[{"id": "AT-01", "type": "aseptic-technique", "domain": "delivery", "title": "Aseptic dressing of an uncomplicated incision", "setting": "ward", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN on a hospital ward. Hannah Scott, aged 36, needs a prescribed simple postoperative dressing change to a clean abdominal incision. Assess the wound, demonstrate an aseptic dressing sequence and document the result. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Hannah Scott", "age": 36, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Ward wound-care RN", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Aseptic dressing of an uncomplicated incision — practice record", "prefill": {"patient": {"full_name": "Hannah Scott", "date_of_birth": "14/06/1990", "record_number": "SIM-AT01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Hannah Scott needs a prescribed simple postoperative dressing change to a clean abdominal incision."}, "candidate_fills": ["wound", "care", "review"]}], "actions": [{"id": "d2", "label": "Discuss discharge arrangements"}, {"id": "a3", "label": "Assess the wound"}, {"id": "d3", "label": "Check mobility needs"}, {"id": "d1", "label": "Review nutrition needs"}, {"id": "a1", "label": "Prepare the workspace"}, {"id": "a6", "label": "Review care"}, {"id": "a5", "label": "Apply a dressing"}, {"id": "a2", "label": "Remove the dressing"}, {"id": "a4", "label": "Prepare clean equipment"}], "field_labels": {"wound": "Wound", "care": "Care provided", "review": "Plan / review"}}, {"id": "AT-02", "type": "aseptic-technique", "domain": "delivery", "title": "A leg wound that has changed at home", "setting": "community", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are the RN in a community nursing service. Paulo Ferreira, aged 70, speaks basic English and prefers Portuguese for detailed discussion. He has a chronic lower-leg wound and a prescribed dressing plan. He says the wound looks different today. Assess the wound, demonstrate aseptic care and decide whether the plan needs review. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Paulo Ferreira", "age": 70, "gender": "male", "accent": "portuguese-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lena Hart", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A leg wound that has changed at home — practice record", "prefill": {"patient": {"full_name": "Paulo Ferreira", "date_of_birth": "14/06/1956", "record_number": "SIM-AT02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Paulo Ferreira has a chronic lower-leg wound and a prescribed dressing plan. He says the wound looks different today."}, "candidate_fills": ["wound", "action", "review"]}], "actions": [{"id": "a2", "label": "Prepare equipment"}, {"id": "a3", "label": "Remove the dressing"}, {"id": "d1", "label": "Review nutrition needs"}, {"id": "a1", "label": "Assess the patient"}, {"id": "d2", "label": "Discuss discharge arrangements"}, {"id": "a5", "label": "Contact the clinician"}, {"id": "d3", "label": "Check mobility needs"}, {"id": "a4", "label": "Clean the wound"}, {"id": "a6", "label": "Record care"}], "field_labels": {"wound": "Wound", "action": "Action", "review": "Plan / review"}}, {"id": "AT-03", "type": "aseptic-technique", "domain": "delivery", "title": "Contamination during a clinic dressing", "setting": "gp", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN in a general practice clinic. Zoe Martin, aged 22, returns for a prescribed dressing change to a sutured forearm laceration. During the procedure a sterile forceps tip touches the workbench. Assess the wound and demonstrate how to restore asepsis and complete the dressing. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Zoe Martin", "age": 22, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Clinic GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Contamination during a clinic dressing — practice record", "prefill": {"patient": {"full_name": "Zoe Martin", "date_of_birth": "14/06/2004", "record_number": "SIM-AT03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Zoe Martin returns for a prescribed dressing change to a sutured forearm laceration. During preparation a sterile forceps tip touches the workbench."}, "candidate_fills": ["wound", "contamination", "care"]}], "actions": [{"id": "d1", "label": "Review nutrition needs"}, {"id": "d3", "label": "Check mobility needs"}, {"id": "a2b", "label": "Prepare for clean care"}, {"id": "a5", "label": "Clean the wound"}, {"id": "a7", "label": "Record care"}, {"id": "a6", "label": "Apply a dressing"}, {"id": "a2", "label": "Remove the dressing"}, {"id": "a4", "label": "Replace equipment"}, {"id": "a1", "label": "Prepare equipment"}, {"id": "d2", "label": "Discuss discharge arrangements"}, {"id": "a3", "label": "Check the equipment"}], "field_labels": {"wound": "Wound", "contamination": "Contamination", "care": "Care provided"}}, {"id": "AT-04", "type": "aseptic-technique", "domain": "delivery", "title": "Pressure wound care with consent concerns", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "You are the RN in an aged care facility. Betty James, aged 90, has a prescribed dressing change to a small heel pressure wound. Her niece urges you to continue even if Betty objects. Assess the wound and consent, demonstrate a safe aseptic approach and arrange follow-up. Complete the supplied practice record. Niece Susan is present. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Betty James", "age": 90, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "caregiver", "kind": "caregiver", "name": "Niece Susan", "age": 54, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Patel, facility clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Pressure wound care with consent concerns — practice record", "prefill": {"patient": {"full_name": "Betty James", "date_of_birth": "14/06/1936", "record_number": "SIM-AT04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Betty James has a prescribed dressing change to a small heel pressure wound. Her niece urges you to continue even if Betty objects."}, "candidate_fills": ["wound", "consent", "plan", "record"]}], "actions": [{"id": "a2", "label": "Prepare equipment"}, {"id": "d1", "label": "Review nutrition needs"}, {"id": "a5", "label": "Position the patient"}, {"id": "a1", "label": "Discuss care"}, {"id": "d3", "label": "Check mobility needs"}, {"id": "a3", "label": "Pause care"}, {"id": "d2", "label": "Discuss discharge arrangements"}, {"id": "a6", "label": "Record care"}, {"id": "a4", "label": "Discuss consent"}], "field_labels": {"wound": "Wound", "consent": "Consent", "plan": "Plan", "record": "Care record"}}, {"id": "AT-05", "type": "aseptic-technique", "domain": "delivery", "title": "Responding to a needlestick during clinic care", "setting": "gp", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are an RN in a GP clinic. You have just given Michael Stone an injection. As you dispose of the used syringe, the needle pierces your glove and left index finger. Michael is seated on the couch and feels well. RN Alex Morgan is in the next room and Dr Taylor Singh, the GP, is reachable by phone. Manage the sharp and injury, speak with Michael, arrange urgent exposure assessment and complete the incident note. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Michael Stone", "age": 49, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Responding to a needlestick during clinic care — original practice record", "prefill": {"patient": {"full_name": "Michael Stone", "date_of_birth": "12/03/1977", "record_number": "SIM-AT05-26"}, "scenario_time": "30/10/2026 10:00", "context": "You have just sustained a finger puncture from a used hollow-bore needle after completing Michael Stone’s injection. He is clinically well; RN Alex Morgan is nearby."}, "candidate_fills": ["care", "notifications", "disclosure", "follow_up"]}], "actions": [{"id": "a6", "label": "Complete the record"}, {"id": "a3", "label": "Provide first aid"}, {"id": "d1", "label": "Check room temperature"}, {"id": "a4", "label": "Contact the service"}, {"id": "d2", "label": "Prepare a replacement injection"}, {"id": "a2", "label": "Dispose of the sharp"}, {"id": "a1", "label": "Pause the task"}, {"id": "a5", "label": "Explain the event"}], "field_labels": {"care": "Care provided", "notifications": "Notifications", "disclosure": "Disclosure", "follow_up": "Follow up"}}, {"id": "AT-06", "type": "aseptic-technique", "domain": "delivery", "title": "Protecting the connection during an IV line change", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Celia Martin, 40, has a signed order for 0.9% sodium chloride at 80 mL/hour through a left forearm cannula. Her giving set is due for change. A replacement set and supplies are on the trolley. Explain and carry out the giving-set change using ANTT, check the site and rate, and complete the progress note. Say aloud what you do at each step. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Celia Martin", "age": 40, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Protecting the connection during an IV line change — original practice record", "prefill": {"patient": {"full_name": "Celia Martin", "date_of_birth": "12/03/1986", "record_number": "SIM-AT06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Prescribed giving-set change for saline at 80 mL/hour through a left forearm cannula.", "order": "Signed Dr Taylor Singh: continue 0.9% sodium chloride 80 mL/hour; compatible giving-set change now under service schedule"}, "candidate_fills": ["contamination", "care", "rate", "review"]}], "actions": [{"id": "a1", "label": "Review the setup"}, {"id": "a2", "label": "Replace the cap"}, {"id": "a3", "label": "Prepare the tubing"}, {"id": "d2", "label": "Review the meal chart"}, {"id": "a4", "label": "Prepare the port"}, {"id": "a5", "label": "Connect the set"}, {"id": "a6", "label": "Check delivery"}, {"id": "d1", "label": "Measure the room light"}], "field_labels": {"contamination": "Contamination", "care": "Care provided", "rate": "Rate", "review": "Plan / review"}}, {"id": "AT-07", "type": "aseptic-technique", "domain": "delivery", "title": "An interrupted home wound dressing", "setting": "community", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Victor Adams, 71, has a prescribed dressing change to a healing 3 cm lower-leg surgical wound. You are a community nurse in his lounge room; the wound plan and supplies are on the coffee table and his dog is in the room. Prepare, carry out and record the dressing using ANTT, and talk with Victor throughout. Say aloud what you do at each step. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Victor Adams", "age": 71, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "An interrupted home wound dressing — original practice record", "prefill": {"patient": {"full_name": "Victor Adams", "date_of_birth": "12/03/1955", "record_number": "SIM-AT07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Community visit for prescribed dressing to a healing 3 cm lower-leg incision."}, "candidate_fills": ["wound", "contamination", "care", "review"]}], "actions": [{"id": "a4", "label": "Remove the dressing"}, {"id": "a6", "label": "Complete care"}, {"id": "a2", "label": "Replace the pack"}, {"id": "a3", "label": "Prepare the space"}, {"id": "d1", "label": "Select a compression wrap"}, {"id": "a1", "label": "Pause preparation"}, {"id": "d2", "label": "Review sleep schedule"}, {"id": "a5", "label": "Apply the dressing"}], "field_labels": {"wound": "Wound", "contamination": "Contamination", "care": "Care provided", "review": "Plan / review"}}, {"id": "AT-08", "type": "aseptic-technique", "domain": "delivery", "title": "Personal care for a patient with vomiting and diarrhoea", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Dennis Cole needs help with personal care in a single room. Review the room notice and care record, describe your preparation and care sequence and complete the nursing entry. Casey and the infection-prevention service are reachable. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Dennis Cole", "age": 70, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Personal care for a patient with vomiting and diarrhoea — original practice record", "prefill": {"patient": {"full_name": "Dennis Cole", "date_of_birth": "02/01/1956", "record_number": "SIM-AT08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Dennis Cole needs help with personal care in a single room. Review the room notice and care record, describe your preparation and care sequence and complete the nursing entry. Casey and the infection-prevention service are reachable.", "records": {"entry_1": "Room notice: contact precautions. Suspected norovirus.", "entry_2": "Single room with ensuite; waste and linen containers inside; dedicated care equipment."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a2", "label": "Explain personal care"}, {"id": "a7", "label": "Record the care"}, {"id": "a1", "label": "Read the room notice"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a3", "label": "Put on protective equipment"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a5", "label": "Manage used equipment"}, {"id": "a4", "label": "Provide hygiene care"}, {"id": "a6", "label": "Remove protective equipment"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "AT-09", "type": "aseptic-technique", "domain": "delivery", "title": "Collecting a catheter specimen", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Fatima Noor has a catheter and a current request for a urine specimen. Review the request, explain the procedure, describe collection and complete the specimen and care records. Casey can assist and the requesting GP is available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Fatima Noor", "age": 75, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Collecting a catheter specimen — original practice record", "prefill": {"patient": {"full_name": "Fatima Noor", "date_of_birth": "09/06/1951", "record_number": "SIM-AT09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Fatima Noor has a catheter and a current request for a urine specimen. Review the request, explain the procedure, describe collection and complete the specimen and care records. Casey can assist and the requesting GP is available.", "records": {"entry_1": "Urine MC&S requested for new lower abdominal pain. Catheter in situ.", "entry_2": "Catheter and drainage bag at bedside; collection equipment on trolley."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a1", "label": "Match the request"}, {"id": "a5", "label": "Obtain the specimen"}, {"id": "a2", "label": "Explain collection"}, {"id": "a4", "label": "Clean the sampling port"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a6", "label": "Check drainage"}, {"id": "a8", "label": "Complete the care entry"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a3", "label": "Prepare sampling equipment"}, {"id": "a7", "label": "Label and dispatch"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "AT-10", "type": "aseptic-technique", "domain": "delivery", "title": "An interruption during a procedure", "setting": "gp", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "During a procedure at a GP clinic, a used needle punctures your finger through a glove. Simon Blake is seated safely. Describe your immediate actions and responsibilities afterwards. Casey is in the room. The clinic doctor is in another consulting room and can be phoned; exposure advice is available by phone. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Simon Blake", "age": 50, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "An interruption during a procedure — original practice record", "prefill": {"patient": {"full_name": "Simon Blake", "date_of_birth": "16/02/1976", "record_number": "SIM-AT10-26"}, "scenario_time": "30/10/2026 10:00", "context": "During a procedure at a GP clinic, a used needle punctures your finger through a glove. Simon Blake is seated safely. Describe your immediate actions and responsibilities afterwards. Casey is in the room. The clinic doctor is in another consulting room and can be phoned; exposure advice is available by phone.", "records": {"entry_1": "Clinic first-aid station and sharps container in procedure room."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a3", "label": "Establish exposure details"}, {"id": "a1", "label": "Pause the procedure"}, {"id": "a4", "label": "Contact the exposure service"}, {"id": "a7", "label": "Record and follow up"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a6", "label": "Hand over patient care"}, {"id": "a5", "label": "Explain the incident"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a2", "label": "Confirm patient cover and sharps disposal"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "BLS-01", "type": "basic-life-support", "domain": "delivery", "title": "Gasping collapse in a ward bay", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are the RN on a hospital ward. Keith Harris, aged 62, has collapsed beside the bed. A second RN can respond; no limitation of resuscitation is documented. Recognise the emergency, demonstrate DRSABCD and hand over to arriving help. