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...
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...
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...
PSY 12 – Gwen Harrison – Older Adult Abuse
ElsevierThis Simulated Patient Encounter maps to Scenario PSY 12 - Gwen Harrison - Older Adult Abuse on the Elsevier Evolve Platform Gwen Harrison is an 84-year-old Caucasian female with a history of Parkinson disease. She was admitted to the inpatient medical-surgical unit as a direct admission with unresolved symptoms of...
PSY 12 – Gwen Harrison – Older Adult Abuse
This Simulated Patient Encounter maps to Scenario PSY 12 - Gwen Harrison - Older Adult Abuse on the Elsevier Evolve Platform Gwen Harrison is an...
PSY 10 – Ri Liang – Dementia
ElsevierThis Simulated Patient Encounter maps to Scenario PSY 10 - Ri Liang - Dementia on the Elsevier Evolve Platform Ri Liang is a 68-year-old Chinese male with a 2-year history of Alzheimer disease. He was admitted to the inpatient psychiatric unit for evaluation and possible placement. Ri has increasing confusion...
PSY 10 – Ri Liang – Dementia
This Simulated Patient Encounter maps to Scenario PSY 10 - Ri Liang - Dementia on the Elsevier Evolve Platform Ri Liang is a 68-year-old Chinese...
PSY 01 – Cecil Whitver – Depression
ElsevierThis Simulated Patient Encounter maps to Scenario PSY 01 - Cecil Whitver - Depression on the Elsevier Evolve Platform Cecil Whitver is a 78-year-old African-American male with a history of depression diagnosed after the death of his wife 2 months ago. He was admitted to the inpatient medical-surgical unit and...
PSY 01 – Cecil Whitver – Depression
This Simulated Patient Encounter maps to Scenario PSY 01 - Cecil Whitver - Depression on the Elsevier Evolve Platform Cecil Whitver is a 78-year-old African-American...
MED 40 – Agnes Taylor – Hip Fracture, Wound Infection & Early Sepsis
ElsevierThis Simulated Patient Encounter maps to Scenario MED 40 - Agnes Taylor - Hip Fracture - Wound Infection & Early Sepsis on the Elsevier Evolve Platform Agnes Taylor is an 81-year-old Caucasian female who suffered a fractured left hip and underwent an open reduction internal fixation (ORIF). She was progressing...
MED 40 – Agnes Taylor – Hip Fracture, Wound Infection & Early Sepsis
This Simulated Patient Encounter maps to Scenario MED 40 - Agnes Taylor - Hip Fracture - Wound Infection & Early Sepsis on the Elsevier Evolve...
MED 38 – Susan Weil – Hip Fracture and Pulmonary Embolism
ElsevierThis Simulated Patient Encounter maps to Scenario MED 38 - Susan Weil - Hip Fracture - Pulmonary Embolism on the Elsevier Evolve Platform Susan Weil is a 76-year-old white female with a history of hypertension and osteoporosis. After a fall, she was admitted to the medical-surgical unit for hemiarthroplasty. The...
MED 38 – Susan Weil – Hip Fracture and Pulmonary Embolism
This Simulated Patient Encounter maps to Scenario MED 38 - Susan Weil - Hip Fracture - Pulmonary Embolism on the Elsevier Evolve Platform Susan Weil...
MED 37 – Susan Weil – Hip Fracture and Blood Transfusion
ElsevierThis Simulated Patient Encounter maps to Scenario MED 37 - Susan Weil - Hip Fracture - Blood Transfusion on the Elsevier Evolve Platform Susan Weil is a 76-year-old Caucasian female with a history of hypertension and osteoporosis. After a fall, she was admitted to the medical-surgical unit for hemiarthroplasty. The...
MED 37 – Susan Weil – Hip Fracture and Blood Transfusion
This Simulated Patient Encounter maps to Scenario MED 37 - Susan Weil - Hip Fracture - Blood Transfusion on the Elsevier Evolve Platform Susan Weil...
MED 11 – Melody Dixon – Myocardial Infarction and Management of Unstable Patient
ElsevierThis Simulated Patient Encounter maps to Scenario MED 11 - Melody Dixon - Myocardian Infarction - Management of Unstable Patient on the Elsevier Evolve Platform Melody Dixon, a 71-year-old African American female, presented to the emergency department with complaints of indigestion and back pain. Atypical presentation of myocardial infarction was...
MED 11 – Melody Dixon – Myocardial Infarction and Management of Unstable Patient
This Simulated Patient Encounter maps to Scenario MED 11 - Melody Dixon - Myocardian Infarction - Management of Unstable Patient on the Elsevier Evolve Platform...
MED 09 – Keola Akana – Heart Failure/Digoxin Toxicity & Hypokalemia
ElsevierThis Simulated Patient Encounter maps to Scenario MED 09 - Keola Akana - Heart Failure - Digoxin Toxicity & Hypokalemia on the Elsevier Evolve Platform Keola Akana is a 70-year-old male with a history of heart failure. He was admitted to the medical-surgical unit for medication adjustment, monitoring, and cardiac...
MED 09 – Keola Akana – Heart Failure/Digoxin Toxicity & Hypokalemia
This Simulated Patient Encounter maps to Scenario MED 09 - Keola Akana - Heart Failure - Digoxin Toxicity & Hypokalemia on the Elsevier Evolve Platform...
MED 08 – Ricardo Mendoza – Lung Cancer and Acute Tension Pneumothorax
ElsevierThis Simulated Patient Encounter maps to Scenario MED 08 - Ricardo Mendoza - Lung Cancer - Acute Tension Pneumothorax on the Elsevier Evolve Platform Ricardo Mendoza is a 60-year-old Hispanic male with squamous cell carcinoma of the right lung. He was admitted for a right lung lobectomy. Following surgery, he...
MED 08 – Ricardo Mendoza – Lung Cancer and Acute Tension Pneumothorax
This Simulated Patient Encounter maps to Scenario MED 08 - Ricardo Mendoza - Lung Cancer - Acute Tension Pneumothorax on the Elsevier Evolve Platform Ricardo...
MED 02 – Wallace Peterson – Pneumonia with Acute Respiratory Distress and Oxygen Delivery
ElsevierThis Simulated Patient Encounter maps to Scenario MED 02 - Wallace Peterson - Pneumonia With Acute Respiratory Distress Oxygen Delivery on the Elsevier Evolve Platform Wallace Peterson is a 69-year-old male with a 6-year history of chronic obstructive pulmonary disease who has been hospitalized for treatment of pneumonia. The scenario...
MED 02 – Wallace Peterson – Pneumonia with Acute Respiratory Distress and Oxygen Delivery
This Simulated Patient Encounter maps to Scenario MED 02 - Wallace Peterson - Pneumonia With Acute Respiratory Distress Oxygen Delivery on the Elsevier Evolve Platform...
LED 01 – Margaret Chan – Medication Error RCA
ElsevierThis Simulated Patient Encounter maps to Scenario LED 01 - Margaret Chan - Medication Error With Root Cause Analysis on the Elsevier Evolve Platform Margaret Chan is a 68-year-old Asian female diagnosed with advanced metastatic non-small cell lung carcinoma one year ago. She was admitted to the medical-surgical unit for...
LED 01 – Margaret Chan – Medication Error RCA
This Simulated Patient Encounter maps to Scenario LED 01 - Margaret Chan - Medication Error With Root Cause Analysis on the Elsevier Evolve Platform Margaret...
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 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 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...