<![CDATA[BCSN Members Forum - Medical]]> https://forum.bcsimulation.ca/ Thu, 02 Jul 2026 19:19:59 +0000 MyBB <![CDATA[Massive upper GI bleed post CABG]]> https://forum.bcsimulation.ca/showthread.php?tid=181 Mon, 07 Dec 2020 15:55:22 +0000 CHolmes]]> https://forum.bcsimulation.ca/showthread.php?tid=181 Massive upper GI bleed post CABG
Created March 2017

Contact Information


     Developed by: Dr. K. Clark
     Developed for: Interior Health
     Submitted by: CHolmes
     Contact Email: simulation@interiorhealth.ca
     Peer Reviewed: <strong>No</strong> (Has not been peer reviewed or the information will be provided later)



Scenario Information


     Case Summary:

     ­72 year old male 2 weeks post CABG. Had post-operative A.fib, anticoagulated with warfarin. Massive hemothorax post-op, returned to OR for hemorrhage control. Home x5 days, presented to ED with weakness, SOB, loss of appetite and dizziness. Brought to T3 because hypotensive and pale.

     Target Learning Groups:

      Physicians, Nursing, Respiratory Therapy, Interprofessional Team

     Additional Target Learning Groups:

     ­

     Proposed Setting:

     Emergency Department

     Educational Goals:

     ­Discuss methods of warfarin reversal
Discuss options for upper GI bleed therapy
Demonstrate resuscitation of an anticoagulated GI bleed patient
Demonstrate airway management in a bleeding patient
Demonstrate insertion of a Blakemore tube




Peer Review Information


Clinical Content Peer Review

      Clinical Content Reviewer: Unknown Reviewed on: Unknown

      Notes on Clinical Content Peer Review:

      Unknown


Simulation/Educational Review

     Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Peer Review:

     Unknown


Simulation/Educational Real Time Review

     Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Real Time Peer Review:

     Unknown



Extra Information


     Additional Details:

     ­Skills: intubation, Blakemore tube

     References:

     ­

     Scenario Links:

     ­­

     Additional Tags: 



If you would like further information about this scenario please contact simulation@interiorhealth.ca or leave a comment below.

.docx   Massive Upper GI Bleed.docx (Size: 914.75 KB / Downloads: 463) ]]> Massive upper GI bleed post CABG
Created March 2017

Contact Information


     Developed by: Dr. K. Clark
     Developed for: Interior Health
     Submitted by: CHolmes
     Contact Email: simulation@interiorhealth.ca
     Peer Reviewed: <strong>No</strong> (Has not been peer reviewed or the information will be provided later)



Scenario Information


     Case Summary:

     ­72 year old male 2 weeks post CABG. Had post-operative A.fib, anticoagulated with warfarin. Massive hemothorax post-op, returned to OR for hemorrhage control. Home x5 days, presented to ED with weakness, SOB, loss of appetite and dizziness. Brought to T3 because hypotensive and pale.

     Target Learning Groups:

      Physicians, Nursing, Respiratory Therapy, Interprofessional Team

     Additional Target Learning Groups:

     ­

     Proposed Setting:

     Emergency Department

     Educational Goals:

     ­Discuss methods of warfarin reversal
Discuss options for upper GI bleed therapy
Demonstrate resuscitation of an anticoagulated GI bleed patient
Demonstrate airway management in a bleeding patient
Demonstrate insertion of a Blakemore tube




Peer Review Information


Clinical Content Peer Review

      Clinical Content Reviewer: Unknown Reviewed on: Unknown

      Notes on Clinical Content Peer Review:

      Unknown


Simulation/Educational Review

     Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Peer Review:

     Unknown


Simulation/Educational Real Time Review

     Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Real Time Peer Review:

     Unknown



Extra Information


     Additional Details:

     ­Skills: intubation, Blakemore tube

     References:

     ­

     Scenario Links:

     ­­

     Additional Tags: 



If you would like further information about this scenario please contact simulation@interiorhealth.ca or leave a comment below.