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Keith Harris", "age": 62, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Resuscitation team leader", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Gasping collapse in a ward bay — practice record", "prefill": {"patient": {"full_name": "Keith Harris", "date_of_birth": "14/06/1964", "record_number": "SIM-BLS01-26"}, "scenario_time": "30/10/2026 10:00", "context": "RN setting: on a hospital ward. Keith Harris, aged 62, has collapsed beside the bed. A second RN can respond; no limitation of resuscitation is documented. ", "resuscitation_plan": "Full active resuscitation documented; no known limitation of treatment", "equipment": "AED and resuscitation equipment available when requested; physical technique is verbalised/selected online"}, "candidate_fills": ["recognition", "response", "aed", "review"]}], "actions": [{"id": "d1", "label": "Review the medication chart"}, {"id": "a6", "label": "Hand over care"}, {"id": "a3", "label": "Assess breathing"}, {"id": "a2", "label": "Call for help"}, {"id": "d3", "label": "Check the care plan"}, {"id": "d2", "label": "Measure temperature"}, {"id": "a1", "label": "Check the surroundings"}, {"id": "a5", "label": "Use the AED"}, {"id": "a4", "label": "Give compressions"}], "field_labels": {"recognition": "Recognition", "response": "Response", "aed": "AED", "review": "Plan / review"}}, {"id": "BLS-02", "type": "basic-life-support", "domain": "delivery", "title": "Collapse in the GP treatment room", "setting": "gp", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN in a general practice clinic. Farah Khan, aged 43, has collapsed in the clinic treatment room before a routine appointment. Recognise the emergency, demonstrate DRSABCD and hand over to arriving help. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. Partner Imran is present. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Farah Khan", "age": 43, "gender": "female", "accent": "pakistani-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Partner Imran", "age": 44, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Clinic GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Collapse in the GP treatment room — practice record", "prefill": {"patient": {"full_name": "Farah Khan", "date_of_birth": "14/06/1983", "record_number": "SIM-BLS02-26"}, "scenario_time": "30/10/2026 10:00", "context": "RN setting: in a general practice clinic. Farah Khan, aged 43, has collapsed in the clinic treatment room before a routine appointment.", "resuscitation_plan": "Full active resuscitation documented; no known limitation of treatment", "equipment": "AED and resuscitation equipment available when requested; physical technique is verbalised/selected online"}, "candidate_fills": ["recognition", "response", "aed", "review"]}], "actions": [{"id": "a2", "label": "Call for help"}, {"id": "a5", "label": "Use the AED"}, {"id": "d2", "label": "Measure temperature"}, {"id": "a6", "label": "Hand over care"}, {"id": "a1", "label": "Check the surroundings"}, {"id": "d3", "label": "Check the care plan"}, {"id": "a3", "label": "Assess breathing"}, {"id": "a4", "label": "Give compressions"}, {"id": "d1", "label": "Review the medication chart"}], "field_labels": {"recognition": "Recognition", "response": "Response", "aed": "AED", "review": "Plan / review"}}, {"id": "BLS-03", "type": "basic-life-support", "domain": "delivery", "title": "No-shock AED prompt in residential care", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "You are the RN in an aged care facility. Evelyn Price, aged 81, is found unresponsive in a lounge chair. The current record documents full active resuscitation. An RN can assist with safe positioning. Recognise the emergency, demonstrate DRSABCD and hand over to arriving help. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Evelyn Price", "age": 81, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "On-call facility GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "No-shock AED prompt in residential care — practice record", "prefill": {"patient": {"full_name": "Evelyn Price", "date_of_birth": "14/06/1945", "record_number": "SIM-BLS03-26"}, "scenario_time": "30/10/2026 10:00", "context": "RN setting: in an aged care facility. Evelyn Price, aged 81, is found unresponsive in a lounge chair. The current record documents full active resuscitation. An RN can assist with safe positioning. ", "resuscitation_plan": "Full active resuscitation documented; no known limitation of treatment", "equipment": "AED and resuscitation equipment available when requested; physical technique is verbalised/selected online"}, "candidate_fills": ["recognition", "response", "aed", "review"]}], "actions": [{"id": "a4", "label": "Give compressions"}, {"id": "d1", "label": "Review the medication chart"}, {"id": "a3", "label": "Assess breathing"}, {"id": "a6", "label": "Hand over care"}, {"id": "d3", "label": "Check the care plan"}, {"id": "a3b", "label": "Move the patient"}, {"id": "a2", "label": "Call for help"}, {"id": "d2", "label": "Measure temperature"}, {"id": "a1", "label": "Check the surroundings"}, {"id": "a5", "label": "Use the AED"}], "field_labels": {"recognition": "Recognition", "response": "Response", "aed": "AED", "review": "Plan / review"}}, {"id": "BLS-04", "type": "basic-life-support", "domain": "delivery", "title": "Signs of life during community resuscitation", "setting": "community", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "You are the RN in a community nursing service. Luis Santos, aged 57, has collapsed at a community health centre. Another RN is nearby and 000 can be called. Recognise the emergency, demonstrate DRSABCD and hand over to arriving help. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Luis Santos", "age": 57, "gender": "male", "accent": "filipino-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Community service GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Signs of life during community resuscitation — practice record", "prefill": {"patient": {"full_name": "Luis Santos", "date_of_birth": "14/06/1969", "record_number": "SIM-BLS04-26"}, "scenario_time": "30/10/2026 10:00", "context": "RN setting: in a community nursing service. Luis Santos, aged 57, has collapsed at a community health centre. Another RN is nearby and 000 can be called. ", "resuscitation_plan": "Full active resuscitation documented; no known limitation of treatment", "equipment": "AED and resuscitation equipment available when requested; physical technique is verbalised/selected online"}, "candidate_fills": ["recognition", "response", "aed", "review"]}], "actions": [{"id": "d2", "label": "Measure temperature"}, {"id": "a3", "label": "Assess breathing"}, {"id": "a7", "label": "Hand over care"}, {"id": "a6", "label": "Reassess breathing"}, {"id": "d1", "label": "Review the medication chart"}, {"id": "d3", "label": "Check the care plan"}, {"id": "a2", "label": "Call for help"}, {"id": "a5", "label": "Use the AED"}, {"id": "a1", "label": "Check the surroundings"}, {"id": "a4", "label": "Give compressions"}], "field_labels": {"recognition": "Recognition", "response": "Response", "aed": "AED", "review": "Plan / review"}}, {"id": "BLS-05", "type": "basic-life-support", "domain": "delivery", "title": "AED use after collapse beside a community pool", "setting": "community", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "Tom Fisher collapses on a dry poolside walkway after leaving the water. He has been moved clear of the pool by staff and is lying on his back. RN Alex Morgan is with you. Demonstrate basic life support and AED use, coordinate help and complete a brief event record after resuscitation responsibility is transferred. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. RN Alex Morgan is available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Tom Fisher", "age": 44, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "AED use after collapse beside a community pool — original practice record", "prefill": {"patient": {"full_name": "Tom Fisher", "date_of_birth": "12/03/1982", "record_number": "SIM-BLS05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Tom Fisher collapses on a dry poolside walkway after leaving the water. He has been moved clear of the pool by staff and is lying on his back. RN Alex Morgan is with you."}, "candidate_fills": ["urgent_help", "care", "aed", "handover"]}], "actions": [{"id": "a5", "label": "Use the AED"}, {"id": "a1", "label": "Assess the scene"}, {"id": "d2", "label": "Check medication stock"}, {"id": "a2", "label": "Send for help"}, {"id": "d1", "label": "Measure blood pressure"}, {"id": "a6", "label": "Continue CPR"}, {"id": "a4", "label": "Prepare the chest"}, {"id": "a3", "label": "Begin compressions"}, {"id": "a7", "label": "Transfer care"}], "field_labels": {"urgent_help": "Urgent assistance", "care": "Care provided", "aed": "AED", "handover": "Handover"}}, {"id": "BLS-06", "type": "basic-life-support", "domain": "delivery", "title": "Basic life support for a child in a clinic", "setting": "gp", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "Lily Adams suddenly collapses in a GP treatment room. She is on the floor on her back; no trauma is reported. RN Alex Morgan and her father are present. Using the standard BLS pathway, demonstrate child basic life support, coordinate 000 and AED use and hand over to arriving help. Record the event only after responsibility transfers. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. RN Alex Morgan is available. David Adams is present. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Lily Adams", "age": 7, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "David Adams", "age": 38, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Basic life support for a child in a clinic — original practice record", "prefill": {"patient": {"full_name": "Lily Adams", "date_of_birth": "12/03/2019", "record_number": "SIM-BLS06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Lily Adams suddenly collapses in a GP treatment room. She is on the floor on her back; no trauma is reported. RN Alex Morgan and her father are present."}, "candidate_fills": ["urgent_help", "care", "aed", "handover"]}], "actions": [{"id": "d1", "label": "Measure temperature"}, {"id": "d2", "label": "Collect a routine history"}, {"id": "a5", "label": "Attach the AED"}, {"id": "a2", "label": "Send for assistance"}, {"id": "a7", "label": "Hand over care"}, {"id": "a4", "label": "Support ventilation"}, {"id": "a6", "label": "Continue resuscitation"}, {"id": "a3", "label": "Begin child CPR"}, {"id": "a1", "label": "Assess response and breathing"}], "field_labels": {"urgent_help": "Urgent assistance", "care": "Care provided", "aed": "AED", "handover": "Handover"}}, {"id": "BLS-07", "type": "basic-life-support", "domain": "delivery", "title": "A collapse in the dining room", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "Gordon Webb has collapsed beside the dining table. He is represented by a manikin. Casey is beside you and a staff witness can provide information. Assess the situation, describe the nursing response and hand over to arriving help. The examiner provides clinical and emergency-service findings. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Gordon Webb", "age": 71, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A collapse in the dining room — original practice record", "prefill": {"patient": {"full_name": "Gordon Webb", "date_of_birth": "23/07/1955", "record_number": "SIM-BLS07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Gordon Webb has collapsed beside the dining table. He is represented by a manikin. Casey is beside you and a staff witness can provide information. Assess the situation, describe the nursing response and hand over to arriving help. The examiner provides clinical and emergency-service findings."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a1", "label": "Assess the scene and response"}, {"id": "a5", "label": "Support breaths"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a8", "label": "Record the resuscitation"}, {"id": "a2", "label": "Send for emergency help"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a3", "label": "Inspect the airway"}, {"id": "a7", "label": "Coordinate continued care"}, {"id": "a4", "label": "Start chest compressions"}, {"id": "a6", "label": "Apply the AED"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "BLS-08", "type": "basic-life-support", "domain": "delivery", "title": "A collapse beside the treatment trolley", "setting": "ward", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "Sana Ali suddenly collapses beside a treatment trolley. She is represented by a manikin. Casey is nearby, and the ward AED is available. Assess her, describe the nursing response and hand over to the responding team. Clinical findings come from the examiner. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Sana Ali", "age": 54, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A collapse beside the treatment trolley — original practice record", "prefill": {"patient": {"full_name": "Sana Ali", "date_of_birth": "05/03/1972", "record_number": "SIM-BLS08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Sana Ali suddenly collapses beside a treatment trolley. She is represented by a manikin. Casey is nearby, and the ward AED is available. Assess her, describe the nursing response and hand over to the responding team. Clinical findings come from the examiner."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a7", "label": "Hand over to the team"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a1", "label": "Assess danger and response"}, {"id": "a4", "label": "Provide ventilation"}, {"id": "a5", "label": "Use the AED"}, {"id": "a8", "label": "Record actual events"}, {"id": "a2", "label": "Activate ward assistance"}, {"id": "a3", "label": "Begin adult CPR"}, {"id": "a6", "label": "Continue CPR cycles"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "BT-01", "type": "blood-transfusion", "domain": "delivery", "title": "Preparing to start a red cell transfusion", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are the RN on a hospital ward. Helen Murphy, aged 66, has a prescribed single red cell pack for symptomatic anaemia. The pack has arrived and the transfusion has not started. Perform pre-transfusion bedside checks, explain monitoring and record the planned start. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Helen Murphy", "age": 66, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Transfusion prescriber", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "Preparing to start a red cell transfusion — practice record", "prefill": {"patient": {"full_name": "Helen Murphy", "date_of_birth": "14/06/1960", "record_number": "SIM-BT01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Helen Murphy has a prescribed single red cell pack for symptomatic anaemia. The pack has arrived and the transfusion has not started.", "order": "One compatible red cell pack IV over 3 hours; signed Dr Lee 30/10/2026", "component": "Synthetic practice identifiers only; not a replicated blood label", "prescription": {"patient": {"full_name": "Helen Murphy", "date_of_birth": "14/06/1960", "record_number": "SIM-BT01-26"}, "component": "One compatible red cell pack", "duration_hours": 3, "prescriber": "Dr Lee, signed 30/10/2026 09:30", "special_requirements": "None prescribed"}, "compatibility_label": {"patient": {"full_name": "Helen Murphy", "date_of_birth": "14/06/1960", "record_number": "SIM-BT01-26"}, "patient_group": "A RhD positive", "donation_number": "SIM-RC-2601", "compatibility": "Laboratory compatible; valid until 31/10/2026 12:00", "special_requirements": "None prescribed"}, "component_details": {"donation_number": "SIM-RC-2601", "component": "Red cells", "group": "A RhD positive", "expiry": "31/10/2026 23:59", "appearance": "Intact, no discolouration, cloudiness or clots", "pack_received": "30/10/2026 09:50"}}, "candidate_fills": ["checks", "traceability", "monitoring", "record", "start_time", "must_complete_by"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "a1", "label": "Discuss treatment"}, {"id": "d1", "label": "Review the care plan"}, {"id": "a3", "label": "Inspect equipment"}, {"id": "a5", "label": "Start the transfusion"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a4", "label": "Explain monitoring"}, {"id": "a6", "label": "Repeat observations"}, {"id": "a2", "label": "Check the patient and component"}], "field_labels": {"checks": "Safety checks", "traceability": "Component traceability", "monitoring": "Monitoring", "record": "Care record", "start_time": "Start time", "must_complete_by": "Complete transfusion by"}}, {"id": "BT-02", "type": "blood-transfusion", "domain": "delivery", "title": "Rigors and hypotension during red cells", "setting": "ed", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "You are the RN in an emergency department. Omar Ahmed, aged 52, is eight minutes into a red cell transfusion and suddenly feels unwell. Before starting he was alert with temperature 36.8°C, HR 88, BP 124/76, RR 18 and SpO2 98% on room air. Assess the change, manage a suspected transfusion reaction and communicate the response. