Training and Educational Center for Healthcare Simulation (TECHS)

Case/scenario Writing Template

I. Title: Ex. Inpatient altered Mental Status with hypoxia.

II. Target Audience: Ex. Physicians in practice, Pharmacists, Nurses, Nurse Practitioners, Physician Assistants, and students for each type.

III. Learning Objectives: (Use Bloom’s Taxonomy words)

A. Primary learning points/concepts for the case

B. Secondary, detailed or technical/didactic points

C. Critical actions that learners should perform, Try to make it learner type specific, but may require input from each specialty to assist.

IV. Environment: (In-person or Virtual)

A. Lab setup – Inpatient hospital bed setting with

B. Manikin Setup – Elderly high-fidelity manikin with moulage for hip arthroplasty (Ex. long lateral incision to proximal leg). One IV established to right AC.

C. Props or images – EKGs, X-rays, special medications, equipment or images

D. Distractors – environmental issues to content with

V. Roles and who will play them:

Each case will have a Simulation Specialist to run the manikin.

A facilitator from ____ to review content related to ____.

A Confederate (Nurse/paramedic) will help to ensure learners are oriented to the environment

VI. Case Narrative:

Give an outline of the patient background, recent procedures, medical history and events leading up to the scenario encounter. This should allow the Healthcare Simulation Technology Specialist to answer all questions of a medical history. Starting vitals signs, patient name, initial condition, and changes to patient condition that are anticipated should be enumerated.

Minimum:

Patient Age, Name, and Gender

Vital signs

Physical Examination:

General Appearance – No acute distress

Skin – Dry, normal turgor, no rashes

HEENT – PERRLA, EOMI, Moist mucus membranes, nor erythema or exudate; TMS clear

Heart – Regular rate and rhythm, S1, S2

Lung – Clear to auscultation bilaterally

Abdomen – Soft non-tender, no rebound or guarding

Back – Normal curvature, no tenderness

Musculoskeletal – Normal range of motion to upper and lower extremities

Neurologic – CN II-XII intact, normal sensory exam to light touch upper and lower extermities

Psychiatric – Normal mood and affect

OPQRST or OLDCARTS (case background)

PMH

PSH

Family Hx

Allergies

Medications

If the scenario could go in more than one direction, describe the changes that would be expected and how/if the staff should bring the learners back to a "correct" path.

VII. Instructor Notes:

Information for the instructor (if he/she isn’t the case writer) to keep the scenario flowing as expected, how to coach the patient or confederate participants and a description of the expected or alternative paths and why they are possible.

VIII. Debriefing Plan

Describe how to review the actions of the participants (individual or large group) and what teaching materials or supporting material/props will be shown/demonstrated to help ensure learners take away expected objectives and primary teaching points.

Case teaching references: