clinical-nurse -- assessment rotation -- v1 -- scenario B -- an unambiguous shift
Same number, two patients. Open the chart before you open the drawer.
sim time 10:00
ROOM A -- Room 422 -- 58 y/o -- post-op day 1
HR band 60--10096 bpm
SBP band 100--140113 mmHg
RR band 12--2020 /min
SpO2 band 94--10095 %
ASSESS -- open a panel (logged), note what you find
no panel open
shift note empty
CALL -- the prediction gate
formulary is dead until this room's call is committed
ACT -- formulary, inside scope
LOG -- decisions and locations
AssessCallActAdvanceEscalate
seed 20260822 -- stable base rate in the rotation: one in three
Not claimed: treatment beyond the formulary; prescribing; disease diagnosis; licensure. Verb set: Assess, Call, Act, Advance, Escalate. No treatment verb exists outside the formulary in this rotation. Debrief is human.
model & provenance
Courses are generated by parametrised functions with seeded noise; in the pair scenario both courses are constrained to pass through the same systolic and diastolic at the shift's start. Exam findings are derived from each course's present state -- refill lengthens and hands cool as compensation deepens; alertness returns as recovery proceeds. Reference bands are standard adult ranges drawn lightly; no status is computed. Sim time advances only by choice; latency is never rendered. Constructed patients only. Simplified model for educational and research purposes -- not clinical decision support.
Educational simulation for learning purposes only. Not suitable for clinical decision support. Not a substitute for supervised clinical training. All patient data is synthetic.