Section I: Scenario Demographics Scenario Title: Pain on the Ward Date of Development: 01/08/2015 (DD/MM/YYYY) Target Learning Group: Juniors (PGY 1 2) Seniors (PGY 3) All Groups – ≥ Section II: Scenario Developers Scenario Developer(s): Kyla Caners Affiliations/Institution(s): McMaster University Contact E-mail (optional): kcaners@gmail.com Section III: Curriculum Integration Facilitators Required to Run Session Instructors: 1-2 (one to observe and debrief learners, one to run mannequin) *Simple case one instructor could complete both roles Confederate nurse: 1 (to assist at bedside, cue learners to work of breathing) Sim tech: optional Learning Goals & Objectives Section IV: Scenario Case Summary: Script Brief Summary of Case Progression and Major Events The Educational case will begin Goal: with To a review phone an call approach from the to bedside chest pain nurse in for the a admitted patient on patient the ward and that to review the resident resources on call is covering. The resident available will to then junior arrive learners at the when bedside on call to find overnight. a patient complaining of significant chest CRM pain. Objectives: The patient Seeks will be input in some from respiratory team members distress and due calls to for CHF. help The as needed. patient’s initial ECG will show new T-wave inversion. The patient will prompt regarding ongoing chest pain and his ECG will evolve to Medical Objectives: Advises nurse of tasks to perform prior to arrival at bedside. show an anterolateral STEMI. The team is expected to recognize the evolving STEMI and initiate treatment Performs brief and appropriate history/physical. and cath lab activation. Recognizes and treats CHF and evolving chest pain.
Section I: Scenario Demographics Scenario Title: Pain on the Ward Date of Development: 01/08/2015 (DD/MM/YYYY) Target Learning Group: Juniors (PGY 1 – 2) Seniors (PGY ≥ 3) All Groups Section II: Scenario Developers Scenario Developer(s): Kyla Caners Affiliations/Institution(s): McMaster University Contact E-mail (optional): kcaners@gmail.com Section III: Curriculum Integration Learning Goals & Objectives Educational Goal: To review an approach to chest pain in the admitted patient and to review resources available to junior learners when on call overnight. CRM Objectives: Seeks input from team members and calls for help as needed. Medical Objectives: Advises nurse of tasks to perform prior to arrival at bedside. Performs brief and appropriate history/physical. Recognizes and treats CHF and evolving chest pain. Case Summary: Brief Summary of Case Progression and Major Events The case will begin with a phone call from the bedside nurse for a patient on the ward that the resident on call is covering. The resident will then arrive at the bedside to find a patient complaining of significant chest pain. The patient will be in some respiratory distress due to CHF. The patient’s initial ECG will show new T-wave inversion. The patient will prompt regarding ongoing chest pain and his ECG will evolve to show an anterolateral STEMI. The team is expected to recognize the evolving STEMI and initiate treatment and cath lab activation. Facilitators Required to Run Session Instructors: 1-2 (one to observe and debrief learners, one to run mannequin) *Simple case one instructor could complete both roles Confederate nurse: 1 (to assist at bedside, cue learners to work of breathing) Sim tech: optional Section IV: Scenario Script