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Omar Ahmed", "age": 52, "gender": "male", "accent": "egyptian-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Patel, emergency clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "Rigors and hypotension during red cells — practice record", "prefill": {"patient": {"full_name": "Omar Ahmed", "date_of_birth": "14/06/1974", "record_number": "SIM-BT02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Omar Ahmed is eight minutes into a red cell transfusion and suddenly feels unwell. Before starting he was alert with temperature 36.8°C, HR 88, BP 124/76, RR 18 and SpO2 98% on room air."}, "candidate_fills": ["reaction", "action", "notifications", "review"]}], "actions": [{"id": "a6", "label": "Repeat observations"}, {"id": "a3", "label": "Check IV access"}, {"id": "a1b", "label": "Call for help"}, {"id": "a1", "label": "Pause the transfusion"}, {"id": "a5", "label": "Record care"}, {"id": "a2", "label": "Assess the patient"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "a4", "label": "Contact the clinician"}], "field_labels": {"reaction": "Reaction", "action": "Action", "notifications": "Notifications", "review": "Plan / review"}}, {"id": "BT-03", "type": "blood-transfusion", "domain": "delivery", "title": "An identifier mismatch before outreach transfusion", "setting": "community", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN in a community nursing service. Peter Novak, aged 74, is in a hospital-run community day infusion unit for a prescribed red cell pack. Two RNs are present and blood has not been connected. Check readiness and patient-component identification and explain your decision. Complete the supplied practice record. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Peter Novak", "age": 74, "gender": "male", "accent": "croatian-australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Transfusion prescriber", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "An identifier mismatch before outreach transfusion — practice record", "prefill": {"patient": {"full_name": "Peter Novak", "date_of_birth": "14/06/1952", "record_number": "SIM-BT03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Peter Novak is in a hospital-run community day infusion unit for a prescribed red cell pack. Two RNs are present and blood has not been connected.", "prescription": {"patient": {"full_name": "Peter Novak", "date_of_birth": "14/06/1952", "record_number": "SIM-BT03-26"}, "component": "One red cell pack", "prescriber": "Dr Lee, signed 30/10/2026 09:30", "duration_hours": 3}, "compatibility_label": {"patient": {"full_name": "Peter Novak", "date_of_birth": "14/06/1953", "record_number": "SIM-BT03-26"}, "donation_number": "SIM-RC-2603", "patient_group": "O RhD positive", "component_group": "O RhD positive", "compatibility": "Laboratory compatible", "special_requirements": "None prescribed", "expiry": "31/10/2026 12:00"}, "component_details": {"donation_number": "SIM-RC-2603", "component": "Red cells", "group": "O RhD positive", "expiry": "31/10/2026 23:59", "appearance": "Intact, no discolouration, cloudiness or clots"}}, "candidate_fills": ["mismatch", "decision", "follow_up"]}], "actions": [{"id": "a4", "label": "Contact the transfusion service"}, {"id": "a1", "label": "Check the patient"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "a2", "label": "Check the component"}, {"id": "a5", "label": "Record care"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a3", "label": "Pause treatment"}], "field_labels": {"mismatch": "Mismatch", "decision": "Decision", "follow_up": "Follow up"}}, {"id": "BT-04", "type": "blood-transfusion", "domain": "delivery", "title": "A patient withdraws consent before transfusion", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Grace Okafor, aged 58, has a red cell transfusion prescribed for stable symptomatic anaemia. The pack is not connected and she has decision-making capacity. Confirm her wishes, explain options within your role and arrange a reviewed plan. Complete the supplied practice record. A second RN is available. Son Daniel is present. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Grace Okafor", "age": 58, "gender": "female", "accent": "nigerian-australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Son Daniel", "age": 30, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Patel, treating clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "A patient withdraws consent before transfusion — practice record", "prefill": {"patient": {"full_name": "Grace Okafor", "date_of_birth": "14/06/1968", "record_number": "SIM-BT04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Grace Okafor has a red cell transfusion prescribed for stable symptomatic anaemia. The pack is not connected and she has decision-making capacity."}, "candidate_fills": ["decision", "discussion", "action", "record"]}], "actions": [{"id": "a5", "label": "Record care"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a2", "label": "Discuss concerns"}, {"id": "a1", "label": "Pause treatment"}, {"id": "a4", "label": "Contact the clinician"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}, {"id": "a3", "label": "Discuss treatment"}], "field_labels": {"decision": "Decision", "discussion": "Discussion", "action": "Action", "record": "Care record"}}, {"id": "BT-05", "type": "blood-transfusion", "domain": "delivery", "title": "Breathlessness during a red cell transfusion", "setting": "ward", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "Rose Campbell becomes breathless during a red cell transfusion. She has known heart failure. Assess and demonstrate the immediate response, communicate with the doctor and complete the transfusion reaction record. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Rose Campbell", "age": 78, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "Breathlessness during a red cell transfusion — original practice record", "prefill": {"patient": {"full_name": "Rose Campbell", "date_of_birth": "12/03/1948", "record_number": "SIM-BT05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Rose Campbell becomes breathless during a red cell transfusion. She has known heart failure."}, "candidate_fills": ["reaction", "action", "traceability", "notifications"]}], "actions": [{"id": "a1", "label": "Stop delivery"}, {"id": "d2", "label": "Review meal choices"}, {"id": "a4", "label": "Review access"}, {"id": "a5", "label": "Check the records"}, {"id": "d1", "label": "Prepare the next unit"}, {"id": "a6", "label": "Monitor and record"}, {"id": "a2", "label": "Call for assistance"}, {"id": "a3", "label": "Support breathing"}], "field_labels": {"reaction": "Reaction", "action": "Action", "traceability": "Component traceability", "notifications": "Notifications"}}, {"id": "BT-06", "type": "blood-transfusion", "domain": "delivery", "title": "Preparing red cells for Peter Lawson", "setting": "ed", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Peter Lawson, 58, has a prescription for one unit of red cells for symptomatic anaemia in ED. The unit is at his bedside after collection from the blood refrigerator. Prepare for transfusion: complete bedside checks with Alex, speak with Peter and act on your findings. Record your actions in the transfusion record. Dr Taylor Singh is reachable by phone. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Peter Lawson", "age": 58, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "Preparing red cells for Peter Lawson — original practice record", "prefill": {"patient": {"full_name": "Peter Lawson", "date_of_birth": "12/03/1968", "record_number": "SIM-BT06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Peter Lawson is ready for a non-emergency red cell transfusion in ED. The unit is at the bedside."}, "candidate_fills": ["must_complete_by", "decision", "traceability", "follow_up"]}], "actions": [{"id": "a4", "label": "Pause preparation"}, {"id": "a6", "label": "Complete the record"}, {"id": "a3", "label": "Check the times"}, {"id": "a2", "label": "Compare the labels"}, {"id": "d1", "label": "Adjust room heating"}, {"id": "a1", "label": "Review consent"}, {"id": "d2", "label": "Prepare the next meal"}, {"id": "a5", "label": "Contact the team"}], "field_labels": {"must_complete_by": "Complete transfusion by", "decision": "Decision", "traceability": "Component traceability", "follow_up": "Follow up"}}, {"id": "BT-07", "type": "blood-transfusion", "domain": "delivery", "title": "A bedside review during transfusion", "setting": "ward", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "Luca Moretti is receiving red cells and calls for a nurse because he feels different. Assess him, describe nursing actions and complete the record. Casey is on the ward; the treating doctor and other services can be phoned. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Luca Moretti", "age": 59, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "A bedside review during transfusion — original practice record", "prefill": {"patient": {"full_name": "Luca Moretti", "date_of_birth": "12/08/1967", "record_number": "SIM-BT07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Luca Moretti is receiving red cells and calls for a nurse because he feels different. Assess him, describe nursing actions and complete the record. Casey is on the ward; the treating doctor and other services can be phoned.", "records": {"entry_1": "09:30 RR 16, SpO2 98% RA, HR 78, BP 126/74, T 36.7. Started 09:40 at 50 mL/hour; 09:55 RR 18, SpO2 97% RA, HR 84, BP 122/72, T 36.9. Rate then 120 mL/hour; about 23 mL delivered by 10:00.", "entry_2": "Pack SIM-BT07-A; expiry valid; no visible clots; identifiers available on band, prescription and compatibility label."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a2", "label": "Assess current observations"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a1", "label": "Stop current delivery"}, {"id": "a7", "label": "Enter transfusion events"}, {"id": "a6", "label": "Prepare investigation materials"}, {"id": "a4", "label": "Review pack identification"}, {"id": "a3", "label": "Manage vascular access"}, {"id": "a5", "label": "Contact clinical services"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "BT-08", "type": "blood-transfusion", "domain": "delivery", "title": "Preparing red cells at the bedside", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Moira Duncan has a red-cell transfusion prescribed. A unit has just arrived on the ward. Check her record and the unit and prepare to start the transfusion. Casey is available; the laboratory and doctor can be phoned. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Moira Duncan", "age": 66, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "transfusion_record", "title": "Preparing red cells at the bedside — original practice record", "prefill": {"patient": {"full_name": "Moira Duncan", "date_of_birth": "19/04/1960", "record_number": "SIM-BT08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Moira Duncan has a red-cell transfusion prescribed. A unit has just arrived on the ward. Check her record and the unit and prepare to start the transfusion. Casey is available; the laboratory and doctor can be phoned.", "records": {"entry_1": "One red-cell unit prescribed; consent recorded for Moira Duncan.", "entry_2": "Issue slip: unit issued at 09:50; prescribed duration two hours."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "a5", "label": "Check with the second RN"}, {"id": "a1", "label": "Confirm bedside identity"}, {"id": "a3", "label": "Compare pack details"}, {"id": "a4", "label": "Manage the unconnected unit"}, {"id": "a6", "label": "Contact the laboratory"}, {"id": "a2", "label": "Discuss the transfusion"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a7", "label": "Document pack disposition"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "DC-01", "type": "documentation-charts", "domain": "evaluation", "title": "Correcting an observation entry safely", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Emily Patel, aged 47, has observations taken at 10:00. The electronic practice record contains an oxygen saturation entry that differs from your measured value. Check the current patient, correct the record transparently and document any escalation. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Emily Patel", "age": 47, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Sam Lee, nurse in charge", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "Correcting an observation entry safely — practice record", "prefill": {"patient": {"full_name": "Emily Patel", "date_of_birth": "14/06/1979", "record_number": "SIM-DC01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Emily Patel has observations taken at 10:00. The electronic practice record contains an oxygen saturation entry that differs from your measured value.", "existing_entry": {"time": "10:00", "spo2": "89% room air", "entered_by": "candidate", "other_values": "match current findings"}, "record_function": "Append an addendum; original entry remains visible"}, "candidate_fills": ["verified_reading", "original_entry", "correction", "follow_up"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"verified_reading": "Verified observation", "original_entry": "Original entry", "correction": "Correction", "follow_up": "Follow up"}}, {"id": "DC-02", "type": "documentation-charts", "domain": "evaluation", "title": "Completing a home fluid balance summary", "setting": "community", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in a community nursing service. Anika Rao, aged 69, has a clinician-requested 24-hour intake/output record after a recent illness. You are reviewing the completed record with her. Calculate totals and balance, check limitations and document the summary. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Anika Rao", "age": 69, "gender": "female", "accent": "indian-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Requesting community clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Completing a home fluid balance summary — practice record", "prefill": {"patient": {"full_name": "Anika Rao", "date_of_birth": "14/06/1957", "record_number": "SIM-DC02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Anika Rao has a clinician-requested 24-hour intake/output record after a recent illness. You are reviewing the completed record with her."}, "candidate_fills": ["window", "intake_total_mL", "output_total_mL", "net_recorded_mL", "limitations", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Anika Rao", "date_of_birth": "14/06/1957", "record_number": "SIM-DC02-26"}, "calculation": {"inputs": {"water_mL": 600, "tea_mL": 400, "soup_mL": 250, "urine_mL": 900, "vomit_mL": 100}, "result_unit": "mL"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"window": "Administration time window", "intake_total_mL": "Total intake (mL)", "output_total_mL": "Total output (mL)", "net_recorded_mL": "Recorded fluid balance (mL)", "limitations": "Limitations", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "DC-03", "type": "documentation-charts", "domain": "evaluation", "title": "Documenting symptomatic low blood glucose", "setting": "gp", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in a general practice clinic. Tom Anderson, aged 51, has diabetes treated with insulin and becomes sweaty while waiting. He is alert and can swallow safely. Assess and respond to the low glucose, then record actual treatment and the planned reassessment. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Tom Anderson", "age": 51, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Clinic GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "bgl_chart", "title": "Documenting symptomatic low blood glucose — practice record", "prefill": {"patient": {"full_name": "Tom Anderson", "date_of_birth": "14/06/1975", "record_number": "SIM-DC03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Tom Anderson has diabetes treated with insulin and becomes sweaty while waiting. He is alert and can swallow safely.", "available": "Glucose tablets each labelled as 5 g fast-acting carbohydrate", "clinic_procedure": "Treat alert adult safe swallow with 15 g fast carbohydrate; recheck 15 minutes after treatment; repeat if still below 4 mmol/L; escalate if not improving"}, "candidate_fills": ["initial", "treatment", "recheck_plan", "safety"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Tom Anderson", "date_of_birth": "14/06/1975", "record_number": "SIM-DC03-26"}, "calculation": {"inputs": {"required_g": 15, "carbohydrate_g_per_tablet": 5}, "result_unit": "tablets"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d1", "label": "Review the care plan"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"initial": "Initial assessment", "treatment": "Treatment", "recheck_plan": "Recheck plan", "safety": "Safety", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "DC-04", "type": "documentation-charts", "domain": "evaluation", "title": "Recording a resident’s declined medicine", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Lucia Bianchi, aged 87, has declined her due oral medicine because she fears choking. A care worker suggests signing it as given to avoid an omission report. Assess the concern, respond safely and write an accurate progress and medicine record. Complete the supplied practice record. