The following 5 scenarios are bundled content for all PCS Alex users. As Alex continuously evolves, these scenarios are routinely updated as needed. All bundled content is immediately and automatically updated for all users.
Alex Kasyan (Chest Pain)
Mr. Kasyan, 78, is in ER bed 2. Handoff briefing, "He just came in through triage. He is having chest pain 8/10 scale. We took him straight back and the tech is getting in the bed now. His wife is getting him registered. Can you get him going?"
Alex Landry (Substance Abuse)
Mr. Landry, 45 has been here for the past two days recovering from alcohol withdrawal. The verbal handoff: "He is responding to treatment; but he is still agitated at times with tremors. He has had no seizure activity. We are managing his agitation with Valium. The doctor usually calls around this time for an update. I have to run. Thanks."
Alex Quinn (Confusion)
Mr. Quinn is a 58-year-old retired factory worker with a history of chronic renal insufficiency and has been followed in the renal clinic for several years with increasing BUN and creatinine levels. He has been a bit confused and his family says that they were concerned, so they called his doctor who instructed them to admit him to the floor for evaluation.
Alex Stark (COPD)
Mr. Stark, 78, was admitted this morning after working outside at home and feeling short of breath. The handoff report states: "He says he has a 10 year history of COPD and he’s a smoker. His vital signs are: Temperature 99.0 F, HR 90, Pulse OX 90% on 2 liters nasal cannula, and BP 140/80. His lungs sound ok, a little wheezy. They drew some labs and got an X-ray. The attending physician wants you to call him and update him on his status. Thanks."
Alex Winkler (Socially Challenging)
Mr. Winkler is a 45 year old male being admitted for surgical intervention for a right femur fracture and further observation after a motor vehicle accident. He was involved in a single vehicle accident involving a tree. He suffered a minor closed head injury, multiple lacerations to the right arm/face. He has a past medical history of bipolar disorder, hypothyroidism, and substance abuse. He has admitted to meth use in the past. Beware of foul language in conversation!
Fall 2019: New Bundled Scenarios!
Developed exclusively for ALEX by Nasco Healthcare | Simulaids, Nurse Educator & Clinical Simulation Specialist, Angela Hoeing, RN
New scenarios are automatically added to all PCS Alex patient scenario library.
Mr. Carl Edwards
Mr. Edwards is a 37 year old male, presenting in the ER complaining of difficulty breathing and noticeable wheezing. Prescribed medications did not resolve the problem. Start of high spring pollen counts four days ago.
Mr. Peter Garry
Mr. Garry is a 25 year old male, with bronchial asthma history. Today, after a shrimp cocktail lunch, she developed a skin rash, shortness of breath and neck tightness sensation. Has taken an antihistamine with symptoms improvement, but one hour later, the symptoms returned. Presents polypnea with bronchospasm signs, shortness of breath, wheezing, and peripheral hypo-perfusion. Generalized skin rash.
Mr. Allen Saunders
Mr. Saunders was abruptly awoken during the night with crushing, substernal chest pain, and immediately sought medical care.
Mr. James Smith
Mr. Smith, male, aged 55, was found collapsed on the street at the end of the morning. He is conscious although confused, and presents profound shivering and sudoresis. No medical records could be found, so this is likely his first admission here.
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