Training and Educational Center for Healthcare Simulation (TECHS)

Case/scenario Writing Template

For Interprofessional Education (IPE) activities, be sure to submit them to the IPE Curriculum council for review and approval – IPE Activity Review

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)

If IPE, ensure that objectives have been reviewed by educators from all professions.

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: (ex. In-person or Virtual, type of room setup, and allowed number of learners)

A.	Lab setup – Inpatient hospital bed setting with crash cart, monitor, and IV pole

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, labs, equipment, or images. Include digital at the end of the case, or as included attachments. Lab templates are available (here).

D.	Distractors – environmental issues to content with (Phone call from another provider, EKG to read etc.)

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 ____.

An embedded participant (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 (HSTS) 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, DOB (Date of birth – list month and day only to allow year to year reuse), 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 extremities

Psychiatric – Normal mood and affect

OPQRST or OLDCARTS (case background)

Pat Medical History (PMH)

Pat Surgical History PSH

Social Hx

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 HSTS/Facilitator 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. This may include how to coach the patient or embedded participants and a description of the expected and/or alternative paths and why they are possible. An ideal case progression could be included here.

VIII. Debriefing Plan/Assessment

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.

What type of grading or assessment tool will be used to demonstrate/document performance?

Checklist of critical actions, Lassiter clinical judgment Rubric, etc.

IX. References

Case teaching references:

Was AI used to generate any portion of the case or supporting materials?	Yes/No

List the tool used and prompt entered to create the content.