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Lucia Bianchi", "age": 87, "gender": "female", "accent": "italian-australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Facility care RN", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, facility prescriber", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Recording a resident’s declined medicine — practice record", "prefill": {"patient": {"full_name": "Lucia Bianchi", "date_of_birth": "14/06/1939", "record_number": "SIM-DC04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Lucia Bianchi has declined her due oral medicine because she fears choking. A care worker suggests signing it as given to avoid an omission report.", "medication_order": {"name": "Amlodipine", "dose": "5 mg", "route": "oral", "frequency": "once daily", "due": "30/10/2026 08:00", "prescriber": "Dr Lee", "allergies": "No known drug allergies; verify", "crush_status": "No instruction to crush or alter"}}, "candidate_fills": ["medicine_record", "progress_note", "plan", "follow_up", "omission_code"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"medicine_record": "Medicine record", "progress_note": "Progress note", "plan": "Plan", "follow_up": "Follow up", "omission_code": "Medicine omission code"}}, {"id": "DC-05", "type": "documentation-charts", "domain": "evaluation", "title": "A glucose chart entry that does not match the meter", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Lorna Davies is receiving a community diabetes review. A handwritten glucose entry differs from the meter history. Verify the current reading, correct the record transparently and communicate a safe plan. No insulin correction order is supplied. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Lorna Davies", "age": 62, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "bgl_chart", "title": "A glucose chart entry that does not match the meter — original practice record", "prefill": {"patient": {"full_name": "Lorna Davies", "date_of_birth": "12/03/1964", "record_number": "SIM-DC05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Lorna Davies is receiving a community diabetes review. A handwritten glucose entry differs from the meter history.", "baseline_observations": {"rr": "16 breaths/min", "spo2": "98 % on room air", "hr": "80 beats/min", "bp": "128/76 mmHg", "temp": "36.6 °C", "consciousness": "Alert"}}, "candidate_fills": ["bgl", "original_entry", "correction", "notifications", "plan"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"bgl": "Blood glucose (mmol/L)", "original_entry": "Original entry", "correction": "Correction", "notifications": "Notifications", "plan": "Plan"}}, {"id": "DC-06", "type": "documentation-charts", "domain": "evaluation", "title": "Completing a neurological trend record", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Andrew Cole is on a surgical ward after a head injury requiring neurological observation. The current record has a blank assessment row. Assess and complete the neurological row, recognise any change and document escalation and the response. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Andrew Cole", "age": 50, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "neuro_obs", "title": "Completing a neurological trend record — original practice record", "prefill": {"patient": {"full_name": "Andrew Cole", "date_of_birth": "12/03/1976", "record_number": "SIM-DC06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Andrew Cole is on a surgical ward after a head injury requiring neurological observation. The current record has a blank assessment row.", "baseline_observations": {"rr": "20 breaths/min", "spo2": "96 % on room air", "hr": "94 beats/min", "bp": "144/82 mmHg", "temp": "36.8 °C", "consciousness": "Eyes open to speech; disoriented"}}, "candidate_fills": ["neurology", "change", "escalation", "closed_loop"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"neurology": "Neurology", "change": "Change", "escalation": "Escalation", "closed_loop": "Read-back / confirmation"}}, {"id": "DC-07", "type": "documentation-charts", "domain": "evaluation", "title": "A fluid balance total that hides a trend", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Eileen Fraser has a prescribed daily fluid limit and a partially completed intake/output record. She says her shoes feel tighter. Reconcile the recorded totals, assess the resident and document a clinically useful review plan. Do not change the fluid limit. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Eileen Fraser", "age": 87, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A fluid balance total that hides a trend — original practice record", "prefill": {"patient": {"full_name": "Eileen Fraser", "date_of_birth": "12/03/1939", "record_number": "SIM-DC07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Eileen Fraser has a prescribed daily fluid limit and a partially completed intake/output record. She says her shoes feel tighter.", "baseline_observations": {"rr": "20 breaths/min", "spo2": "95 % on room air", "hr": "88 beats/min", "bp": "136/78 mmHg", "temp": "36.8 °C", "consciousness": "Alert"}}, "candidate_fills": ["intake_total_mL", "output_total_mL", "net_recorded_mL", "limitations", "plan"]}, {"id": "calculation", "kind": "calc", "title": "Calculation practice", "prefill": {"patient": {"full_name": "Eileen Fraser", "date_of_birth": "12/03/1939", "record_number": "SIM-DC07-26"}, "scenario_time": "30/10/2026 10:00", "calculation": {"inputs": {"tea_mL": 200, "water_mL": 150, "soup_mL": 250, "medicine_water_mL": 100, "urine1_mL": 200, "urine2_mL": 150}, "result_unit": "mL"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"intake_total_mL": "Total intake (mL)", "output_total_mL": "Total output (mL)", "net_recorded_mL": "Recorded fluid balance (mL)", "limitations": "Limitations", "plan": "Plan", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "DC-08", "type": "documentation-charts", "domain": "evaluation", "title": "Updating an ileostomy care record", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Diane Foster keeps a home record after ileostomy surgery. Review today’s entries with her, assess any immediate concerns and complete a factual nursing note and follow-up plan. Her surgical contact is available by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Diane Foster", "age": 60, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Updating an ileostomy care record — original practice record", "prefill": {"patient": {"full_name": "Diane Foster", "date_of_birth": "26/09/1966", "record_number": "SIM-DC08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Diane Foster keeps a home record after ileostomy surgery. Review today’s entries with her, assess any immediate concerns and complete a factual nursing note and follow-up plan. Her surgical contact is available by phone.", "records": {"entry_1": "Home record 00:00–10:00: oral intake 400 mL; ileostomy output 900 mL; urine 120 mL."}, "fluid_record": [{"time": "00:00–10:00", "oral_mL": 400, "stoma_mL": 900, "urine_mL": 120}]}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "DC-09", "type": "documentation-charts", "domain": "evaluation", "title": "A catheter specimen awaiting dispatch", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Harold Dean has a long-term catheter and a urine specimen awaiting dispatch. Review the specimen and care records, assess the relevant information and complete the appropriate documentation. Casey and the requesting GP are available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Harold Dean", "age": 78, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A catheter specimen awaiting dispatch — original practice record", "prefill": {"patient": {"full_name": "Harold Dean", "date_of_birth": "08/05/1948", "record_number": "SIM-DC09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Harold Dean has a long-term catheter and a urine specimen awaiting dispatch. Review the specimen and care records, assess the relevant information and complete the appropriate documentation. Casey and the requesting GP are available.", "records": {"entry_1": "GP request 08:30: urine MC&S for suprapubic discomfort and rigors; collection method: catheter sampling port.", "entry_2": "Container label: Harold Dean, DOB 08/05/1948, SIM-DC09-26; collection time blank.", "entry_3": "09:15 progress note: urine specimen collected, labelled and left for dispatch."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "DC-10", "type": "documentation-charts", "domain": "evaluation", "title": "Postnatal ward: morning care for Imogen Hart", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are an RN working on the postnatal ward. Imogen Hart is due her routine morning nursing review. Review her needs, then write the progress note and handover. Casey and the maternity clinician can be phoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Imogen Hart", "age": 27, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Postnatal ward: morning care for Imogen Hart — original practice record", "prefill": {"patient": {"full_name": "Imogen Hart", "date_of_birth": "15/01/1999", "record_number": "SIM-DC10-26"}, "scenario_time": "30/10/2026 10:00", "context": "You are an RN working on the postnatal ward. Imogen Hart is due her routine morning nursing review. Review her needs, then write the progress note and handover. Casey and the maternity clinician can be phoned.", "records": {"entry_1": "Routine postnatal review due 10:00: observations, fundus and lochia, perineum."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "FA-01", "type": "focused-assessment", "domain": "assessment", "title": "Focused assessment of worsening breathlessness", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in an emergency department. Ravi Menon, aged 59, has become more breathless while awaiting medical review for a cough. Perform a focused respiratory assessment and arrange an appropriate response. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Ravi Menon", "age": 59, "gender": "male", "accent": "indian-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "ED emergency clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Focused assessment of worsening breathlessness — practice record", "prefill": {"patient": {"full_name": "Ravi Menon", "date_of_birth": "14/06/1967", "record_number": "SIM-FA01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Ravi Menon has become more breathless while awaiting medical review for a cough."}, "candidate_fills": ["assessment", "action", "review"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"assessment": "Assessment", "action": "Action", "review": "Plan / review"}}, {"id": "FA-02", "type": "focused-assessment", "domain": "assessment", "title": "Neurovascular concern beneath a new cast", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Chloe Nguyen, aged 25, has escalating pain in her left lower leg following fracture immobilisation. Perform a focused neurovascular assessment and communicate the findings. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. The orthopaedic registrar can be telephoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Chloe Nguyen", "age": 25, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Priya Raman, orthopaedic registrar", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Neurovascular concern beneath a new cast — practice record", "prefill": {"patient": {"full_name": "Chloe Nguyen", "date_of_birth": "14/06/2001", "record_number": "SIM-FA02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Chloe Nguyen has escalating pain in her left lower leg following fracture immobilisation."}, "candidate_fills": ["left_limb", "right_limb", "action", "review"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "a1", "label": "Assess the limbs"}, {"id": "a3", "label": "Position the patient"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "a2", "label": "Call for help"}], "field_labels": {"left_limb": "Left limb", "right_limb": "Right limb", "action": "Action", "review": "Plan / review"}}, {"id": "FA-03", "type": "focused-assessment", "domain": "assessment", "title": "Sudden facial and arm weakness in a clinic", "setting": "gp", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in a general practice clinic. Patrick O’Neill, aged 77, developed sudden speech difficulty while waiting with his daughter. Perform a brief neurological assessment and arrange emergency care. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. Daughter Fiona is present. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Patrick O’Neill", "age": 77, "gender": "male", "accent": "irish-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Daughter Fiona", "age": 49, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Nguyen, clinic GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "neuro_obs", "title": "Sudden facial and arm weakness in a clinic — practice record", "prefill": {"patient": {"full_name": "Patrick O’Neill", "date_of_birth": "14/06/1949", "record_number": "SIM-FA03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Patrick O’Neill developed sudden speech difficulty while waiting with his daughter."}, "candidate_fills": ["neurology", "timing", "bgl", "action"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"neurology": "Neurology", "timing": "Timing", "bgl": "Blood glucose (mmol/L)", "action": "Action"}}, {"id": "FA-04", "type": "focused-assessment", "domain": "assessment", "title": "Abdominal discomfort during home follow-up", "setting": "community", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in a community nursing service. Mele Tui, aged 46, reports mild abdominal discomfort and constipation during a planned home visit. Take a focused history, describe an abdominal assessment and agree on a safe review plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Mele Tui", "age": 46, "gender": "female", "accent": "tongan-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Hart, community GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Abdominal discomfort during home follow-up — practice record", "prefill": {"patient": {"full_name": "Mele Tui", "date_of_birth": "14/06/1980", "record_number": "SIM-FA04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Mele Tui reports mild abdominal discomfort and constipation during a planned home visit."}, "candidate_fills": ["history", "examination", "plan", "safety_net"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"history": "History", "examination": "Examination", "plan": "Plan", "safety_net": "Safety net"}}, {"id": "FA-05", "type": "focused-assessment", "domain": "assessment", "title": "Neurological assessment after a head strike", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Kiran Adhikari is under ED observation after a bicycle fall with a head strike. His previous neurological record is available. Perform focused neurological assessment, complete the neurological record and communicate any concern. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Kiran Adhikari", "age": 31, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "neuro_obs", "title": "Neurological assessment after a head strike — original practice record", "prefill": {"patient": {"full_name": "Kiran Adhikari", "date_of_birth": "12/03/1995", "record_number": "SIM-FA05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Kiran Adhikari is under ED observation after a bicycle fall with a head strike. His previous neurological record is available."}, "candidate_fills": ["neurology", "change", "escalation", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"neurology": "Neurology", "change": "Change", "escalation": "Escalation", "review": "Plan / review"}}, {"id": "FA-06", "type": "focused-assessment", "domain": "assessment", "title": "A painful hand after forearm surgery", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Joel Reyes has increasing hand pain following forearm fixation. His arm is in a padded splint. Complete a bilateral neurovascular assessment and arrange appropriate review; record the findings. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Joel Reyes", "age": 42, "gender": "male", "accent": "filipino-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "neurovasc_obs", "title": "A painful hand after forearm surgery — original practice record", "prefill": {"patient": {"full_name": "Joel Reyes", "date_of_birth": "12/03/1984", "record_number": "SIM-FA06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Joel Reyes has increasing hand pain following forearm fixation. His arm is in a padded splint."