Simulation Scenario 1 is set at the 3:00 PM shift change. Millie has been in her room on the medical-surgical unit for
about six hours. She was in the Emergency Department overnight because there were no available beds on the medical units.
Due to her confusion, Millie did not take her medications properly in the days prior to admission and as a result, her
blood pressure is very elevated. Millie’s daughter, Dina is at the bedside and is quite concerned about the confusion and
elevated blood pressure. The learner receives handoff report from the previous nurse and is expected to perform a general
assessment as well as use the SPICES and Confusion Assessment Method (CAM) tools. Objectives for this scenario include
the identification and use of appropriate assessment tools for older adults, recognition of an elevated blood pressure
and notification of Millie’s primary care provider using SBAR format.
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