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...
Suicidal Veteran
Houston VA68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son said that there were empty pill bottles at home, which were the patient's heart/blood pressure medications. However, the patient reports taking only a few pills....
68-year-old male navy veteran admitted to your unit from the ER for intentional overdose and hypotension. His son found him at home unconscious. The son...
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...
Sepsis
SimXThe learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was previously told his gallbladder was bad and needs to be removed. Upon initial assessment, the patient is febrile, tachycardic, and hypotensive. If treated aggressively with...
The learner is working in the emergency department, going to see a 70-year-old male who is here with abdominal pain and fever. The patient was...
Sepsis Care
University of Nebraska Medical CenterThe patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and should recognize signs that the patient is sick. The learner must perform an assessment where they will find fever, tachycardia, decreased urine output, abdominal pain,...
Sepsis Care
The patient is an 84-year-old female who is in the hospital after a bowel surgery. The learner receives a handoff from the previous nurse and...
Geriatric Pneumonia—Inpatient
University of Nebraska Medical CenterA 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that the patient is in respiratory distress and begin interventions to treat him, including administering oxygen via nasal cannula or non-rebreather. The learner is expected to...
Geriatric Pneumonia—Inpatient
A 68-year-old male with COPD is admitted to the hospital with pneumonia; the signout says he became more sick overnight. The learner must identify that...
Post-op Mobility and Elimination
University of Nebraska Medical CenterA 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper personal protective equipment and perform an initial assessment, including a focused musculoskeletal exam. The learner should notice that the patient needs to be cleaned–including appropriate...
Post-op Mobility and Elimination
A 67-year-old male is admitted to the surgical ward after hip repair surgery and develops a clostridium difficile infection. The learner must put on proper...
Goals of Care Discussion
Maimonides Medical CenterIn this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer, appears frail and very ill, and is in the emergency department requiring BIPAP for respiratory support. The learner must take the role of the emergency...
In this scenario, a daughter brings her elderly father to the hospital because of respiratory distress. The patient has a history of advanced lung cancer,...
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...