}, "candidate_fills": ["right_limb", "left_limb", "plan", "reassessment"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"right_limb": "Right limb", "left_limb": "Left limb", "plan": "Plan", "reassessment": "Reassessment"}}, {"id": "FA-07", "type": "focused-assessment", "domain": "assessment", "title": "A new blister on a foot with reduced sensation", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Sunita Desai has noticed a blister on her right foot during a community diabetes nursing visit. Assess the foot, identify risks requiring review and document a care plan. Do not debride the blister. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Sunita Desai", "age": 67, "gender": "female", "accent": "indian-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A new blister on a foot with reduced sensation — original practice record", "prefill": {"patient": {"full_name": "Sunita Desai", "date_of_birth": "12/03/1959", "record_number": "SIM-FA07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Sunita Desai has noticed a blister on her right foot during a community diabetes nursing visit."}, "candidate_fills": ["skin", "assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"skin": "Skin", "assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "FA-08", "type": "focused-assessment", "domain": "assessment", "title": "Lower abdominal discomfort and reduced urine", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Patrick Doyle reports lower abdominal discomfort in residential care. His fluid and medication records are available. Perform a focused assessment for the reduced urine and communicate a safe review plan. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Patrick Doyle", "age": 82, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Lower abdominal discomfort and reduced urine — original practice record", "prefill": {"patient": {"full_name": "Patrick Doyle", "date_of_birth": "12/03/1944", "record_number": "SIM-FA08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Patrick Doyle reports lower abdominal discomfort in residential care. His fluid and medication records are available."}, "candidate_fills": ["assessment", "background", "plan", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"assessment": "Assessment", "background": "Background", "plan": "Plan", "review": "Plan / review"}}, {"id": "FA-09", "type": "focused-assessment", "domain": "assessment", "title": "Focused breathing assessment in a school-aged child", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Ella Morgan is brought to a GP treatment room with wheeze after exercise. Her aunt is present with parental permission. Perform a focused respiratory assessment, communicate your concern and complete the child record. Ella is represented by a manikin; speak to her directly. Dr Taylor Singh is reachable by phone. Her aunt Ruth Morgan is with her. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Ella Morgan", "age": 10, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "caregiver", "kind": "caregiver", "name": "Ruth Morgan", "age": 41, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "paed_obs_chart", "title": "Focused breathing assessment in a school-aged child — original practice record", "prefill": {"patient": {"full_name": "Ella Morgan", "date_of_birth": "12/03/2016", "record_number": "SIM-FA09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Ella Morgan is brought to a GP treatment room with wheeze after exercise. Her aunt is present with parental permission."}, "candidate_fills": ["assessment", "plan", "reassessment", "rr", "spo2", "hr", "bp", "temp", "consciousness"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "reassessment": "Reassessment", "rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness"}}, {"id": "FA-10", "type": "focused-assessment", "domain": "assessment", "title": "A community foot review", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Ravi Patel has diabetes and requests a nursing review of his left foot. Perform a focused assessment, discuss your findings and organise follow-up. His GP can be contacted during the visit. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Ravi Patel", "age": 61, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A community foot review — original practice record", "prefill": {"patient": {"full_name": "Ravi Patel", "date_of_birth": "22/06/1965", "record_number": "SIM-FA10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Ravi Patel has diabetes and requests a nursing review of his left foot. Perform a focused assessment, discuss your findings and organise follow-up. His GP can be contacted during the visit."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "FA-11", "type": "focused-assessment", "domain": "assessment", "title": "An abdominal review after stoma surgery", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Janet Hughes is recovering after ileostomy surgery and reports abdominal discomfort. Carry out a focused assessment, record your findings and plan the next steps. The surgical clinician is reachable and Casey is on the ward. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Janet Hughes", "age": 58, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "An abdominal review after stoma surgery — original practice record", "prefill": {"patient": {"full_name": "Janet Hughes", "date_of_birth": "04/02/1968", "record_number": "SIM-FA11-26"}, "scenario_time": "30/10/2026 10:00", "context": "Janet Hughes is recovering after ileostomy surgery and reports abdominal discomfort. Carry out a focused assessment, record your findings and plan the next steps. The surgical clinician is reachable and Casey is on the ward.", "records": {"entry_1": "Last PRN opioid dose 22:00. Urine 100 mL since 06:00."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "FA-12", "type": "focused-assessment", "domain": "assessment", "title": "A child after a playground fall", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Mia Bennett is brought to the clinic after falling from playground equipment. Her mother Ava is present. Assess Mia, document the history and arrange the next steps. The GP in the adjacent room can be reached by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Mia Bennett", "age": 6, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Ava Bennett", "age": 42, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A child after a playground fall — original practice record", "prefill": {"patient": {"full_name": "Mia Bennett", "date_of_birth": "11/07/2020", "record_number": "SIM-FA12-26"}, "scenario_time": "30/10/2026 10:00", "context": "Mia Bennett is brought to the clinic after falling from playground equipment. Her mother Ava is present. Assess Mia, document the history and arrange the next steps. The GP in the adjacent room can be reached by phone."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "FA-13", "type": "focused-assessment", "domain": "assessment", "title": "A catheter review in residential care", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Douglas Price has a long-term urinary catheter and reports discomfort. Assess him, document your findings and arrange any further care. The facility RN Casey and on-call GP are available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Douglas Price", "age": 83, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A catheter review in residential care — original practice record", "prefill": {"patient": {"full_name": "Douglas Price", "date_of_birth": "18/03/1943", "record_number": "SIM-FA13-26"}, "scenario_time": "30/10/2026 10:00", "context": "Douglas Price has a long-term urinary catheter and reports discomfort. Assess him, document your findings and arrange any further care. The facility RN Casey and on-call GP are available.", "records": {"entry_1": "Long-term urinary retention; catheter last changed three weeks ago; review due next week."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "IS-01", "type": "isbar-handover", "domain": "evaluation", "title": "Telephone escalation for worsening infection", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Yusuf Ali, aged 71, is being treated for a suspected infection and has become more unwell. At 09:00 he was alert, BP 118/70, HR 92, RR 20, SpO2 96% room air and temperature 38.0°C. Assess current urgency, telephone the doctor using ISBAR and document the response. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. The doctor can be telephoned. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Yusuf Ali", "age": 71, "gender": "male", "accent": "sudanese-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Patel, ward doctor", "age": 42, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Telephone escalation for worsening infection — practice record", "prefill": {"patient": {"full_name": "Yusuf Ali", "date_of_birth": "14/06/1955", "record_number": "SIM-IS01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Yusuf Ali is being treated for a suspected infection and has become more unwell. At 09:00 he was alert, BP 118/70, HR 92, RR 20, SpO2 96% room air and temperature 38.0°C."}, "candidate_fills": ["introduction", "situation", "background", "assessment", "recommendation"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"introduction": "Introduction", "situation": "Situation", "background": "Background", "assessment": "Assessment", "recommendation": "Recommendation"}}, {"id": "IS-02", "type": "isbar-handover", "domain": "evaluation", "title": "Calling from a clinic about sudden breathlessness", "setting": "gp", "free": true, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in a general practice clinic. Maria Costa, aged 45, has sudden breathlessness in the clinic. The GP is in another room and can be reached by the clinic telephone. Assess urgency, call the GP using ISBAR and arrange appropriate emergency assistance. Complete the supplied practice record. A second RN is available. The doctor can be telephoned. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Maria Costa", "age": 45, "gender": "female", "accent": "brazilian-australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Nguyen, clinic GP", "age": 42, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Calling from a clinic about sudden breathlessness — practice record", "prefill": {"patient": {"full_name": "Maria Costa", "date_of_birth": "14/06/1981", "record_number": "SIM-IS02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Maria Costa has sudden breathlessness in the clinic. The GP is in another room and can be reached by the clinic telephone."}, "candidate_fills": ["isbar", "action", "closed_loop"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"isbar": "ISBAR handover", "action": "Action", "closed_loop": "Read-back / confirmation"}}, {"id": "IS-03", "type": "isbar-handover", "domain": "evaluation", "title": "RN handover after a minor head injury", "setting": "ed", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in an emergency department. Oliver King, aged 28, is moving to a short-stay observation area after a clinician-assessed minor head injury. A second RN is receiving the handover. Review the supplied findings and give a structured bedside RN handover with the patient involved. Complete the supplied practice record. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Oliver King", "age": 28, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "RN handover after a minor head injury — practice record", "prefill": {"patient": {"full_name": "Oliver King", "date_of_birth": "14/06/1998", "record_number": "SIM-IS03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Oliver King is moving to a short-stay observation area after a clinician-assessed minor head injury. A second RN is receiving the handover."}, "candidate_fills": ["assessment", "plan", "handover", "acceptance"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "handover": "Handover", "acceptance": "Handover accepted by"}}, {"id": "IS-04", "type": "isbar-handover", "domain": "evaluation", "title": "Shift handover for a resident with acute confusion", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Ruth Thompson, aged 82, has a new fluctuating confusion and is awaiting a booked urgent clinician review. You are handing over to the next RN. Give ISBAR handover, include current safety needs and confirm responsibility for follow-up. Complete the supplied practice record. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Ruth Thompson", "age": 82, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Shah, on-call GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Shift handover for a resident with acute confusion — practice record", "prefill": {"patient": {"full_name": "Ruth Thompson", "date_of_birth": "14/06/1944", "record_number": "SIM-IS04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Ruth Thompson has a new fluctuating confusion and is awaiting a booked urgent clinician review. You are handing over to the next RN."}, "candidate_fills": ["change", "current", "pending", "acceptance"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"change": "Change", "current": "Current assessment", "pending": "Pending care", "acceptance": "Handover accepted by"}}, {"id": "IS-05", "type": "isbar-handover", "domain": "evaluation", "title": "Calling for a child with increasing oxygen needs", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Samir Khan is in a paediatric ward with a respiratory illness. You are asked to telephone the reviewing doctor using the supplied observations. Confirm immediate safety, provide ISBAR, obtain and read back a plan, then complete the handover record. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Farah Khan is present. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Samir Khan", "age": 9, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Farah Khan", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Calling for a child with increasing oxygen needs — original practice record", "prefill": {"patient": {"full_name": "Samir Khan", "date_of_birth": "12/03/2017", "record_number": "SIM-IS05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Samir Khan is in a paediatric ward with a respiratory illness. You are asked to telephone the reviewing doctor using the supplied observations.", "baseline_observations": {"rr": "38 breaths/min", "spo2": "90 % on room air", "hr": "142 beats/min", "bp": "100/60 mmHg", "temp": "38.4 °C", "consciousness": "Alert but tiring"}}, "candidate_fills": ["introduction", "situation", "background", "assessment", "recommendation", "closed_loop"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"introduction": "Introduction", "situation": "Situation", "background": "Background", "assessment": "Assessment", "recommendation": "Recommendation", "closed_loop": "Read-back / confirmation"}}, {"id": "IS-06", "type": "isbar-handover", "domain": "evaluation", "title": "Telephone escalation of a falling neurological score", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Helen Grant is under ED observation after a fall with a head strike. The neurological chart shows a new change. Escalate using ISBAR and record the confirmed response. Do not delay urgent support to complete the form. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Helen Grant", "age": 63, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Telephone escalation of a falling neurological score — original practice record", "prefill": {"patient": {"full_name": "Helen Grant", "date_of_birth": "12/03/1963", "record_number": "SIM-IS06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Helen Grant is under ED observation after a fall with a head strike. The neurological chart shows a new change.", "baseline_observations": {"rr": "20 breaths/min", "spo2": "96 % on room air", "hr": "92 beats/min", "bp": "154/86 mmHg", "temp": "36.6 °C", "consciousness": "Opens eyes to voice; confused speech"}}, "candidate_fills": ["situation", "background", "assessment", "recommendation", "closed_loop"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"situation": "Situation", "background": "Background", "assessment": "Assessment", "recommendation": "Recommendation", "closed_loop": "Read-back / confirmation"}}, {"id": "IS-07", "type": "isbar-handover", "domain": "evaluation", "title": "Community handover after treated hypoglycaemia", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Miguel Ramos has recovered from a treated low glucose episode at home. You are handing over to RN Alex Morgan for continued supervision. Use ISBAR to transfer the ongoing care plan and document the receiving nurse’s acceptance. