SIM Scenario Exchange

COPD Incorporating High Flow and Palliation

Contributed on August 24, 2023, last updated September 29, 2023.



Christine Hernando, RN MN, Orillia Soldiers Memorial Hospital

Log in or create a free account to acccess this resource.

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.

Learning Objectives:

  1. Identify when to call RT for help
  2. Practice giving a MDI through the port on the high flow
  3. Utilize comfort measures to reassure a patient struggling with shortness of breath
  4. If there is an RT participant
    — Respond to shortness of breath by adjusting the flow rate of the high flow
    — Respond to decreased oxygen saturations by increasing the FiO2

Simulation Modality:



High flow oxygen, MDI, syringe, alcohol swabs, manikin, IV, blankets and hospital gown


Respiratory assessment and treatment.
Palliative approaches to care
Utilizing high flow oxygen


Reviewed by Anita Montgomery RT prior to first use

Utilized with a groups of clinical externs and minor revisions made after to clarify


Hernando C. COPD Incorporating High Flow and Palliation. Simulation resource published by Simulation Canada; 2023. Available from

Copy Citation



The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Creative Commons Creative Attribution Creative Non Commerical Creative Share A Like

Target Learners




Respiratory Therapy


Undergraduate / post-secondary

Fields / Disciplines:

Palliative & end-of-life care

To top