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Scenario:

Virtual Patient: A Fatigued Figure

Contributed by: Samer Elamrousy
Posted on: December 04, 2015
Last Updated on: December 04, 2015
Language: English

Peer Reviewed

December 03, 2015

Brief Summary:
This virtual patient case, named 'A fatigued figure', was the 3rd place winner in the CHEC-CESC Virtual Patient Challenge 2012-2013. The case authors are Ayesha Malik, MSc, MD Candidate, and Kiran Virdy, MD, Faculty of Medicine University of Toronto. This case is designed for medical students and PGY1 in Family Medicine, and is designed as an outpatient case in a family physician's office. It incorporates the use of the Electronic Medical Record.  
Healthcare Field(s): Medical, Primary care / community care / family practice
Simulation Modality(ies): Virtual patients
Interprofessional: No
Intended for: No
Profession(s): Medicine
Number of Learners: 1 - 1
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency
Assessment tool:

Interprofessional Attitudes Scale (IPAS)

Contributed by: Jeffrey Norris, MD, Saint Vicent de Paul Village Family Health Center
Posted on: December 04, 2015
Last Updated on: December 04, 2015
Language: English

Peer Reviewed

October 28, 2015

Brief Summary:
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.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Critical care, Emergency / trauma, Pre-hospital / paramedic, Mass casualty & triage / chemical/biological/radiological/nuclear / emergency planning, Medical, Gerontology / geriatrics / aging, Obstetrics & maternal-child, Reproductive & gynecology, Mental health & psychiatry, Neonatal, Palliative & end-of-life care, Pathology and laboratory, Pediatrics / child & family, Primary care / community care / family practice, Radiology & diagnostic imaging, Rehabilitation & restorative care, Surgical
Simulation Modality(ies):
Interprofessional: No
Intended for: No
Profession(s): Audiology, Chiropody or Podiatry, Chiropractic, Dentistry, Dietitics, Kinesiology, Medical Laboratory Science, Medical Radiation Technology, Medicine, Midwifery, Nursing, Occupational Therapy, Optometry, Pharmacy, Physician Assistant, Physiotherapy, Podiatry, Practical Nursing, Psychology, Psychotherapy or Mental Health Therapy, Respiratory Therapy, Social Work, Speech-Language Pathology
Number of Learners: -
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development
Scenario:

End-of-life: Home to Hospital

Contributed by: Judy Bornais, University of Windsor
Posted on: December 04, 2015
Last Updated on: December 04, 2018
Language: English

Peer Reviewed

December 04, 2015

Brief Summary:
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 hospital and arrives obtunded.  He goes into cardiac arrest, resuscitation is attempted but unsuccessful. The year 4 students are faced with a grieving family and preparing the body after death.
Healthcare Field(s): Emergency / trauma, Palliative & end-of-life care
Simulation Modality(ies): Manikin (high sophistication), Role-playing, Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Nursing
Number of Learners: 2 - 4
Target Learners: Level(s): Undergraduate / post-secondary
Scenario development tool:

Moulage Techniques for Simulation

Contributed by: Barry Robinson, George Brown College, Toronto
Posted on: December 04, 2015
Last Updated on: December 04, 2015
Language: English

Peer Reviewed

September 04, 2015

Brief Summary:
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" since it was originally written for use by military personnel doing casualty simulation for military exercises.
Healthcare Field(s): Emergency / trauma, Pre-hospital / paramedic, Mass casualty & triage / chemical/biological/radiological/nuclear / emergency planning, Medical, Public health & health promotion
Simulation Modality(ies): Hybrids or blended simulation, Moulage, Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Firefighting, Medicine, Nursing, Paramedicine, Personal Support Worker, Police or Law Enforcement, Practical Nursing
Number of Learners: -
Target Learners: Level(s):
Scenario:

Client and Family Centred Care - Partnership

Contributed by: Darlene Hubley, Holland Bloorview Kids Rehabilitation Hospital
Posted on: August 24, 2015
Last Updated on: August 24, 2015
Language: English

Peer Reviewed

August 06, 2015

Brief Summary:
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."
Healthcare Field(s): Pediatrics / child & family
Simulation Modality(ies): Standardized/simulated patients or real patients
Interprofessional: Yes
Intended for: Yes
Profession(s): Dietitics, Medicine, Nursing, Occupational Therapy, Pharmacy, Physiotherapy, Psychology, Recreation Therapy, Respiratory Therapy, Social Work, Speech-Language Pathology
Number of Learners: 1 - 2
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development
Scenario:

Client and Family Centred Care - Information Sharing

Contributed by: Darlene Hubley, Holland Bloorview Kids Rehabilitation Hospital
Posted on: August 24, 2015
Last Updated on: August 24, 2015
Language: English

Peer Reviewed

August 06, 2015

Brief Summary:
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.
Healthcare Field(s): Pediatrics / child & family
Simulation Modality(ies): Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Dietitics, Medicine, Nursing, Occupational Therapy, Pharmacy, Physiotherapy, Psychology, Recreation Therapy, Respiratory Therapy, Social Work, Speech-Language Pathology
Number of Learners: 1 - 2
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development
Scenario:

Patient and Family Centred Care - Quality of Care

Contributed by: Darlene Hubley, Holland Bloorview Kids Rehabilitation Hospital
Posted on: August 24, 2015
Last Updated on: August 24, 2015
Language: English

Peer Reviewed

August 06, 2015

Brief Summary:
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.
Healthcare Field(s): Pediatrics / child & family
Simulation Modality(ies): Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Dietitics, Medicine, Nursing, Occupational Therapy, Pharmacy, Physiotherapy, Psychology, Recreation Therapy, Respiratory Therapy, Social Work, Speech-Language Pathology
Number of Learners: 1 - 2
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development
Scenario:

Client and Family Centred Care - Respect and Dignity

Contributed by: Darlene Hubley, Holland Bloorview Kids Rehabilitation Hospital
Posted on: August 24, 2015
Last Updated on: August 24, 2015
Language: English

Peer Reviewed

August 06, 2015

Brief Summary:
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 client's exercises.
Healthcare Field(s): Pediatrics / child & family
Simulation Modality(ies): Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Dietitics, Medicine, Nursing, Occupational Therapy, Pharmacy, Physiotherapy, Psychology, Recreation Therapy, Respiratory Therapy, Social Work, Speech-Language Pathology
Number of Learners: 1 - 2
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development
Scenario:

End of Life Care: Breaking Bad News

Contributed by: Shawna Watt, BSCn, RN, University of Ottawa
Posted on: July 08, 2015
Last Updated on: July 08, 2018
Language: English

Peer Reviewed

July 08, 2015

Brief Summary:
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 town. One of which arrives at the home just after her/his father passes away. Nurses must provide comfort measures to the dying client and support the spouse during final breaths of life, in addition to breaking bad news to the child who arrives too late to say goodbye.
Healthcare Field(s): Palliative & end-of-life care
Simulation Modality(ies): Manikin (high sophistication), Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Nursing
Number of Learners: 2 - 8
Target Learners: Level(s): Undergraduate / post-secondary
Scenario:

Multi-Trauma: Multiple Vehicle Collision

Contributed by: Shawna Watt, BSCn, RN, University of Ottawa
Posted on: July 08, 2015
Last Updated on: July 08, 2018
Language: English

Peer Reviewed

July 08, 2015

Brief Summary:
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.  She has a sprained wrist but otherwise appears to be stable. There is currently no evidence of vaginal bleeding. She is under observation prior to being cleared for discharge. Maternal/fetal assessment to R/O fetal distress/injury. Patient B is Patient A’s 3 y.o. son. He was restrained in a child car seat and shows a mild abrasion to his forehead from the impact during the collision. He is stable and is under observation prior to being cleared for discharge. R/O head injury. Patient C is 42 year old man. He was a restrained driver that was struck by another vehicle. The other vehicle struck the driver’s side door with about 2 feet of intrusion into the passenger compartment. He had a brief loss of consciousness but is now alert and conversant. He complains of left shoulder and chest pain and left upper quadrant abdominal pain. He is under observation, awaiting results from XRay and CT. In this scenario learners are to prioritize and organize care in order to manage the various needs of the patients.  They must accurately assess all 3 patients and recognize the signs of hypovolemic shock in Patient C in order to intervene effectively.
Healthcare Field(s): Emergency / trauma, Mass casualty & triage / chemical/biological/radiological/nuclear / emergency planning, Obstetrics & maternal-child
Simulation Modality(ies): Manikin (high sophistication), Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Nursing
Number of Learners: 3 - 8
Target Learners: Level(s): Undergraduate / post-secondary

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