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Miguel Ramos", "age": 57, "gender": "male", "accent": "filipino-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Community handover after treated hypoglycaemia — original practice record", "prefill": {"patient": {"full_name": "Miguel Ramos", "date_of_birth": "12/03/1969", "record_number": "SIM-IS07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Miguel Ramos has recovered from a treated low glucose episode at home. You are handing over to RN Alex Morgan for continued supervision.", "baseline_observations": {"rr": "16 breaths/min", "spo2": "98 % on room air", "hr": "82 beats/min", "bp": "126/74 mmHg", "temp": "36.6 °C", "consciousness": "Alert"}}, "candidate_fills": ["background", "assessment", "recommendation", "acceptance"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"background": "Background", "assessment": "Assessment", "recommendation": "Recommendation", "acceptance": "Handover accepted by"}}, {"id": "IS-08", "type": "isbar-handover", "domain": "evaluation", "title": "Residential handover after an unwitnessed fall", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Agnes Walker was found seated on the floor at 08:45. Initial assessment and a GP telephone plan are documented. Confirm current findings and hand over to RN Alex Morgan, including pending review and monitoring responsibility. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Agnes Walker", "age": 84, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Residential handover after an unwitnessed fall — original practice record", "prefill": {"patient": {"full_name": "Agnes Walker", "date_of_birth": "12/03/1942", "record_number": "SIM-IS08-26"}, "scenario_time": "30/10/2026 09:50", "context": "Agnes Walker was found seated on the floor at 08:45. Initial assessment and a GP telephone plan are documented.", "baseline_observations": {"rr": "18 breaths/min", "spo2": "97 % on room air", "hr": "86 beats/min", "bp": "138/78 mmHg", "temp": "36.7 °C", "consciousness": "Alert, unsure of fall details"}}, "candidate_fills": ["situation", "assessment", "pending", "acceptance"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"situation": "Situation", "assessment": "Assessment", "pending": "Pending care", "acceptance": "Handover accepted by"}}, {"id": "IS-09", "type": "isbar-handover", "domain": "evaluation", "title": "A telephone update after a home visit", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You have assessed Frank Russo during his heart-failure nursing visit. Review the available record, complete any focused checks and telephone his GP with a nursing handover. Document the agreed next steps. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Frank Russo", "age": 76, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Amrita Shah", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "caregiver", "kind": "caregiver", "name": "Mary Russo", "age": 74, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "A telephone update after a home visit — original practice record", "prefill": {"patient": {"full_name": "Frank Russo", "date_of_birth": "25/08/1950", "record_number": "SIM-IS09-26"}, "scenario_time": "30/10/2026 10:00", "context": "You have assessed Frank Russo during his heart-failure nursing visit. Review the available record, complete any focused checks and telephone his GP with a nursing handover. Document the agreed next steps.", "records": {"entry_1": "Today 82 kg; three days ago 79 kg, same scale each morning"}}, "candidate_fills": ["situation", "background", "assessment", "recommendation"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"situation": "Situation", "background": "Background", "assessment": "Assessment", "recommendation": "Recommendation"}}, {"id": "IS-10", "type": "isbar-handover", "domain": "evaluation", "title": "ED handover after wound treatment", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Tess Martin has received wound care and is awaiting the next ED review. Take a focused update from her and hand over to receiving RN Casey. The ED clinician reachable by phone can be called if needed. Complete the handover record. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Tess Martin", "age": 24, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "ED handover after wound treatment — original practice record", "prefill": {"patient": {"full_name": "Tess Martin", "date_of_birth": "07/04/2002", "record_number": "SIM-IS10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Tess Martin has received wound care and is awaiting the next ED review. Take a focused update from her and hand over to receiving RN Casey. The ED clinician reachable by phone can be called if needed. Complete the handover record.", "records": {"entry_1": "Forearm wound assessed and dressed; bleeding controlled.", "entry_2": "Awaiting medical and mental health review; no discharge decision. Handover allocation: RN Bell from 10:15."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "IS-11", "type": "isbar-handover", "domain": "evaluation", "title": "A late-shift residential handover", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Mabel Shaw has become less settled during the afternoon. Review her care record and complete a focused update before handing over to RN Casey. Her daughter Ruth is present and the on-call GP is reachable. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Mabel Shaw", "age": 88, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Ruth Shaw", "age": 58, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "A late-shift residential handover — original practice record", "prefill": {"patient": {"full_name": "Mabel Shaw", "date_of_birth": "14/09/1938", "record_number": "SIM-IS11-26"}, "scenario_time": "30/10/2026 16:30", "context": "Mabel Shaw has become less settled during the afternoon. Review her care record and complete a focused update before handing over to RN Casey. Her daughter Ruth is present and the on-call GP is reachable."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "IS-12", "type": "isbar-handover", "domain": "evaluation", "title": "Handover for transfer to an inpatient palliative unit", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Beatrice Hall is receiving home palliative care and will transfer to an inpatient palliative unit today. Update her assessment and telephone receiving RN Casey with a handover. Her husband Sam is present and the palliative clinician is reachable. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Beatrice Hall", "age": 81, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Sam Hall", "age": 80, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "isbar_form", "title": "Handover for transfer to an inpatient palliative unit — original practice record", "prefill": {"patient": {"full_name": "Beatrice Hall", "date_of_birth": "21/05/1945", "record_number": "SIM-IS12-26"}, "scenario_time": "30/10/2026 10:00", "context": "Beatrice Hall is receiving home palliative care and will transfer to an inpatient palliative unit today. Update her assessment and telephone receiving RN Casey with a handover. Her husband Sam is present and the palliative clinician is reachable.", "records": {"entry_1": "Current signed plan: comfort-focused care, not for CPR; symptom treatment and review continue; inpatient transfer agreed, transport booked 13:00", "entry_2": "Morphine immediate-release 2.5 mg oral PRN, at least four hours apart, maximum six doses/24 h. Given 08:00; eligible again from 12:00. Regular chart accompanies transfer; sufficient oral supply for transport."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "IV-01", "type": "iv-fluids", "domain": "delivery", "title": "Checking a maintenance fluid prescription", "setting": "ward", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN on a hospital ward. Ben Cooper, aged 38, has a signed order for sodium chloride 0.9% 1000 mL intravenously over eight hours. The infusion has not started. Check readiness and the fluid order, calculate the pump rate and explain monitoring. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Ben Cooper", "age": 38, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "Checking a maintenance fluid prescription — practice record", "prefill": {"patient": {"full_name": "Ben Cooper", "date_of_birth": "14/06/1988", "record_number": "SIM-IV01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Ben Cooper has a signed order for sodium chloride 0.9% 1000 mL intravenously over eight hours. The infusion has not started.", "order": "Sodium chloride 0.9% 1000 mL IV over 8 hours via pump; signed Dr Lee 30/10/2026", "allergies": "No known allergies, verify"}, "candidate_fills": ["rate", "checks", "monitoring", "record"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Ben Cooper", "date_of_birth": "14/06/1988", "record_number": "SIM-IV01-26"}, "calculation": {"inputs": {"volume_mL": 1000, "duration_hours": 8}, "result_unit": "mL/hour"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a5", "label": "Review care"}, {"id": "a3", "label": "Set the pump"}, {"id": "d1", "label": "Review the care plan"}, {"id": "a1", "label": "Check the order"}, {"id": "a2", "label": "Assess the patient"}, {"id": "a4", "label": "Connect the infusion"}], "field_labels": {"rate": "Rate", "checks": "Safety checks", "monitoring": "Monitoring", "record": "Care record", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "IV-02", "type": "iv-fluids", "domain": "delivery", "title": "Pain and swelling at an infusion site", "setting": "ed", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are the RN in an emergency department. Wei Chen, aged 44, has sodium chloride 0.9% running through a right forearm cannula. He reports new discomfort. Assess the patient and infusion, manage the immediate concern and document your action. Complete the supplied practice record. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Wei Chen", "age": 44, "gender": "male", "accent": "mandarin-australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, ED clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "Pain and swelling at an infusion site — practice record", "prefill": {"patient": {"full_name": "Wei Chen", "date_of_birth": "14/06/1982", "record_number": "SIM-IV02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Wei Chen has sodium chloride 0.9% running through a right forearm cannula. He reports new discomfort.", "order": "Sodium chloride 0.9% 500 mL IV over 5 hours; no additives; signed Dr Lee 30/10/2026 09:00"}, "candidate_fills": ["site", "infusate", "action", "review"]}], "actions": [{"id": "d1", "label": "Review the care plan"}, {"id": "a5", "label": "Record care"}, {"id": "a2", "label": "Assess the patient"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "a1", "label": "Pause the infusion"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a3", "label": "Check the infusion"}, {"id": "a4", "label": "Review IV access"}], "field_labels": {"site": "Administration / cannula site", "infusate": "Infusion fluid", "action": "Action", "review": "Plan / review"}}, {"id": "IV-03", "type": "iv-fluids", "domain": "delivery", "title": "New breathlessness during residential IV therapy", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Margaret Davies, aged 88, is receiving prescribed sodium chloride 0.9% through a nurse-led residential outreach service. She has heart failure and becomes breathless. Assess the patient and infusion, take immediate safety action and communicate the concern. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Margaret Davies", "age": 88, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, on-call GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "New breathlessness during residential IV therapy — practice record", "prefill": {"patient": {"full_name": "Margaret Davies", "date_of_birth": "14/06/1938", "record_number": "SIM-IV03-26"}, "scenario_time": "30/10/2026 14:00", "context": "Margaret Davies is receiving prescribed sodium chloride 0.9% through a nurse-led residential outreach service. She has heart failure and becomes breathless.", "service": "Residential outreach team authorised to administer prescribed IV therapy; emergency transfer available", "order": "Sodium chloride 0.9% 1000 mL IV over 10 hours; signed Dr Lee 30/10/2026 at 07:00; infusion started at 07:00"}, "candidate_fills": ["concern", "infusion", "action", "review"]}], "actions": [{"id": "a1", "label": "Pause the infusion"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a5", "label": "Hand over care"}, {"id": "a4", "label": "Review the chart"}, {"id": "a3", "label": "Position the patient"}, {"id": "a2", "label": "Call for help"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"concern": "Concern", "infusion": "Infusion", "action": "Action", "review": "Plan / review"}}, {"id": "IV-04", "type": "iv-fluids", "domain": "delivery", "title": "A pump setting that differs from the home order", "setting": "community", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are the RN in a community nursing service. Tessa Brown, aged 61, is receiving short-term IV hydration through a community nursing service. The current pump setting appears different from the written order. Check the patient and order, calculate the intended rate and respond to the discrepancy. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Tessa Brown", "age": 61, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, community prescriber", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Outreach checking RN", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "A pump setting that differs from the home order — practice record", "prefill": {"patient": {"full_name": "Tessa Brown", "date_of_birth": "14/06/1965", "record_number": "SIM-IV04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Tessa Brown is receiving short-term IV hydration through a community nursing service. The current pump setting appears different from the written order.", "order": "Sodium chloride 0.9% 500 mL IV over 5 hours; signed Dr Lee 30/10/2026 08:00", "pump_display": {"rate_mL_per_hour": 150, "delivered_mL": 300}}, "candidate_fills": ["intended_rate", "discrepancy", "action", "review"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Tessa Brown", "date_of_birth": "14/06/1965", "record_number": "SIM-IV04-26"}, "calculation": {"inputs": {"volume_mL": 500, "duration_hours": 5}, "result_unit": "mL/hour"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a2", "label": "Review the order"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "a4", "label": "Set the pump"}, {"id": "d1", "label": "Review the care plan"}, {"id": "a3", "label": "Contact the prescriber"}, {"id": "a5", "label": "Record care"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a1", "label": "Pause the infusion"}], "field_labels": {"intended_rate": "Intended rate", "discrepancy": "Discrepancy", "action": "Action", "review": "Plan / review", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "IV-05", "type": "iv-fluids", "domain": "delivery", "title": "A short prescribed infusion in a GP clinic", "setting": "gp", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Renee Parker has been assessed by the GP for reduced oral intake. A signed short intravenous fluid order and pump are available. Check suitability and the order, calculate the rate and demonstrate starting the infusion with the second RN. Complete the fluid record. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Renee Parker", "age": 47, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "A short prescribed infusion in a GP clinic — original practice record", "prefill": {"patient": {"full_name": "Renee Parker", "date_of_birth": "12/03/1979", "record_number": "SIM-IV05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Renee Parker has been assessed by the GP for reduced oral intake. A signed short intravenous fluid order and pump are available.", "order": "Signed Dr Taylor Singh 30/10/2026 09:30: sodium chloride 0.9% 250 mL IV over 2 hours, no additives; review at completion; no repeat without review"}, "candidate_fills": ["infusate", "rate", "checks", "monitoring"]}, {"id": "calculation", "kind": "calc", "title": "Calculation practice", "prefill": {"patient": {"full_name": "Renee Parker", "date_of_birth": "12/03/1979", "record_number": "SIM-IV05-26"}, "scenario_time": "30/10/2026 10:00", "calculation": {"inputs": {"volume_mL": 250, "duration_hours": 2}, "result_unit": "mL/hour"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d2", "label": "Check meal preferences"}, {"id": "a5", "label": "Start the infusion"}, {"id": "a3", "label": "Check the equipment"}, {"id": "a1", "label": "Review the prescription"}, {"id": "a6", "label": "Record delivery"}, {"id": "d1", "label": "Review continence aids"}, {"id": "a2", "label": "Calculate the rate"}, {"id": "a4", "label": "Connect the line"}], "field_labels": {"infusate": "Infusion fluid", "rate": "Rate", "checks": "Safety checks", "monitoring": "Monitoring", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "IV-06", "type": "iv-fluids", "domain": "delivery", "title": "Calculating a gravity infusion under an outreach order", "setting": "community", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Paul Evans is in a staffed community outreach clinic. A signed fluid order specifies gravity delivery with a labelled giving set; no pump is required under this service plan. Calculate the drop rate, check the setup with the second RN and demonstrate monitoring. Complete the fluid record. