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Team Dynamics During Patient Escalation

Nationwide Children's Hospital

Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

Emergency Medicine Internal Medicine Leadership Mental Health Psychiatry

Riley is a young patient who is experiencing agitation while in the emergency department. The case will revolve around managing their agitation through team-based approach.

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Emergency Medicine, Internal Medicine, Leadership, Mental Health, Psychiatry
Author: Nationwide Children's Hospital
Language: English
Room size: 12x12
Setting: Emergency Department
Patient ect:
Patient Gender: Female, Male
Tags: agitation management, closed-loop communication, communication skills, De-escalation, emergency department, emergency response, patient escalation, role delegation, team dynamics, teamwork in healthcare,

Virtual Manikin™ — Outpatient Soft Skills

SimX

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over the patient's physiology throughout the scenario. The conditions available are obesity, traumatic brain injury, language disorders, Parkinson’s disease, hearing loss, type 2 diabetes, and malnutrition.

Advanced EMT Community/Public Health Emergency Medicine EMT Fundamentals Internal Medicine Mental Health Neurology Paramedic Psychiatry

The moderator has options to choose the setting location and the virtual manikin patient. Moderator can choose patient diagnosis, treatment, and will have control over...

Case Information:
Bundles:
Learner Population: Nursing, EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Neurology, Advanced EMT, Community/Public Health, EMT, Fundamentals, Mental Health, Paramedic, Psychiatry
Author: SimX
Language: English
Room size: 16x16
Setting: Outpatient Clinic, Other
Patient ect:
Patient Gender: Female, Male
Tags: ambulatory care, communication skills, diabetes management, healthcare simulation, outpatient care, Parkinson's disease, patient assessment, soft skills training, traumatic brain injury, Virtual Manikin,

Difficult Client

Georgian College

You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital, involuntarily.

Emergency Medicine Family Medicine Internal Medicine Leadership Mental Health Psychiatry

You are meeting with Michael on a one-to-one basis after he has just received some unexpected news that he will be remaining in the hospital,...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Leadership, Mental Health, Psychiatry
Author: Georgian College
Language: English
Room size: 20x20
Setting: Other
Patient ect:
Patient Gender: Male
Tags: client interactions, communication, De-escalation, escalating patient behaviors, safety precautions, setting limits,

De-escalation of Agitated Patient

College of St. Scholastica

30-year-old female named Eleanor is found in the community agitated and brought to the emergency department by EMS. Medical history is unknown. The RNs and APRNs will work together with an interdisciplinary approach to de-escalate the client.

Emergency Leadership Mental Health

30-year-old female named Eleanor is found in the community agitated and brought to the emergency department by EMS. Medical history is unknown. The RNs and...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Emergency, Leadership, Mental Health
Author: College of St. Scholastica
Language: English
Room size: 17x17
Setting: Emergency Department
Patient ect:
Patient Gender: Female
Tags: communication, De-escalation, interdisciplinary team,

EMS Combative—Suicidal Intent

VALOR Program

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The patient refuses to talk to police at the beginning of the case. Police ask the EMS providers to help convince the patient to be transported...

Emergency Medicine Mental Health Psychiatry

EMS Combative—Suicidal Intent

EMS Bundle

Learner arrives on-scene to find a 40-year-old female patient with a history of PTSD who is intoxicated and expressing both suicidal and homicidal ideation. The...

Case Information:
Bundles: EMS Bundle
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Mental Health, Psychiatry
Author: VALOR Program
Language: English
Room size: 16x14
Setting: Ambulance, Home
Patient ect:
Patient Gender: Female
Tags: Alcohol Intoxication, De-escalation, EMT, Firearm Safety, Homicidal Ideation, Military, Paramedic, psychiatric, psychiatry, ptsd, scene safety,

Alcohol Withdrawal, CIWA

Houston VA

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 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...

Medical/Surgical Mental Health Psychiatry

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider
Specialty: Medical/Surgical, Mental Health, Psychiatry
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway, asthma, Croup, De-escalation, pals, respiratory distress,

Suicidal Veteran

Houston VA

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 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....

Geriatric Medical/Surgical Mental Health Psychiatry

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...

Case Information:
Bundles:
Learner Population: Nursing, Physician/Advanced Practice Provider, Social Worker
Specialty: Geriatric, Medical/Surgical, Mental Health, Psychiatry
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: bradycardia, clinical skills, communication skills, Critical Care, De-escalation, dehydration, emergency medicine, healthcare education, healthcare simulation, Healthcare Training, hypotension, inpatient care, medical education, Medical Simulation, medical training, medical VR, mental health, National Patient Safety Goals, nursing education, nursing simulation, overdose, patient care, Patient Safety, physician training, professional development, SAVE policy, SBAR communication, SimX, Suicidal Veteran, suicide prevention, veteran care, Virtual Reality, VR Simulation,

Outpatient Clinic Visit

Houston VA

Patient presenting is seated, waiting for his appointment to see the physician. The clinic is very busy today and appointment times have been delayed. The patient gets up from his seat and walks to the counter to speak with the participant. He has been waiting to see the physician for...

Ambulatory Care/Outpatient Services Mental Health

Patient presenting is seated, waiting for his appointment to see the physician. The clinic is very busy today and appointment times have been delayed. The...

Case Information:
Bundles:
Learner Population: Nursing, Social Worker
Specialty: Ambulatory Care/Outpatient Services, Mental Health
Author: Houston VA
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Male
Tags: communication skills, conflict resolution, customer service, De-escalation, outpatient clinic, patient communication, soft skills,

Non-Fatal Suicide Attempt in an Adult

Southeastern Illinois College

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 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...