.docx   Massive Upper GI Bleed.docx (Size: 914.75 KB / Downloads: 463) ]]> <![CDATA[Thyroid Storm]]> https://forum.bcsimulation.ca/showthread.php?tid=180 Mon, 07 Dec 2020 15:53:14 +0000 CHolmes]]> https://forum.bcsimulation.ca/showthread.php?tid=180 Thyroid Storm
Created Feb 2017

Contact Information


     Developed by: Dr. J. Reid
     Developed for: Interior Health
     Submitted by: CHolmes
     Contact Email: simulation@interiorhealth.ca
     Peer Reviewed: <strong>No</strong> (Has not been peer reviewed or the information will be provided later)



Scenario Information


     Case Summary:

     ­You are working the evening shift at a tertiary care hospital. A 31-year-old female two weeks postpartum is brought in by EMS accompanied by her husband.  He is concerned because she is delirious and somewhat difficult to rouse.

     Target Learning Groups:

      Physicians, Nursing, Respiratory Therapy, Interprofessional Team

     Additional Target Learning Groups:

     ­

     Proposed Setting:

     Emergency Department

     Educational Goals:

     ­Avoid fixation error by maintain broad differential diagnosis
Demonstrate effective leadership
Recognize and appropriately manage a patient with CHF in the context of thyroid storm
Initiate appropriate thyrotoxicosis treatment with assistance from consultants




Peer Review Information


Clinical Content Peer Review

      Clinical Content Reviewer: Unknown Reviewed on: Unknown

      Notes on Clinical Content Peer Review:

      Unknown


Simulation/Educational Review

     Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Peer Review:

     Unknown


Simulation/Educational Real Time Review

     Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Real Time Peer Review:

     Unknown



Extra Information


     Additional Details:

     ­Skills: intubation

     References:

     ­

     Scenario Links:

     ­­

     Additional Tags: 



If you would like further information about this scenario please contact simulation@interiorhealth.ca or leave a comment below.

.docx   Thyroid Storm - Scenario (1).docx (Size: 1.38 MB / Downloads: 432)

.pptx   Thyroid Storm -Diagnostic PowerPoint.pptx (Size: 1.03 MB / Downloads: 450) ]]> Thyroid Storm
Created Feb 2017

Contact Information


     Developed by: Dr. J. Reid
     Developed for: Interior Health
     Submitted by: CHolmes
     Contact Email: simulation@interiorhealth.ca
     Peer Reviewed: <strong>No</strong> (Has not been peer reviewed or the information will be provided later)



Scenario Information


     Case Summary:

     ­You are working the evening shift at a tertiary care hospital. A 31-year-old female two weeks postpartum is brought in by EMS accompanied by her husband.  He is concerned because she is delirious and somewhat difficult to rouse.

     Target Learning Groups:

      Physicians, Nursing, Respiratory Therapy, Interprofessional Team

     Additional Target Learning Groups:

     ­

     Proposed Setting:

     Emergency Department

     Educational Goals:

     ­Avoid fixation error by maintain broad differential diagnosis
Demonstrate effective leadership
Recognize and appropriately manage a patient with CHF in the context of thyroid storm
Initiate appropriate thyrotoxicosis treatment with assistance from consultants




Peer Review Information


Clinical Content Peer Review

      Clinical Content Reviewer: Unknown Reviewed on: Unknown

      Notes on Clinical Content Peer Review:

      Unknown


Simulation/Educational Review

     Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Peer Review:

     Unknown


Simulation/Educational Real Time Review

     Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

     Notes on Simulation/Educational Real Time Peer Review:

     Unknown



Extra Information


     Additional Details:

     ­Skills: intubation

     References:

     ­

     Scenario Links:

     ­­

     Additional Tags: 



If you would like further information about this scenario please contact simulation@interiorhealth.ca or leave a comment below.

