COVID-19 Triage
SimXIn this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient comes in with complaints of fever and chills as well as 1 day of coughing. The learner must put on the correct form of PPE,...
In this scenario, the learner is a health care provider in a triage staging tent in the parking lot of a local hospital. The patient...
Lumbar Radiculopathy
Parker UniversityA 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized chiropractic evaluation and look through the x-rays available in the EMR. Exams will consist of a range of motion, neuro, orthopedic, and palpation tests including...
A 27-year-old male presents to the chiropractor clinic with low back and right lower extremity pain. The learner will assess the patient with an organized...
Spinal Tumor
Parker UniversityA 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a complete range of motion, palpation, orthopedic, and neuro exam. During the testing process, the learner will discover that the patient has been having worsening pain...
A 45-year-old woman with neurofibromatosis type 1 presents to their chiropractor with low back pain. The learner will perform a patient history and then a...
Lumbar Stenosis
Parker UniversityA 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination including a range of motion, palpation, orthopedic, and neuro evaluation. Following the exam, the learner will formulate a differential diagnosis and have access to xrays...
A 67-year-old male patient presents to the chiropractor with low back pain and bilateral leg pain. The learner must perform a history and physical examination...
GI Bleed
Ohio State UniversityThe patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a focused history and physical exam to correctly diagnose GI bleed. During the encounter, the patient will have an acute episode of hematemesis and quickly decompensate...
The patient is a caucasion male who is brought into the emergency department by EMS with generalized weakness and lightheadedness. The learners should perform a...
STEMI V-Fib Arrest
Ohio State UniversityA patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The case starts off with an EMS handoff. Their symptoms are progressively worsening since first appearing one hour before; upon arrival at the ED, they are...
A patient presents to the ED with sudden chest heaviness that is radiating to their jaw. The patient also reports anxiety, diaphoresis, and nausea. The...
Tracheostomy Complications—Cuff Leak
NYU Grossman School of MedicineIn this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm on the ventilator. The patient has a prolonged recovery from ARDS and requires a continual mechanical ventilatory support. He also underwent percutaneous tracheostomy insertion 10...
In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm...
Prioritization of Multiple Patients
University of Nebraska Medical CenterIn this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an 82-year-old woman with a knee abscess and a drain that needs to be removed. Another patient is a 45-year-old man who is post colon resection....
Prioritization of Multiple Patients
In this scenario, the learner is a nurse caring for four patients with one nursing assistant to help with basic tasks. One patient is an...
Primary Care COVID-19
University of Nebraska Medical CenterA 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those findings to the physician, and perform a nasal swab. During a time lapse, the patient is hospitalized with COVID-19 and visits the learner again prior...
A 60-year-old male presents to his primary care office after exposure to COVID-19 with clear symptoms. The learner will complete an initial assessment, communicate those...
Outpatient Preeclampsia
University of Nebraska Medical CenterA 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and symptoms of preeclampsia including hypertension, weight gain, and proteinuria on urinalysis. After discussing with the physician, the patient is admitted to the hospital where the...
A 24-year-old woman who is 31 weeks pregnant presents for an OB visit feeling fatigued. The learner performs an initial assessment identifying the signs and...
Suicidal Risk Assessment
Mount Saint Mary's UniversityIn 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...
Suicidal Risk Assessment
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...
Hypoglycemic Shock
Mount Saint Mary's UniversityThe patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner who then performs an initial assessment. In that assessment, the learner should recognize that the patient has low blood sugar and is altered from baseline....
Hypoglycemic Shock
The patient is a 58-year-old female with Type 1 diabetes who is status post laparoscopic cholecystectomy. A tired, uncooperative nurse gives handoff to the learner...
C. Diff
Indiana University School of NursingThis scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress notes on VR tablet. The learner must note positive C Diff results on the tablet, don gown and gloves to enter the treatment room, counsel...
This scenario presents an elderly patient with diarrhea who is newly diagnosed with Clostridium difficile colitis, which the learner is informed of via EMR progress...
New-onset Type 2 Diabetes in Adult
Indiana University School of NursingIn this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type 2 Diabetes. The patient is started on insulin after hyperglycemia presentation despite oral medication and ready for discharge. The learner must counsel the patient and...
In this scenario, the learner is informed via EMR progress notes on the VR tablet that the patient is newly insulin dependent with known Type...
Brief Psychotic Disorders
Indiana University School of NursingSam 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....
Brief Psychotic Disorders
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...
Cumulative Complex Patient
Indiana University East School of Nursing and Health SciencesDeanne Ross is a 62-year-old female admitted to the progressive care unit this morning with increased fatigue, lethargy, new confusion, and ESRD (CRF). Deanne has a long history of anemia, non-insulin dependent diabetes mellitus, HTN, and chronic pyelonephritis resulting in permanent damage to her kidneys. Learners are expected to prioritize...
Cumulative Complex Patient
Deanne Ross is a 62-year-old female admitted to the progressive care unit this morning with increased fatigue, lethargy, new confusion, and ESRD (CRF). Deanne has...
Postpartum Depression
Indiana University East School of Nursing and Health SciencesAnaLee Diaz is a Hispanic non-english speaking female and a single parent who delivered her first child in the U.S. six weeks ago. She is doing well physically but her sister called the OB/GYN office and shared that she is concerned about AnaLee’s abnormal behavior and lowered mood. They believe...
Postpartum Depression
AnaLee Diaz is a Hispanic non-english speaking female and a single parent who delivered her first child in the U.S. six weeks ago. She is...
Domestic Violence
Indiana University East School of Nursing and Health SciencesFarrah 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...
Domestic Violence
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...
Epileptic Seizure
Inselspital - Universitätsspital BernA patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial assessment during which the patient will show worsening confusion and, eventually, will have a generalized tonic-clonic seizure. The learner must treat the seizure with benzodiazepines,...
A patient presents to the emergency department with a severe right sided headache that began acutely two hours prior. The learner must perform an initial...
Chest Pain—ACS
Queensland Health ServiceA middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and has a cardiac arrest with ventricular tachycardia, which can be seen on the monitor. The learner is expected to evaluate the patient, order and interpret...
A middle-aged male presents to the emergency department feeling unwell with chest pains and fainting. During initial evaluation of the patient, he loses consciousness and...
Primary Postpartum Hemorrhage
Queensland Health ServiceThis scenario begins with a midwife who is in the process of delivering the patient’s baby. The learner is asked to take over patient care as the situation turns complicated and the patient begins to lose a lot of blood. The learner needs to check if the baby is okay...
This scenario begins with a midwife who is in the process of delivering the patient’s baby. The learner is asked to take over patient care...
Cellulitis and PICC Line Care Skills
Queensland Health ServiceA middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and follow medication administration orders. The Learner(s) will also perform a PICC line dressing change procedure which includes, cleaning the area, monitoring for movement of the...
A middle aged male is being treated for cellulitis requiring administration of intravenous antibiotics through a PICC line. The Learner(s) must assess the patient and...
Adult Seizure in EMU
Baylor College of MedicineJamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed several AEDs and is admitted to the EMU for seizure classification as part of a presurgical workup for epilepsy surgery. The learner must perform an...
Adult Seizure in EMU
Jamie Walden is a 24-year-old female with a history of febrile seizures starting at age 2, with subsequent seizures when she was 12. She failed...
EMS Climbing Accident and Rescue
Air MethodsIn this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived prior to any other first responders. The patient has sustained multiple traumatic injuries and is hemodynamically unstable when the flight crew arrives. The learner must...
In this scenario, a 34 year-old male is involved in a climbing accident after a rock fall cut his rope. The flight crew has arrived...