. The scenario concludes once the code team...
While caring for a patient on an inpatient medical-surgical unit, the learner will encounter a sudden cardiac emergency. The participant must activate hospital response systems,...
Nursing Workforce Readiness: Postoperative Complications
SimXIn this scenario, learners manage the post-operative transition of 52-year-old Carly Styles following a T6-T8 posterior spinal fusion. The case begins with routine post-surgical care, focusing on neurovascular assessment and Patient-Controlled Analgesia (PCA) education. While caring for the patient, a post-operative complication becomes apparent and the learners must manage the...
In this scenario, learners manage the post-operative transition of 52-year-old Carly Styles following a T6-T8 posterior spinal fusion. The case begins with routine post-surgical care,...
Artificial Airway
University of Pennsylvania School of NursingRuma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has been weaned off of mechanical ventilation and is breathing on her own, receiving oxygen via a humidified trach collar. Ruma is alert and oriented. A...
Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has...
Heat Stroke Pain Management in an Adult
Mount Saint Mary's UniversityThe patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized but the nurse reports that he was complaining of general fatigue & a mild headache. He was given acetaminophen 650 mg PO about 3 hours...
The patient is a 19-year-old male patient admitted to the ED for dehydration and fluid/electrolyte imbalances due to heat exhaustion. The patient has been stabilized...
Establishing Vascular Access in a Difficult Intravenous Access Patient
CLINSPEC Solutions CVC Health Care PICC ProsA 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately, the nursing staff were unable to establish peripheral IV access after several attempts. The learner will evaluate the patient, review medical history, and establish vascular...
A 67-year-old male with recent diagnosis of septic shock secondary to pneumonia is now recovering and no longer in need of central venous access. Unfortunately,...
Establishing Vascular Access for Long-Term Antibiotic Therapy
CLINSPEC Solutions CVC Health Care PICC ProsA 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will evaluate the patient, review medical history, and establish vascular access using the appropriate technique.
A 72-year-old female with recent diagnosis of osteomyelitis presents to the outpatient infusion clinic to establish vascular access for long-term vancomycin therapy. The learner will...
Alcohol Withdrawal, CIWA
Houston VAMolly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she drinks heavily and thinks she passed out drunk. She came to the ER alert and oriented x 3. She is ambulatory but stumbles occasionally. She...
Molly Maple is a 52 year old who came through the ER. She was found at home by family passed out. The family reports she...
Non-Fatal Suicide Attempt in an Adult
Southeastern Illinois CollegeA 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by her mother. Initially, the participant should perform a mental health assessment for a client in a short-term mental health setting, exhibit professional caring attitude, and...
A 20 year-old female is admitted to a psych unit from the ED with a diagnosis of suicide attempt and depression. She is accompanied by...
Hepatic Encephalopathy with AMS
Southeastern Illinois CollegeA 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had a change in mood the last day or so and now appears confused. The patient's family reports he had just been treated for a UTI...
A 59-year-old Caucasian male with PMH of liver disease, T2DM, Hypertension, and Hypothyroidism was brought to the ER by his family, who states he’s had...