.docx   Thyroid Storm - Scenario (1).docx (Size: 1.38 MB / Downloads: 432)

.pptx   Thyroid Storm -Diagnostic PowerPoint.pptx (Size: 1.03 MB / Downloads: 450) ]]> <![CDATA[Pulseless Visitor - outpatient]]> https://forum.bcsimulation.ca/showthread.php?tid=100 Tue, 03 Mar 2020 21:04:55 +0000 ckchoung]]> https://forum.bcsimulation.ca/showthread.php?tid=100 Pulseless Visitor - outpatient
Created January 2020

Developed by:
Christina Choung
Developed for: Health Authority Medical Outpatient Setting
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­A person coming to visit a friend at work suddenly collapses. They are found to be pulseless. The scenario focuses on the code blue process for an unknown patient.

Target Learning Groups:

   Nursing

Additional Target Learning Groups:

  ­

Proposed Setting: 

   Medical Outpatient Setting

Educational goals:

  ­• Identify and treat loss of pulse
• Practice CPR
• Practice documentation during a Code Blue
• Call for help and mobilize resources early
• Establish role clarity and distribute the workload accordingly
• Communicate effectively using closed-loop communication, case and plan of care summaries, making clear requests, and fostering input from team members



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Pulseless Visitor MCB 2020.01.docx (Size: 69.41 KB / Downloads: 449) ]]> Pulseless Visitor - outpatient
Created January 2020

Developed by:
Christina Choung
Developed for: Health Authority Medical Outpatient Setting
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­A person coming to visit a friend at work suddenly collapses. They are found to be pulseless. The scenario focuses on the code blue process for an unknown patient.

Target Learning Groups:

   Nursing

Additional Target Learning Groups:

  ­

Proposed Setting: 

   Medical Outpatient Setting

Educational goals:

  ­• Identify and treat loss of pulse
• Practice CPR
• Practice documentation during a Code Blue
• Call for help and mobilize resources early
• Establish role clarity and distribute the workload accordingly
• Communicate effectively using closed-loop communication, case and plan of care summaries, making clear requests, and fostering input from team members



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Pulseless Visitor MCB 2020.01.docx (Size: 69.41 KB / Downloads: 449) ]]> <![CDATA[Seizure 2° Hypoglycemia]]> https://forum.bcsimulation.ca/showthread.php?tid=93 Tue, 03 Mar 2020 20:47:19 +0000 ckchoung]]> https://forum.bcsimulation.ca/showthread.php?tid=93 Seizure 2° Hypoglycemia
Created November 2019

Developed by:
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­Patient recently admitted for cellulitis of the arm requiring antibiotics, with history of Insulin-dependent Diabetes II, chronic kidney disease, hypertension, and smokes. Is late for lunch and came up the stairs 15 minutes ago due to elevator malfunction. Case will begin with nurse bringing patient lunch, whereupon patient will seize (tonic clonic) twice, first seizure lasting 2 minutes and second lasting 1 minute. Case will end after hypoglycemia determined, corrected, and plan of care verbalized post-second seizure.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  ­• Identify and treat hypoglycemic seizure
• Practice SBAR communication
• Establish role clarity and distribute workload appropriately
• Call for help early
• Use cognitive aids and mobilize resources, including Clinical Policy Office documents for Seizure and Hypoglycemia Protocol



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Seizure secondary to hypoglycemia 2019.11.docx (Size: 69.96 KB / Downloads: 512) ]]> Seizure 2° Hypoglycemia
Created November 2019

Developed by:
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­Patient recently admitted for cellulitis of the arm requiring antibiotics, with history of Insulin-dependent Diabetes II, chronic kidney disease, hypertension, and smokes. Is late for lunch and came up the stairs 15 minutes ago due to elevator malfunction. Case will begin with nurse bringing patient lunch, whereupon patient will seize (tonic clonic) twice, first seizure lasting 2 minutes and second lasting 1 minute. Case will end after hypoglycemia determined, corrected, and plan of care verbalized post-second seizure.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  ­• Identify and treat hypoglycemic seizure
• Practice SBAR communication
• Establish role clarity and distribute workload appropriately
• Call for help early
• Use cognitive aids and mobilize resources, including Clinical Policy Office documents for Seizure and Hypoglycemia Protocol



