Clinical Sim
Sepsis Bundle: Post-Op Deterioration
68-year-old female after hip replacement. Nurse reports new confusion, low blood pressure, fever, and decreased urine output.
criticalMedical-surgical floor, post-op day 2Charge nurse / early-response clinicianDepth: focusedClock: 0min
First 15 Seconds
Your judgment is the intervention: cue recognition, priority, escalation, handoff.Build a differential, act on safety-critical evidence, and defend the SBAR.
Use the chart and patient response to defend or revise your plan.No intervention yet. Vitals are the before state.Teacher evidence: 0 trace points
PredictTestExplainReviseDefendTransfer0/6 evidence steps
Patient Cases
Simulation Controls
Time Advance
Assessment Depth
Escalation Urgency: 50%
routineurgentemergency
Vitals Monitor (tick 0 / clock 0min)
Decision pressure
HR
105
bpm
--
BP
88/63
mmHg
--
SpO2
93
%
--
Temp
38.8
°C
--
RR
24
/min
--
MAP
71
mmHg
--
qSOFA positiveHypotensionFeverAltered mental status
Vitals Trend Strip
Normal does not mean safe. Watch the trajectory.
Body Assessment (focused)
Click a body region to assess. Color: green=normal, yellow=abnormal, red=critical.
Click body regions on the diagram to begin assessment
Assessed: 0/7 regions
Differential Diagnosis Board
One symptom can point to many diagnoses. Map the evidence.
No diagnoses on the board. Add one to begin differential reasoning.
Chart Review (show)
Medication Safety Check
Weight-based dosing: verify dose, route, allergies before every medication.
Patient Weight (kg)
Allergies
No known allergies
Select Medication
Diagnostic Tests
Time-critical actions first. Tests that delay treatment cost time.
- lab
- lab
- lab
- imaging
Treatments
- medication
- medication
- medication
- medication
Escalation
- Rapid response team
- Primary team
Team Communication
SBAR Builder (build your own)
SBAR Reference (show)
Debrief (show)
Clinical Vocabulary
sepsisqSOFAlactateblood culturesbroad-spectrum antibioticsrapid response
ClinicalSim. NEWS2 (Royal College of Physicians 2017), qSOFA, SBAR communication.QSEN Safety; AACN Essentials: Clinical judgment; NCSBN NGN: Recognize cues. Suggested audience: Nursing, medicine, PA/NP, EMT bridge. Estimated: 25 minutes. SME review: needs-review. All scenarios require clinical expert review before deployment.