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Paul Evans", "age": 52, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "Calculating a gravity infusion under an outreach order — original practice record", "prefill": {"patient": {"full_name": "Paul Evans", "date_of_birth": "12/03/1974", "record_number": "SIM-IV06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Paul Evans is in a staffed community outreach clinic. A signed fluid order specifies gravity delivery with a labelled giving set; no pump is required under this service plan.", "order": "Signed Dr Taylor Singh 30/10/2026: 0.9% sodium chloride 600 mL IV over 5 hours by gravity in staffed outreach clinic; no additives; stop at 600 mL; review before further fluid", "set_factor": "20 drops/mL, read from packaging"}, "candidate_fills": ["rate", "infusate", "checks", "monitoring"]}, {"id": "calculation", "kind": "calc", "title": "Calculation practice", "prefill": {"patient": {"full_name": "Paul Evans", "date_of_birth": "12/03/1974", "record_number": "SIM-IV06-26"}, "scenario_time": "30/10/2026 10:00", "calculation": {"inputs": {"volume_mL": 600, "drops_per_mL": 20, "hours": 5, "minutes_per_hour": 60}, "result_unit": "drops/min"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a3", "label": "Calculate the flow"}, {"id": "a2", "label": "Check the giving set"}, {"id": "d1", "label": "Review sleep pattern"}, {"id": "d2", "label": "Discuss footwear"}, {"id": "a1", "label": "Review the order"}, {"id": "a4", "label": "Connect the tubing"}, {"id": "a5", "label": "Regulate delivery"}, {"id": "a6", "label": "Measure and record"}], "field_labels": {"rate": "Rate", "infusate": "Infusion fluid", "checks": "Safety checks", "monitoring": "Monitoring", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "IV-07", "type": "iv-fluids", "domain": "delivery", "title": "Reviewing Irene's potassium replacement order", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Irene Watts, 60, is on a surgical ward with a new intravenous fluid order for potassium replacement after diarrhoea. Check the order, the product and the patient, and act on your findings. Dr Taylor Singh is reachable by phone and RN Alex Morgan is on the ward. Document your actions in the blue folder. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Irene Watts", "age": 60, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "Potassium fluid order for Irene Watts", "prefill": {"patient": {"full_name": "Irene Watts", "date_of_birth": "12/03/1966", "record_number": "SIM-IV07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Irene Watts has a new potassium-containing intravenous fluid order from this morning."}, "candidate_fills": ["discrepancy", "decision", "notifications", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"discrepancy": "Discrepancy", "decision": "Decision", "notifications": "Notifications", "follow_up": "Follow up"}}, {"id": "IV-08", "type": "iv-fluids", "domain": "delivery", "title": "A prescribed infusion on the medical ward", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Pippa James has a prescribed IV fluid infusion due. Review the order and bedside equipment, explain and describe the nursing care, and complete the fluid record. Casey is available for checking and Dr Lee can be contacted. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Pippa James", "age": 48, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "A prescribed infusion on the medical ward — original practice record", "prefill": {"patient": {"full_name": "Pippa James", "date_of_birth": "03/01/1978", "record_number": "SIM-IV08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Pippa James has a prescribed IV fluid infusion due. Review the order and bedside equipment, explain and describe the nursing care, and complete the fluid record. Casey is available for checking and Dr Lee can be contacted.", "order": "Sodium chloride 0.9% 750 mL IV over six hours, start 10:00.", "records": {"entry_1": "Sodium chloride 0.9% 750 mL IV over six hours, start 10:00."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "A prescribed infusion on the medical ward — original practice record", "prefill": {"calculation": {"inputs": {"volume_mL": 750, "hours": 6}, "result_unit": "mL/hour"}, "context": "Pippa James has a prescribed IV fluid infusion due. Review the order and bedside equipment, explain and describe the nursing care, and complete the fluid record. Casey is available for checking and Dr Lee can be contacted."}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a5", "label": "Set the delivery volume"}, {"id": "a2", "label": "Inspect fluid and access"}, {"id": "a3", "label": "Prepare the connection"}, {"id": "a6", "label": "Complete the fluid entry"}, {"id": "a1", "label": "Review the fluid order"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a4", "label": "Program the pump"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "IV-09", "type": "iv-fluids", "domain": "delivery", "title": "A gravity infusion in the day clinic", "setting": "gp", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Lewis King is attending a staffed day clinic for prescribed fluid replacement. Review the signed order and available equipment, describe the infusion care and record your working and plan. Casey and the GP are available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Lewis King", "age": 55, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "A gravity infusion in the day clinic — original practice record", "prefill": {"patient": {"full_name": "Lewis King", "date_of_birth": "10/06/1971", "record_number": "SIM-IV09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Lewis King is attending a staffed day clinic for prescribed fluid replacement. Review the signed order and available equipment, describe the infusion care and record your working and plan. Casey and the GP are available.", "order": "Sodium chloride 0.9% 480 mL IV over four hours from 10:00, gravity.", "records": {"entry_1": "Sodium chloride 0.9% 480 mL IV over four hours from 10:00, gravity."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "A gravity infusion in the day clinic — original practice record", "prefill": {"calculation": {"inputs": {"volume_mL": 480, "drops_per_mL": 20, "hours": 4, "minutes_per_hour": 60}, "result_unit": "drops/min"}, "context": "Lewis King is attending a staffed day clinic for prescribed fluid replacement. Review the signed order and available equipment, describe the infusion care and record your working and plan. Casey and the GP are available."}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a5", "label": "Check ongoing delivery"}, {"id": "a1", "label": "Read the prescription"}, {"id": "a4", "label": "Adjust the drip chamber"}, {"id": "a2", "label": "Inspect the giving set"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a6", "label": "Record the infusion"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a3", "label": "Connect the line"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "IV-10", "type": "iv-fluids", "domain": "delivery", "title": "A fluid review before transfer", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Nora Ellis will transfer to another ward later today. Her prescribed IV fluid has been running since 10:00 and she transfers to Ward 4 East at 11:00 with an RN escort. Review the order and bedside setup, describe the required nursing care and complete the fluid handover record. Casey and Dr Lee are available. Casey is the receiving RN on Ward 4 East; Dr Lee can be contacted. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Nora Ellis", "age": 64, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "fluid_order", "title": "A fluid review before transfer — original practice record", "prefill": {"patient": {"full_name": "Nora Ellis", "date_of_birth": "17/02/1962", "record_number": "SIM-IV10-26"}, "scenario_time": "30/10/2026 11:00", "context": "Nora Ellis will transfer to another ward later today. Her prescribed IV fluid has been running since 10:00 and she transfers to Ward 4 East at 11:00 with an RN escort. Review the order and bedside setup, describe the required nursing care and complete the fluid handover record. Casey and Dr Lee are available.", "order": "Sodium chloride 0.9% 360 mL IV over three hours from 10:00.", "records": {"entry_1": "Sodium chloride 0.9% 360 mL IV over three hours from 10:00.", "entry_2": "Transfer to Ward 4 East at 11:00 with RN escort."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "A fluid review before transfer — original practice record", "prefill": {"calculation": {"inputs": {"volume_mL": 360, "hours": 3}, "result_unit": "mL/hour"}, "context": "Nora Ellis will transfer to another ward later today. Her prescribed IV fluid has been running since 10:00 and she transfers to Ward 4 East at 11:00 with an RN escort. Review the order and bedside setup, describe the required nursing care and complete the fluid handover record. Casey and Dr Lee are available."}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a1", "label": "Review current instructions"}, {"id": "a4", "label": "Enter pump settings"}, {"id": "a6", "label": "Prepare transfer record"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a5", "label": "Enter volume limit"}, {"id": "a3", "label": "Connect the fluid"}, {"id": "a2", "label": "Inspect access and equipment"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-01", "type": "medication-administration", "domain": "delivery", "title": "Oral paracetamol with an uncertain dose history", "setting": "community", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN in a community nursing service. Sofia Papadopoulos, aged 55, has mild musculoskeletal pain. Her signed prescription is paracetamol 1 g orally now if due; minimum interval four hours, maximum 4 g in 24 hours. Check whether the dose is safe, calculate the tablets and explain your decision. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Sofia Papadopoulos", "age": 55, "gender": "female", "accent": "greek-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, community prescriber", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Oral paracetamol with an uncertain dose history — practice record", "prefill": {"patient": {"full_name": "Sofia Papadopoulos", "date_of_birth": "14/06/1971", "record_number": "SIM-MA01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Sofia Papadopoulos has mild musculoskeletal pain. Her signed prescription is paracetamol 1 g orally now if due; minimum interval four hours, maximum 4 g in 24 hours.", "order": "Paracetamol 1 g PO once now IF DUE; minimum interval 4 hours; maximum 4 g/24 h; signed Dr Lee 30/10/2026", "allergies": "No known medicine allergies, confirm verbally", "available": "Paracetamol 500 mg tablets"}, "candidate_fills": ["decision", "reason", "documentation"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Sofia Papadopoulos", "date_of_birth": "14/06/1971", "record_number": "SIM-MA01-26"}, "calculation": {"inputs": {"dose_mg": 1000, "strength_mg_per_tablet": 500}, "result_unit": "tablets"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d1", "label": "Review mobility needs"}, {"id": "d3", "label": "Discuss discharge arrangements"}, {"id": "d2", "label": "Check fluid balance"}, {"id": "a3", "label": "Calculate the dose"}, {"id": "a2", "label": "Review recent medicines"}, {"id": "a4", "label": "Review administration"}, {"id": "a5", "label": "Record the decision"}, {"id": "a1", "label": "Review the prescription"}], "field_labels": {"decision": "Decision", "reason": "Reason", "documentation": "Documentation", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-02", "type": "medication-administration", "domain": "delivery", "title": "Mealtime subcutaneous insulin safety check", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "You are the RN on a hospital ward. Harpreet Kaur, aged 48, has a signed order for insulin aspart 6 units subcutaneously immediately before lunch. The meal tray is expected now. Assess readiness and explain and demonstrate safe preparation and administration. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Harpreet Kaur", "age": 48, "gender": "female", "accent": "punjabi-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, ward prescriber", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Mealtime subcutaneous insulin safety check — practice record", "prefill": {"patient": {"full_name": "Harpreet Kaur", "date_of_birth": "14/06/1978", "record_number": "SIM-MA02-26"}, "scenario_time": "30/10/2026 12:00", "context": "Harpreet Kaur has a signed order for insulin aspart 6 units subcutaneously immediately before lunch. The meal tray is expected now.", "order": "Insulin aspart 6 units SC immediately before this meal; signed Dr Lee 30/10/2026; confirm current BGL and meal readiness", "available": "Patient-labelled insulin aspart 100 units/mL vial; insulin syringe marked in units", "allergies": "No known medicine allergies, verify"}, "candidate_fills": ["bgl", "checks", "dose", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Harpreet Kaur", "date_of_birth": "14/06/1978", "record_number": "SIM-MA02-26"}, "calculation": {"inputs": {"dose_units": 6, "strength_units_per_mL": 100}, "result_unit": "mL"}}, "candidate_fills": ["working", "result", "unit", "device_dose"]}], "actions": [{"id": "a2", "label": "Request a second check"}, {"id": "d2", "label": "Check fluid balance"}, {"id": "d1", "label": "Review mobility needs"}, {"id": "a5", "label": "Dispose of equipment"}, {"id": "a4", "label": "Give the injection"}, {"id": "d3", "label": "Discuss discharge arrangements"}, {"id": "a1", "label": "Review the prescription"}, {"id": "a6", "label": "Review care"}, {"id": "a3", "label": "Prepare equipment"}], "field_labels": {"bgl": "Blood glucose (mmol/L)", "checks": "Safety checks", "dose": "Dose", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement", "device_dose": "Dose on the insulin syringe (units)"}}, {"id": "MA-03", "type": "medication-administration", "domain": "delivery", "title": "Intramuscular vitamin B12 with needle anxiety", "setting": "gp", "free": false, "difficulty": 1, "hands_on": true, "candidate_instructions": "You are the RN in a general practice clinic. David Ellis, aged 63, is attending for prescribed maintenance hydroxocobalamin 1000 micrograms intramuscularly today for vitamin B12 deficiency. Check the prescription, calculate the volume and demonstrate a consent-based injection sequence. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "David Ellis", "age": 63, "gender": "male", "accent": "australian", "speaks_when": "always"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Intramuscular vitamin B12 with needle anxiety — practice record", "prefill": {"patient": {"full_name": "David Ellis", "date_of_birth": "14/06/1963", "record_number": "SIM-MA03-26"}, "scenario_time": "30/10/2026 10:00", "context": "David Ellis is attending for prescribed maintenance hydroxocobalamin 1000 micrograms intramuscularly today for vitamin B12 deficiency.", "order": "Hydroxocobalamin 1000 micrograms IM maintenance dose today; signed Dr Lee 30/10/2026", "available": "Hydroxocobalamin 1000 micrograms/1 mL ampoule", "allergies": "No known medicine allergies, verify"}, "candidate_fills": ["consent", "administration", "review"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "David Ellis", "date_of_birth": "14/06/1963", "record_number": "SIM-MA03-26"}, "calculation": {"inputs": {"dose_micrograms": 1000, "strength_micrograms_per_mL": 1000}, "result_unit": "mL"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a5", "label": "Dispose of equipment"}, {"id": "d3", "label": "Discuss discharge arrangements"}, {"id": "d1", "label": "Review mobility needs"}, {"id": "a3", "label": "Prepare the medicine"}, {"id": "d2", "label": "Check fluid balance"}, {"id": "a6", "label": "Review care"}, {"id": "a1", "label": "Review the prescription"}, {"id": "a4", "label": "Give the injection"}, {"id": "a2", "label": "Position the patient"}], "field_labels": {"consent": "Consent", "administration": "Administration", "review": "Plan / review", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-04", "type": "medication-administration", "domain": "delivery", "title": "Subcutaneous heparin with a safety pause", "setting": "ed", "free": false, "difficulty": 3, "hands_on": true, "candidate_instructions": "You are the RN in an emergency department. Mariam Saleh, aged 67, is boarding in ED with a signed prophylaxis order for heparin sodium 5000 units subcutaneously now. Check the order and safety history, calculate the volume and decide whether to proceed. Complete the supplied practice record. A second RN is available. You have eight minutes. The prescriber can be reached by phone. