EMR-sim is a computer-based (‚’virtual patient’) simulation to teach clinicians on the challenges of using electronic medical records (EMRs) in the patient-clinician encounter. The scenarios for this project were designed on the basis of a literature review and a research study of the impact of EMRs on the clinical encounter and the strategies and best […]

Pt has 1 week history of cough/fever, seen in ED yesterday and intubated this morning for worsening SOB and hypoxia. Remains difficult to oxygenate. Hypotensive and on pressure support. Pt taken to CT scan then directly to ICU. More difficult to bag en-route to ICU. Pt O2 sat decreasing to 82%- 75%. Pt develops decreased […]

Mike is a 35 year old male. He was on a first date at Nami sushi on Lonsdale. His date offered him gomae, he took one bite and felt lip tingling immediately, he told his date about his severe peanut allergy and they came to the ED. No Epi Pen. Triage nurse to present case […]

7 year old child, febrile for 2 days, parents notice seizure like activity and bring to emergency. During initial assement, patient seizes. Patient stops seizing when given appropriate mediations.

This scenario uses a physician confederate, who becomes fixated on intubation while the patient deteriorates, and offers the nursing and RT staff an opportunity to recognize and manage a critical deterioration as well as a fixation error.

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 […]

Elderly man in ICU 12 hours post cardiac arrest. ETT blocks leading to cardiac deterioration.

Patient with stage four mesothelioma lung cancer that is being cared for in the home environment. Designed to challenge the year 4 student with doing an assessment and critically thinking next steps when caring for a patient who becomes hemodynamically unstable. Communication is paramount, with physician, EMS, and family. The patient is sent to the […]

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 detailed how-to guide to moulage for standardized patients. Covers basic makeup techniques including proper sanitation and a section on making prosthetics from latex, latex substitutes, prosthetic gelatin, and silicone. Although written for prehospital workers, the guide should be useful for anyone concerned with moulage for standardized patients. The guide is titled “Casualty Simulation Techniques” […]

This is a family’s first outpatient visit with a clinician. They have many questions about what to expect. The learner’s task is to effectively communicate their role at the hospital and help the family understand how this therapy/service will help their child.

A parent meeting with an Early Childhood Educator to review the goals that they had set earlier in the year. A new member of the team has been asked to lead the discussion. The mother thinks the goals are too complicated, and just wants to hear her child say, “I love you.”

A teenaged inpatient client with an acquired brain injury is going home for the first time. She and her mother are quite anxious about this weekend leave of absence. A clinician has been tasked with: (1) ensuring the client has her medications for the weekend: and (2) providing the client/family with a copy of the […]

The learner is a clinician who is having an initial meeting with the two fathers of a child with cerebral palsy. The learner needs to engage the family in determining how the goals for the child will be developed, and answer their questions.

This is a two-part unfolding scenario. A 55 year old male client is imminently dying of lung cancer with a Palliative Performance Scale (PPS) of 10%. DNR assigned. Client chose to die at home. He is married and spouse is at the bedside. Client has 2 adult children and 3 grand-children who live out of […]

This is a multiple patient scenario involving 3 patients in the Observation Unit following a MVC. (1) R/O fetal distress/injury; (2) R/O Head Injury; (3) Splenic Laceration. Patient A is a 35 y.o. mother, 19 weeks pregnant that was driving herself and her pre-school son to a clinic appointment when she was in a collision. […]

Badia was rated as high-risk from the Healthy Babies community health nurse for multiple reasons, including her young age, lack of family support, pre-mature birth with low birth weight, single mother, and chain cigarette smoker. Badia has agreed to have a nurse visit her in her apartment for an initial assessment.

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 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 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 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-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 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 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.