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Seizure

John Wright, 67-year-old male, has suffered a generalized seizure. Initially, he appears somnolent and cannot respond to questions. His respirations are sonorous and although his airway seems patent, there is blood in his mouth.

Suicidal Ideation

Thomas is 27-years-old. He is visiting because he is scared of his own thoughts and is upset about the way he has been feeling mentally. He admits to having suicidal thoughts and has also considered ways to kill himself.

Urologic Sepsis

Stephanie, a 59 year old female, has a worsening left flank pain, nausea, and decreased PO intake. She has a 7-day history of dysuria, urinary frequency, and fever preceded by an intermittent left flank pain.

Pneumonia

Jim Smith, 64 years old male, was admitted 3 days ago. He has difficulty breathing and an increasing productive cough. Jim has been diagnosed with a community acquired pneumonia and started on Moxifloxacin 400mg IV daily.

Bradycardia

A middle-aged patient is feeling dizzy and weak the team must perform an assessment using SAMPLE and OPQRST. Recognizing a heart block, they should ensure IV access, prepare, and perform pacing before calling for cardiology.

Tachycardia

A 54-year old male with ventricular tachycardia needs to be assessed using SAMPLE and OPQRST. The learner must recognize the rhythm and institute appropriate work-up and management including electrical cardioversion.

Cardiac Arrest

When a 54-year-old man is found to be unresponsive, the respondent will have to call for help and perform initial assessment. The team members will prepare the patient for CPR and administer appropriate medication.

Neurological Assessment

Mike is a 42-year-old corporate executive. He is having an outpatient surgery procedure. As a routine procedure, prior to the surgery, the outpatient surgery nurse must perform a neurological assessment.

IUD Insertion – Liletta

Stephanie Cruz, 31-year-old female, is here to get an IUD insertion. An IUD or intrauterine device is an effective contraceptive chosen by many women.