Identify the changing health condition of a patient who has undergone a nephrectomy and provide appropriate care.

Following a fall on the ice, Ms. Robert goes to the emergency room where, after certain tests, she is diagnosed with a hip fracture. After preoperative preparation, the patient leaves for the operating room. Back in her room after her total hip replacement surgery, the patient refuses to move and develops leg pain after a […]

Mrs. Claudine Jones, 50 years old, is presently at the oncology unit for post-operative care. She has just undergone a modified radical mastectomy on her left breast with ganglion resection. She has been in the recovery room for 45 minutes. According to the attending nurse’s report, the surgery went as planned and without complications, and […]

A 10-year-old girl is at the school playground with her friends. She suddenly becomes short of breath. She has recently immigrated to Canada from Hungary with her parents.

The focus of this scenario is on the principles of incentive spirometry (IS) and the importance of using this technique in the care of your post operative patient.

Une patiente de 78 ans à l’étage de la chirurgie en est à son deuxième jour post-opératoire. La patiente refuse de se déplacer après l’opération et développe une thrombose veineuse profonde dans son mollet droit. Aujourd’hui, elle est venue aux urgences et la patiente a signalé qu’elle était essoufflée et que sa respiration était très […]

78-year-old female patient is on day 2 post-op on the surgery floor. The patient refuses to ambulate postoperatively and develops a deep vein thrombosis in her right calf. Today she came to the ER and patient reports being short of breath and that her breathing is very ‘fast’

This scenario will follow the nurse’s responsibilities in an adult prepating for surgery; from the preoperative assessment to the arrival at the surgical suite.

The patient is a 64 y/o male has had a transverse partial colectomy for colon cancer, and is two hours post-surgery.

You are enacting the role of a nurse on a surgical unit in a hospital. Throughout the simulation, you will be asked to select the correct response to various questions posed which will then illuminate the continue button to enable you to progress.

In this scenario you will care for a client receiving a blood product who experiences a mild transfusion reaction.

The patient was arriving at home when they suddenly started with respiratory distress.

This template is a generic and comprehensive guide for the development and documentation of simulation scenarios. It is intended to be applicable to any profession (including interprofessional scenarios), any healthcare field, and for most simulation modalities. Members of the Simulation Canada community produced it following a review of the literature on best practices in scenario […]

The PEARLS for Systems Integration Debreifng Tool is now available as a free colour download.

This is an instrument to measure situation awareness in nurses participating in a patient deterioration simulation scenario. It measures nurses’ perception of quantifiable signs of deterioration (e.g., vital signs, level of consciousness) and less quantifiable signs of deterioration (e.g., breath sounds, agitation, new pain). It also measures nurses’ comprehension of the meaning of these signs […]

Since the publication of the 2011 report Core Competencies for Interprofessional Collaborative Practice, few tools have been developed to evaluate attitudes that reflect the competencies. The Interprofessional Assessment Scale (IPAS) was developed and validated with this purpose in mind.

A 35-year-old woman comes to hospital for day surgery. The induction of anesthesia goes smoothly. Early in the procedure the patient becomes hypotensive and hypoxemic. The participants must recognize and respond to an air/CO2 embolus.

A generally healthy 35-year-old woman comes to the hospital for day surgery. She received a dose of cefalexin pre-operatively. Soon after, she begins to complain of itchiness and a rash. This proceeds to a full anaphylactic reaction that the team must manage.

A 72 yr old man underwent an inguinal hernia repair 2 hours ago. Stable intraoperative course. He is now in PACU with bradycardia and vital signs unstable. The team must recognize this critical situation, call a code, and arrange transfer to an appropriate care location.

A 39-year-old woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. There is then a handover of RNs and anesthesia to a new team. The patient becomes tachycardic wth a rise in CO2 and body temperature which the team must recognize and manage.

A 42 yo woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. Early into the procedure, she develops hypoxemia, hypotension and rising airway pressure. The team must recognize and manage a tension pneumothorax.

A 39 yo woman is in hospital for day surgery. She is stable before and after induction of anesthesia. A few minutes after the surgical procedure begins, smoke will quickly fill the room and the team must respond to a fire in the OR.

A 55 yo woman with increased risk for perioperative cardiac event comes to the hospital for day surgery. She is stable during unduction of anesthesia. Shortly into the operation her vital signs become unstable. The team must recognize and respond to unstable atrial fibrillation.

A middle-aged woman is coming to hospital for day surgery. She has controlled hypertension and NIDDM. After induction of anesthesia she develops pulseless electrical activity. The OR team must resuscitate her.