In this scenario, a 21-day old patient from Fort Albany, Treaty 9 (Cochrane, ON) is admitted to the pediatric/neonatal intensive care unit (PICU) with bronchiolitis, suspected RSV (swabs pending). The respiratory therapy (RT) student is responsible for completing the initial assessment, management, and reassessment of the patient. As the scenario progresses, they will need to […]

A 34-year-old, gravida 2, term 0, preterm 1, living 1 (G2T0P1L1) was admitted with preeclampsia and threatened preterm labor. The respiratory therapist is called to the operating room for an emergency cesarean section. The RT learner will collaborate with the physician and nurse to identify the need for neonatal resuscitation, stabilization and surfactant administration. 

This is a simulation that focuses on communication with family in a neonatal setting. It focuses on terminology, voice tone and body language. The simulation begins in the Birth Unit, where NRP is in progress with the father watching closely and asking questions. He is asking questions which you must answer by speaking into the […]

During this simulation, you will take on the role of the Respiratory Therapist who has to perform terminal extubation. Terminal extubation can be accomplished through various approach: uniprofessional or interprofessional. This scenario focuses on demonstrating how this procedure can be done using an interprofessional approach. 

Students will practice the skills of motivational interviewing for smoking cessation in a virtual environment by interacting with patients/clients to engage them in discussion, elicit change talk, and manage ambivalence and resistance to quitting smoking. Students will use the principles of client-centred care and effective communication in goal setting and assistance in smoking cessation.

Participants will be presented with a head injury patient who after three days post motor vehicle accident shows no signs of neurologic improvement. As the scenario progresses, participants will be prompted to make decisions regarding neurologic assessments, treatment/intervention recommendations, apnea test criteria and communication strategies with family.  

Participants will be encouraged to enhance their understanding of how and when to initiate non-invasive ventilation (NIV) and how to properly assess the effectiveness of the NIV implementation.  

In this scenario, you will assess an adult patient’s readiness to wean from mechanical ventilation, focusing on communication with the patient, family, and healthcare team. Generative AI simulates these interactions, allowing learners to interpret assessment findings, ventilation parameters, patient history, and diagnostics to evaluate weaning and extubation readiness. Responses are compared to an exemplar, with […]

A patient with a potentially difficult airway requires intubation for worsening upper airway obstruction. The team performs an airway assessment, develops a plan and prepares equipment. Prior to intubation an intubation pause is performed. The first intubation attempt with a video laryngoscope fails. The second attempt with video laryngoscope, a bougie, and smaller ETT also fails due to […]

An adult patient has just been intubated. You are responsible for obtaining orders, setting up ventilation and alarm settings and preparing any required equipment. After initiating ventilation, you are required to ensure the patient’s settings and alarms are appropriate. You are also required to perform and interpret assessment findings. You continue with ongoing maintenance including changes to […]

A two-part scenario, designed for an interprofessional group of clinical externs, this was made to meet two of the learning goals they had requested: high flow and palliation. Patient is sick and while initially responding to treatment, a time warp in the scenario allowed us to also fit in palliation in the same education session.

Many faculty members feel unprepared to hold discussions and develop plans for helping students meet clinical course objectives. This scenario helps prepare faculty members to develop a plan using a positive growth mindset framework to support students to become successful professionals. The scenario is written for nursing, but could easily be used by a variety […]

Scenario: Case designed during the January 2020 COVID-19 outbreak in order to assess and improve team preparedness for safely and effectively caring for a critically ill coronavirus patient from triage through to intubation and disposition in a community hospital. The scenario focusses on system processes more than individual skills. This case was adapted from one […]

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.

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.

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

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.

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.

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 […]

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.”