Orange County NC Website
 <br /> <br />38|Page <br /> <br /> <br />SIMULATION CASE SAMPLE <br />Candidate: <br />Date of Eval: <br /> <br /> <br /> <br /> <br />PHASE1 <br />SIMULATIONLABEXAMINATION <br />CARDIACARREST <br /> <br />ExaminationFindings: <br />/C*ObtainFullSetofVitalSignsCorrectly <br />BP:110/70insittingposition.P:100ͲstrongͲregularRR:15 <br />Temp:98.0oralO2:–99%OnRoomAir <br />Glucose:110(Glucosemeasurementnotrequired) <br /> <br />/1Performphysicalexam(toincludecardiac,resp,andGIatminimum) <br />Respiratory:Lungsoundsclearinallfieldswithequalchestriseandfall. <br />Cardiovascular:Nochestpainorpressure.Regularpulse.LeadIIunremarkable. <br />Gastrointestinal:Soft,tendertopalpationepigastricregiononly,nodistention,nodiscoloration.Vomitingx1without <br />blood.NormalBMandUrine <br />Musculoskeletal:Notenderness,Nopain.Nosignsoftrauma <br />Neurological:Alert.Nomotororsensorydeficitsnoted.LAStrokeScale=Neg <br />Integumentary:Nosignsoftrauma.Skinispale,cool,andclammytotouch. <br /> <br />Orthostatics: <br />BP:105/68instandingposition.P:104–strong–regularRR:15 <br />O2:–99%OnRoomAir <br /> <br />ͲͲͲPatientplacedinunitandenroutetoUNCͲͲͲ <br /> <br />Patientsuddenlydevelopschestpainwhileenroutetohospital.Painissubsternal,squeezing10/10,radiatingtotheleft <br />chest/shoulder/arm <br /> <br />RepeatVitals: <br />BP:100/60P:115–weakͲregularRR:20O2:–99% <br /> <br />/1FollowsCHESTPAINProtocol: <br /> <br />Patientinterventions: <br />/1Oxygen <br />/C*12ͲLeadPerformedCorrectly(***AcuteMISuspected***) <br />/C*Aspiringiven <br />/1NitroglycerinSLgiven <br />/1Demonstrateshowtotransmit12Ͳlead <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SeePage3 <br />S <br />A <br />M <br />P <br />L <br />E <br />DocuSign Envelope ID: 79C5D167-B6CA-4E59-B4AC-AA38CC1B20BD