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Scenario:

Community Home Visit with Postpartum Patient

Contributed by: Karyn Taplay, Brock University
Posted on: June 17, 2015
Last Updated on: June 25, 2015
Language: English

Peer Reviewed

June 11, 2015

Brief Summary:
Badia was rated as high-risk from the Healthy Babies community health nurse for multiple reasons, including her young age, lack of family support, pre-mature birth with low birth weight, single mother, and chain cigarette smoker. Badia has agreed to have a nurse visit her in her apartment for an initial assessment.
Healthcare Field(s): Obstetrics & maternal-child, Primary care / community care / family practice
Simulation Modality(ies): Role-playing
Interprofessional: No
Intended for: No
Profession(s): Nursing
Number of Learners: 4 - 8
Target Learners: Level(s): Undergraduate / post-secondary
Scenario:

Malignant Hyperthermia

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A 39-year-old woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. There is then a handover of RNs and anesthesia to a new team. The patient becomes tachycardic wth a rise in CO2 and body temperature which the team must recognize and manage.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication), Role-playing
Interprofessional: No
Intended for: No
Profession(s): Medicine, Nursing, Practical Nursing
Number of Learners: 2 - 6
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Venous air or carbon dioxide embolus

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 25, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A 35-year-old woman comes to hospital for day surgery. The induction of anesthesia goes smoothly. Early in the procedure the patient becomes hypotensive and hypoxemic. The participants must recognize and respond to an air/CO2 embolus.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Practical Nursing
Number of Learners: 1 - 5
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Unstable Bradycardia

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A 72 yr old man underwent an inguinal hernia repair 2 hours ago. Stable intraoperative course. He is now in PACU with bradycardia and vital signs unstable. The team must recognize this critical situation, call a code, and arrange transfer to an appropriate care location.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Practical Nursing
Number of Learners: 2 - 6
Target Learners: Level(s):
Scenario:

Intra-operative hypoxemia & tension pneumothorax

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 25, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A 42 yo woman comes to hospital for day surgery. Induction of anesthesia goes smoothly. Early into the procedure, she develops hypoxemia, hypotension and rising airway pressure. The team must recognize and manage a tension pneumothorax.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Practical Nursing
Number of Learners: 2 - 6
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Fire in the Operating Room

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 25, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A 39 yo woman is in hospital for day surgery. She is stable before and after induction of anesthesia. A few minutes after the surgical procedure begins, smoke will quickly fill the room and the team must respond to a fire in the OR.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Practical Nursing
Number of Learners: 2 - 6
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Atrial Fibrillation During Surgery

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 25, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A 55 yo woman with increased risk for perioperative cardiac event comes to the hospital for day surgery. She is stable during unduction of anesthesia. Shortly into the operation her vital signs become unstable. The team must recognize and respond to unstable atrial fibrillation.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Practical Nursing
Number of Learners: 2 - 6
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Anaphylaxis

Contributed by: Pam Morgan
Posted on: April 29, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A generally healthy 35-year-old woman comes to the hospital for day surgery. She received a dose of cefalexin pre-operatively. Soon after, she begins to complain of itchiness and a rash. This proceeds to a full anaphylactic reaction that the team must manage.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Respiratory Therapy
Number of Learners: 3 - 6
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Pulseless Electrical Activity

Contributed by: Pam Morgan
Posted on: April 28, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 28, 2015

Brief Summary:
A middle-aged woman is coming to hospital for day surgery. She has controlled hypertension and NIDDM. After induction of anesthesia she develops pulseless electrical activity. The OR team must resuscitate her.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Respiratory Therapy
Number of Learners: 4 - 7
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Assessment tool:

Ottawa Crisis Resource Management Global Rating Scale ("Ottawa GRS")

Contributed by: John Kim, MD, M.Ed, FRCPC, The Ottawa Hospital / University of Ottawa
Posted on: April 23, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 22, 2015

Brief Summary:
Ottawa GRS designed to evaluate physician performance in simulated emergencies in the domain of Crisis Resource Management (CRM) skills.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Critical care, Emergency / trauma, Medical, Surgical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: No
Intended for: No
Profession(s): Medicine, Nursing, Physician Assistant, Respiratory Therapy
Number of Learners: -
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development

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