SHCTC Junior Hospital EHR

EDUCATIONAL SIMULATION — NOT A REAL MEDICAL RECORD
PatientNo patient selected
DOB / Age
MRN
Location
Allergies
Precautions

Open Assigned Patient

Verify two patient identifiers, allergies, and precautions before beginning. Use only simulated information.

Patient Overview / Brain

Open a patient to begin.

Documentation Timeline

No entries filed.

Simulation Scenario

Student view: Review the starting information, then interview and assess your simulated patient. Do not reveal the partner or instructor sections.

Reason for Encounter

Open a patient to load the scenario.

Student Priorities

  • Review the chart before entering.
  • Introduce yourself and verify two identifiers.
  • Determine what assessment is appropriate.
  • Report urgent findings before completing routine charting.

Confidential Partner Role Card

This section is for the student acting as the patient. Keep it hidden from the assessing student.

Instructor Findings & Expected Documentation

Reveal during instructor setup or debrief.

Admission Intake

Provider Orders & Laboratory Results

Active Orders

    Results

    TestResultFlag

    Vital Signs

    TimeT/P/RBPSpO₂/O₂MethodComments

    Blood Glucose / POC

    TimeResultTimingSymptomsAction

    Head-to-Toe Assessment

    Chart only what you assessed. Selecting an abnormal finding requires a description.

    Clinical Skills Documentation

    TimeSkillResultFollow-up

    Pain Assessment & Reassessment

    TimeScoreLocation/QualityAction/Response

    Lines, Drains, Airways & Wounds

    Medication Administration Record — Simulation

    Simulation only. Never administer a real medication based on this training chart.

    Medication orderPre-checkStatusReason/response

    Intake & Output

    No intake or output documented.

    Nursing Notes

    Student Care Plan

    SBAR / Handoff

    Discharge Documentation

    Instructor Review / Encounter Completion