Emergency Medicine Family Medicine Internal Medicine Mental Health Psychiatry

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...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Internal Medicine, Family Medicine, Mental Health, Psychiatry
Author: Southeastern Illinois College
Language: English
Room size: 14x13
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: anxiety, college age, Depressions, mental health, mental health assessment, mood disorder, overdose, personality disorder, substance abuse, suicidal ideation, suicide attempt, therapeutic communication, wound care,

Interprofessional Gender-Affirming Care in an Adult

George Mason University

Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t eaten much in the last three days because she’s been sleeping in a friend’s car after being “kicked out” of the house. The RN notices...

Cardiac/Telemetry Community/Public Health Family Medicine Internal Medicine Mental Health Psychiatry SDOH

Katarina Washington an African American, 18-year-old, female came to the clinic complaining of irregular heartbeat, feeling faint, and overall fatigue. Katarina hesitantly admits she hasn’t...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Internal Medicine, Cardiac/Telemetry, Community/Public Health, Family Medicine, Mental Health, Psychiatry, SDOH
Author: George Mason University
Language: English
Room size: 15x13
Setting: Outpatient Clinic
Patient ect:
Patient Gender: Transgender
Tags: anxiety, BPSS, depression, Dietetics, GAD-7, Gender-Affirming Care, Nutrition, PHQ-9, Social Work, Transgender,

Workplace Violence & De-escalation

George Mason University

You are a hospital employee who receives a handover of care. Shortly after walking into your patient’s room, you see a relative standing near the bed who starts to get annoyed and angry. You and other hospital employees are asked to help. Formerly Known As: VR Interprofessional Simulation Training on...

Cardiology Critical Care Emergency Medicine Family Medicine Internal Medicine Leadership Mental Health OB/GYN Psychiatry

You are a hospital employee who receives a handover of care. Shortly after walking into your patient’s room, you see a relative standing near the...

Case Information:
Bundles:
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Cardiology, Critical Care, Emergency Medicine, Internal Medicine, OB/GYN, Family Medicine, Leadership, Mental Health, Psychiatry
Author: George Mason University
Language: English
Room size: 15x15
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: communication, De-escalation, non-verbal cues, OODA loop, verbal cues, verbal techniques, Workplace Violence,

Suicidal Risk Assessment

Mount Saint Mary's University

In this scenario, the learner must treat a 38-year-old female with a historyof bipolar disorder who is admitted overnight in the behavioral unit of the hospital due to suicidal ideation. The patient exhibits rapid and pressured speech, fear, and despair in their voice. The learner should use open ended questions...

Mental Health

Suicidal Risk Assessment

SimX Nursing Bundle
Social Determinants of Health

In this scenario, the learner must treat a 38-year-old female with a historyof bipolar disorder who is admitted overnight in the behavioral unit of the...

Case Information:
Bundles: SimX Nursing Bundle, Social Determinants of Health
Learner Population: Nursing
Specialty: Mental Health
Author: Mount Saint Mary's University
Language: English
Room size: 20x17
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: bipolar disorder, depression, mental health, psychiatry, suicide,

Brief Psychotic Disorders

Indiana University School of Nursing

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the past couple of weeks; in particular, he noticed poor hygiene, bizarre behaviors, and interrupted sleep patterns. He also believes she has auditory and visual hallucinations....

Emergency Medicine Mental Health Psychiatry

Brief Psychotic Disorders

Social Determinants of Health

Sam is a 45-year-old caucasian female who was brought to the ER by her brother. Her brother reported that Sam was acting strange over the...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Nursing, Interprofessional, Physician/Advanced Practice Provider, Social Worker
Specialty: Emergency Medicine, Mental Health, Psychiatry
Author: Indiana University School of Nursing
Language: English
Room size: 12x12
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: ativan, mental health, nursing students, psych rotation, psychiatric, psychiatric medications, psychosis,

Domestic Violence

Indiana University East School of Nursing and Health Sciences

Farrah Essa is a 20-year-old middle eastern woman that arrived at the emergency department with her husband. She has arrived for acute burns to both arms and hands and a bath towel is wrapped around both of her arms. The patient is reluctant to talk and her husband is anxious...

Emergency Mental Health SDOH

Domestic Violence

SimX Nursing Bundle
Social Determinants of Health

Farrah Essa is a 20-year-old middle eastern woman that arrived at the emergency department with her husband. She has arrived for acute burns to both...

Case Information:
Bundles: SimX Nursing Bundle, Social Determinants of Health
Learner Population: Nursing
Specialty: Emergency, Mental Health, SDOH
Author: Indiana University East School of Nursing and Health Sciences
Language: English
Room size: 15x15
Setting: Hospital
Patient ect:
Patient Gender: Female
Tags: bruising, burns, communication skills, domestic violence, mid-eastern, non accidental trauma,

Violent Adolescent Drug Abuse

Indiana University East School of Nursing and Health Sciences

Samuel is a 15-year-old male arriving on a Wednesday evening to the Anger and Substance Abuse Clinic. Samuel has been in the foster care system for thirteen years and with his current family for a year. The learner will have the chance to speak to the foster parents alone and...

Mental Health Pediatric SDOH

Violent Adolescent Drug Abuse

Social Determinants of Health

Samuel is a 15-year-old male arriving on a Wednesday evening to the Anger and Substance Abuse Clinic. Samuel has been in the foster care system...

Case Information:
Bundles: Social Determinants of Health
Learner Population: Nursing
Specialty: Pediatric, Mental Health, SDOH
Author: Indiana University East School of Nursing and Health Sciences
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: adolescent anger, adolescent drug abuse, marijuana, patient violence, security, violent adolescent,