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Seizure secondary to hypoglycemia 2019.11.docx (Size: 69.96 KB / Downloads: 512) ]]> <![CDATA[Cardiac arrest 2° CHF overload & respiratory decompensation]]> https://forum.bcsimulation.ca/showthread.php?tid=92 Tue, 03 Mar 2020 20:44:02 +0000 ckchoung]]> https://forum.bcsimulation.ca/showthread.php?tid=92 Cardiac arrest 2° CHF overload & respiratory decompensation
Created December 2019

Developed by:
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­A 72 year old male with a history of chronic kidney disease (CKD) has been admitted for congestive heart failure (CHF) and pneumonia. He is now overloaded and rings his call bell due to difficulty breathing. His SpO2 will quickly decompensate, leading to hypoxic cardiac arrest.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  ­• Identify and treat respiratory decompensation secondary to fluid overload
• Provide concise and accurate SBAR report, highlighting change in status and treatments to date
• Practice arrest management, including effective CPR and documentation
• Call for help and mobilize resources early
• Establish role clarity and distribute the workload effectively
• Communicate effectively using closed-loop communication, command and request clearly, and establish a shared mental model



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Arrest secondary to CHF overload 2019.12.docx (Size: 68.43 KB / Downloads: 489) ]]> Cardiac arrest 2° CHF overload & respiratory decompensation
Created December 2019

Developed by:
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­A 72 year old male with a history of chronic kidney disease (CKD) has been admitted for congestive heart failure (CHF) and pneumonia. He is now overloaded and rings his call bell due to difficulty breathing. His SpO2 will quickly decompensate, leading to hypoxic cardiac arrest.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  ­• Identify and treat respiratory decompensation secondary to fluid overload
• Provide concise and accurate SBAR report, highlighting change in status and treatments to date
• Practice arrest management, including effective CPR and documentation
• Call for help and mobilize resources early
• Establish role clarity and distribute the workload effectively
• Communicate effectively using closed-loop communication, command and request clearly, and establish a shared mental model



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Arrest secondary to CHF overload 2019.12.docx (Size: 68.43 KB / Downloads: 489) ]]> <![CDATA[Pneumosepsis to Arrest for Mock Code Blue]]> https://forum.bcsimulation.ca/showthread.php?tid=91 Tue, 03 Mar 2020 20:42:31 +0000 ckchoung]]> https://forum.bcsimulation.ca/showthread.php?tid=91 Pneumosepsis to Arrest for Mock Code Blue
Created March 2019

Developed by:
Lisa Ewart
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: Yes



Case Summary:

  ­A patient admitted for weakness, hypertension, and pneumonia has progressed to severe sepsis and arrests.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  CRM Objectives:
• Establish role clarity (including leadership) and distribute workload appropriately
• Call for help and mobilize resources early
• Effective communication using closed-loop communication, command and request clearly

Medical Objectives:
• Identify and treat acute respiratory decompensation
• Practice SBAR communication
• Identify and treat pulselessness
• Practice effective CPR
­


Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Pneumonia first five min 2020.01.docx (Size: 57.85 KB / Downloads: 484) ]]> Pneumosepsis to Arrest for Mock Code Blue
Created March 2019

Developed by:
Lisa Ewart
Christina Choung
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: Yes



Case Summary:

  ­A patient admitted for weakness, hypertension, and pneumonia has progressed to severe sepsis and arrests.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  CRM Objectives:
• Establish role clarity (including leadership) and distribute workload appropriately
• Call for help and mobilize resources early
• Effective communication using closed-loop communication, command and request clearly

Medical Objectives:
• Identify and treat acute respiratory decompensation
• Practice SBAR communication
• Identify and treat pulselessness
• Practice effective CPR
­


Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Pneumonia first five min 2020.01.docx (Size: 57.85 KB / Downloads: 484) ]]> <![CDATA[PE for Mock Code]]> https://forum.bcsimulation.ca/showthread.php?tid=90 Tue, 03 Mar 2020 20:37:45 +0000 ckchoung]]> https://forum.bcsimulation.ca/showthread.php?tid=90 PE for Mock Code
Created January 2020

Developed by:
Christina Choung
Developed for: Health Authority Medical, Surgical, or Cardiac Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­A patient admitted post-ICU sepsis (medical unit) or post-MVA ORIF (surgical unit) or new onset A.Fib (cardiac unit) experiences shortness of breath. Assessment and vital signs reveal deteriorating respiratory status, non-reactive to escalating FiO2. The patient will proceed to arrest.

Target Learning Groups:

   Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical, Surgical, or Cardiac inpatient

Educational goals:

  ­Competencies (Knowledge, Skills, Attitudes, and Judgment):
• Effectively treat a patient in respiratory distress
• Practice effective CPR
• Practice concise and accurate SBAR delivery

Crisis Resource Management:
• Establish role clarity and distribute the workload by determining who will do what
• Communicate effectively using closed-loop communicating, command and request clearly
• Call for help early


Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.doc   PE for Mock Code 2020.01.doc (Size: 137 KB / Downloads: 475) ]]> PE for Mock Code
Created January 2020

Developed by:
Christina Choung
Developed for: Health Authority Medical, Surgical, or Cardiac Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­A patient admitted post-ICU sepsis (medical unit) or post-MVA ORIF (surgical unit) or new onset A.Fib (cardiac unit) experiences shortness of breath. Assessment and vital signs reveal deteriorating respiratory status, non-reactive to escalating FiO2. The patient will proceed to arrest.

Target Learning Groups:

   Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical, Surgical, or Cardiac inpatient

Educational goals:

  ­Competencies (Knowledge, Skills, Attitudes, and Judgment):
• Effectively treat a patient in respiratory distress
• Practice effective CPR
• Practice concise and accurate SBAR delivery

Crisis Resource Management:
• Establish role clarity and distribute the workload by determining who will do what
• Communicate effectively using closed-loop communicating, command and request clearly
• Call for help early


Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.doc   PE for Mock Code 2020.01.doc (Size: 137 KB / Downloads: 475) ]]> <![CDATA[MedSurg Severe Sepsis]]> https://forum.bcsimulation.ca/showthread.php?tid=89 Tue, 03 Mar 2020 20:32:36 +0000 ckchoung]]> https://forum.bcsimulation.ca/showthread.php?tid=89 MedSurg Severe Sepsis
Created January 2020

Developed by:
Christina Choung
Martin Kuuskne
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­An inpatient admitted with bowel obstruction becomes severely septic, secondary to a perforated bowel. Unit staff should identify the change in status, call for help early, continuously monitor the patient, and carry out interventions until the MRP arrives and the patient is transferred to a higher level of care.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  ­• Identify and treat sudden patient deterioration
• Continuously monitor patient for changes in status
• Practice ordering and administering STAT medications
• Mobilize resources and call for help early
• Designate leadership, establish role clarity, and distribute the workload appropriately
• Communicate effectively using a succinct and concise SBAR, closed-loop communication, and a sharing a mental model



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Med Surg Severe Sepsis 2020.01.docx (Size: 207.97 KB / Downloads: 524) ]]> MedSurg Severe Sepsis
Created January 2020

Developed by:
Christina Choung
Martin Kuuskne
Developed for: Health Authority Medical Inpatient
Submitted by: ckchoung
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: No



Case Summary:

  ­An inpatient admitted with bowel obstruction becomes severely septic, secondary to a perforated bowel. Unit staff should identify the change in status, call for help early, continuously monitor the patient, and carry out interventions until the MRP arrives and the patient is transferred to a higher level of care.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

  ­

Proposed Setting: 

  Medical Inpatient

Educational goals:

  ­• Identify and treat sudden patient deterioration
• Continuously monitor patient for changes in status
• Practice ordering and administering STAT medications
• Mobilize resources and call for help early
• Designate leadership, establish role clarity, and distribute the workload appropriately
• Communicate effectively using a succinct and concise SBAR, closed-loop communication, and a sharing a mental model



Additional Details:

  ­

References:

  ­

Scenario Links:

  ­­

Additional Tags:  



If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.

.docx   Med Surg Severe Sepsis 2020.01.docx (Size: 207.97 KB / Downloads: 524) ]]>