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Mariam Saleh", "age": 67, "gender": "female", "accent": "arabic-australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Lee, ED registrar", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Subcutaneous heparin with a safety pause — practice record", "prefill": {"patient": {"full_name": "Mariam Saleh", "date_of_birth": "14/06/1959", "record_number": "SIM-MA04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Mariam Saleh is boarding in ED with a signed prophylaxis order for heparin sodium 5000 units subcutaneously now.", "order": "Heparin sodium 5000 units SC once now for prophylaxis; signed Dr Lee 30/10/2026", "available": "Heparin sodium prefilled syringe 5000 units/0.5 mL", "allergies": "Blank field: must be clarified"}, "candidate_fills": ["decision", "allergy_record", "documentation"]}, {"id": "calculation", "kind": "calc", "title": "Dose or rate calculation", "prefill": {"patient": {"full_name": "Mariam Saleh", "date_of_birth": "14/06/1959", "record_number": "SIM-MA04-26"}, "calculation": {"inputs": {"dose_units": 5000, "strength_units_per_mL": 10000}, "result_unit": "mL"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a3", "label": "Calculate the dose"}, {"id": "d1", "label": "Review mobility needs"}, {"id": "a1", "label": "Review the prescription"}, {"id": "a5", "label": "Record care"}, {"id": "a4", "label": "Contact the prescriber"}, {"id": "d2", "label": "Check fluid balance"}, {"id": "a2", "label": "Review allergies"}, {"id": "d3", "label": "Discuss discharge arrangements"}], "field_labels": {"decision": "Decision", "allergy_record": "Allergy record", "documentation": "Documentation", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-05", "type": "medication-administration", "domain": "delivery", "title": "Checking an oral dose on a child medication record", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Leo Santos has pain after a minor procedure. A signed child medication order and liquid paracetamol are available; his mother is present. Check the prescription, calculate and demonstrate the oral dose, then record care and review. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. RN Alex Morgan is available. Ana Santos is present. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "manikin", "name": "Leo Santos", "age": 6, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Ana Santos", "age": 32, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Checking an oral dose on a child medication record — original practice record", "prefill": {"patient": {"full_name": "Leo Santos", "date_of_birth": "12/03/2020", "record_number": "SIM-MA05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Leo Santos has pain after a minor procedure. A signed child medication order and liquid paracetamol are available; his mother is present.", "order": "Signed Dr Taylor Singh 30/10/2026 09:30: paracetamol 15 mg/kg orally six-hourly PRN pain; weight 20 kg; max four doses/24 h (60 mg/kg/24 h); review pain after administration", "available": "Paracetamol 120 mg/5 mL oral liquid; oral syringe", "allergies": "No known allergies, confirm", "administered": "No paracetamol or other analgesia since admission and no doses recorded in the last 24 hours."}, "candidate_fills": ["dose", "checks", "administration", "review"]}, {"id": "calculation", "kind": "calc", "title": "Calculation practice", "prefill": {"patient": {"full_name": "Leo Santos", "date_of_birth": "12/03/2020", "record_number": "SIM-MA05-26"}, "scenario_time": "30/10/2026 10:00", "calculation": {"inputs": {"weight_kg": 20, "dose_mg_per_kg": 15, "strength_mg": 120, "stock_mL": 5}, "result_unit": "mL"}}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a1", "label": "Review the order"}, {"id": "a2", "label": "Calculate the volume"}, {"id": "d2", "label": "Review wound supplies"}, {"id": "d1", "label": "Prepare a drink"}, {"id": "a4", "label": "Prepare the liquid"}, {"id": "a3", "label": "Request a colleague check"}, {"id": "d3", "label": "Check walking aids"}, {"id": "a6", "label": "Record and review"}, {"id": "a5", "label": "Offer the medicine"}], "field_labels": {"dose": "Dose", "checks": "Safety checks", "administration": "Administration", "review": "Plan / review", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-06", "type": "medication-administration", "domain": "delivery", "title": "An S8 tablet and the controlled medicine register", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Rohan Patel requests prescribed breakthrough pain relief after surgery. The medicine chart and controlled medicine register are available. Check suitability and demonstrate the oral S8 medicine process with the second RN. Complete the practice record. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Rohan Patel", "age": 46, "gender": "male", "accent": "indian-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "An S8 tablet and the controlled medicine register — original practice record", "prefill": {"patient": {"full_name": "Rohan Patel", "date_of_birth": "12/03/1980", "record_number": "SIM-MA06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Rohan Patel requests prescribed breakthrough pain relief after surgery. The medicine chart and controlled medicine register are available."}, "candidate_fills": ["dose", "checks", "record", "review"]}], "actions": [{"id": "d1", "label": "Check meal intake"}, {"id": "a4", "label": "Offer the dose"}, {"id": "a2", "label": "Review stock and records"}, {"id": "a6", "label": "Review the response"}, {"id": "a5", "label": "Complete the records"}, {"id": "d2", "label": "Review dressing size"}, {"id": "a3", "label": "Check the tablet"}, {"id": "a1", "label": "Assess pain and breathing"}], "field_labels": {"dose": "Dose", "checks": "Safety checks", "record": "Care record", "review": "Plan / review"}}, {"id": "MA-07", "type": "medication-administration", "domain": "delivery", "title": "Methotrexate on a transfer chart", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Mary Wilson, 75, has moved to your aged-care facility with a transfer medication chart and hospital discharge summary. The 10:00 round is due. Prepare her morning medicines and act on your findings. Dr Taylor Singh is reachable by phone. Document in the blue folder. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Mary Wilson", "age": 75, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Methotrexate on a transfer chart", "prefill": {"patient": {"full_name": "Mary Wilson", "date_of_birth": "12/03/1951", "record_number": "SIM-MA07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Mary Wilson has moved to the facility. Her transfer medication record and hospital discharge summary are available."}, "candidate_fills": ["discrepancy", "action", "medicine_record", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"discrepancy": "Discrepancy", "action": "Action", "medicine_record": "Medicine record", "follow_up": "Follow up"}}, {"id": "MA-08", "type": "medication-administration", "domain": "delivery", "title": "Morning insulin at a home visit", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Ben Carter, 59, has type 2 diabetes and is due his morning long-acting insulin during a community visit. His current order and insulin pen are available. Prepare to give his insulin and act on your findings. Dr Taylor Singh is reachable by phone. Document in the blue folder. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Ben Carter", "age": 59, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Morning insulin for Ben Carter", "prefill": {"patient": {"full_name": "Ben Carter", "date_of_birth": "12/03/1967", "record_number": "SIM-MA08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Ben Carter asks for help with his morning insulin at a community visit. His current order and a pen supplied by the pharmacy are available."}, "candidate_fills": ["bgl", "mismatch", "decision", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"bgl": "Blood glucose (mmol/L)", "mismatch": "Mismatch", "decision": "Decision", "follow_up": "Follow up"}}, {"id": "MA-09", "type": "medication-administration", "domain": "delivery", "title": "First dose of oral amoxicillin at a GP clinic", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Nadia Okeke, 36, has been prescribed oral amoxicillin and is at the practice for her first dose. Her prescription and record are available. Check the medicine and act on your findings. Dr Taylor Singh is reachable by phone. Document in the blue folder. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Nadia Okeke", "age": 36, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "First dose of amoxicillin at the practice", "prefill": {"patient": {"full_name": "Nadia Okeke", "date_of_birth": "12/03/1990", "record_number": "SIM-MA09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Nadia Okeke attends a GP clinic for the first dose of prescribed oral amoxicillin."}, "candidate_fills": ["allergy_record", "medicine_record", "notifications", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"allergy_record": "Allergy record", "medicine_record": "Medicine record", "notifications": "Notifications", "follow_up": "Follow up"}}, {"id": "MA-10", "type": "medication-administration", "domain": "delivery", "title": "A scheduled medicine on the paediatric ward", "setting": "ward", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Leo Ward is due his regular morning medicine. His mother Erin is present. Review the medicine record and available product, carry out the appropriate nursing care and complete the record. Casey can assist and the prescriber is reachable. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Leo Ward", "age": 10, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Erin Ward", "age": 42, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "A scheduled medicine on the paediatric ward — original practice record", "prefill": {"patient": {"full_name": "Leo Ward", "date_of_birth": "24/07/2016", "record_number": "SIM-MA10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Leo Ward is due his regular morning medicine. His mother Erin is present. Review the medicine record and available product, carry out the appropriate nursing care and complete the record. Casey can assist and the prescriber is reachable.", "order": "Signed order: levetiracetam 250 mg oral at 10:00 and 22:00; weight 30 kg.", "records": {"entry_1": "Signed order: levetiracetam 250 mg oral at 10:00 and 22:00; weight 30 kg."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "A scheduled medicine on the paediatric ward — original practice record", "prefill": {"calculation": {"inputs": {"dose_mg": 250, "strength_mg_per_mL": 100}, "result_unit": "mL"}, "context": "Leo Ward is due his regular morning medicine. His mother Erin is present. Review the medicine record and available product, carry out the appropriate nursing care and complete the record. Casey can assist and the prescriber is reachable."}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "a1", "label": "Review the medicine record"}, {"id": "a4", "label": "Offer the medicine"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a3", "label": "Measure the liquid"}, {"id": "a5", "label": "Enter administration details"}, {"id": "d2", "label": "Arrange the next appointment"}, {"id": "a2", "label": "Prepare oral equipment"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-11", "type": "medication-administration", "domain": "delivery", "title": "An oral medicine at the community clinic", "setting": "gp", "free": false, "difficulty": 2, "hands_on": true, "candidate_instructions": "Grace Okafor attends the clinic for her first prescribed oral dose. Review her record and the supplied medicine, explain the care and complete the administration record. Casey and the prescribing GP are available. Select actions in the order you perform them and say what you are doing.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Grace Okafor", "age": 46, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "An oral medicine at the community clinic — original practice record", "prefill": {"patient": {"full_name": "Grace Okafor", "date_of_birth": "06/03/1980", "record_number": "SIM-MA11-26"}, "scenario_time": "30/10/2026 10:00", "context": "Grace Okafor attends the clinic for her first prescribed oral dose. Review her record and the supplied medicine, explain the care and complete the administration record. Casey and the prescribing GP are available.", "order": "Signed order: flucloxacillin 500 mg orally at 10:00; stock 250 mg/5 mL, first dose, GP-authorised oral liquid.", "records": {"entry_1": "Flucloxacillin 500 mg oral four times daily for seven days for GP-assessed cellulitis; first dose 10:00; liquid authorised; renal function normal.", "entry_2": "Flucloxacillin 250 mg/5 mL, pharmacy-reconstituted 30/10. Refrigerate, shake well, discard after 14 days; 20 mL oral syringe graduated 0.5 mL."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}, {"id": "calculation", "kind": "calc", "title": "An oral medicine at the community clinic — original practice record", "prefill": {"calculation": {"inputs": {"dose_mg": 500, "stock_mg": 250, "stock_mL": 5}, "result_unit": "mL"}, "context": "Grace Okafor attends the clinic for her first prescribed oral dose. Review her record and the supplied medicine, explain the care and complete the administration record. Casey and the prescribing GP are available."}, "candidate_fills": ["working", "result", "unit"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "a4", "label": "Administer the liquid"}, {"id": "a5", "label": "Complete the medicine entry"}, {"id": "a1", "label": "Check the prescription"}, {"id": "a3", "label": "Measure the dose"}, {"id": "d1", "label": "Collect a routine specimen"}, {"id": "a2", "label": "Prepare the oral product"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up", "working": "Calculation working", "result": "Calculated result", "unit": "Unit of measurement"}}, {"id": "MA-12", "type": "medication-administration", "domain": "delivery", "title": "A medicine round in rehabilitation", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Peter Moss is due a prescribed medicine on the rehabilitation ward. Review his chart, discuss the dose with him and complete the appropriate nursing care and record. Casey can assist and Dr Lee is reachable. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Peter Moss", "age": 67, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "A medicine round in rehabilitation — original practice record", "prefill": {"patient": {"full_name": "Peter Moss", "date_of_birth": "13/08/1959", "record_number": "SIM-MA12-26"}, "scenario_time": "30/10/2026 10:00", "context": "Peter Moss is due a prescribed medicine on the rehabilitation ward. Review his chart, discuss the dose with him and complete the appropriate nursing care and record. Casey can assist and Dr Lee is reachable.", "records": {"entry_1": "Oxycodone immediate release 5 mg orally at 10:00, 14:00 and 18:00 for postoperative hip pain; signed regular order; no PRN opioid; none given today."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "MA-13", "type": "medication-administration", "domain": "delivery", "title": "A tablet request in aged care", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Alice Rahman asks for help taking her regular tablet. Review the medicine and care records, discuss her needs and organise the appropriate administration plan. Casey and the on-call prescriber can be contacted. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Alice Rahman", "age": 74, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "A tablet request in aged care — original practice record", "prefill": {"patient": {"full_name": "Alice Rahman", "date_of_birth": "20/04/1952", "record_number": "SIM-MA13-26"}, "scenario_time": "30/10/2026 10:00", "context": "Alice Rahman asks for help taking her regular tablet. Review the medicine and care records, discuss her needs and organise the appropriate administration plan. Casey and the on-call prescriber can be contacted.", "records": {"entry_1": "Metoprolol succinate 47.5 mg orally daily at 10:00; not yet given."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "MA-14", "type": "medication-administration", "domain": "delivery", "title": "A transdermal medicine review", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Colin Avery is due a prescribed patch change. Review his medicine and skin records, assess him and describe the appropriate care. Casey can help and the prescriber is reachable. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Colin Avery", "age": 79, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "A transdermal medicine review — original practice record", "prefill": {"patient": {"full_name": "Colin Avery", "date_of_birth": "02/09/1947", "record_number": "SIM-MA14-26"}, "scenario_time": "30/10/2026 10:00", "context": "Colin Avery is due a prescribed patch change. Review his medicine and skin records, assess him and describe the appropriate care. Casey can help and the prescriber is reachable.", "records": {"entry_1": "Buprenorphine 5 micrograms/hour transdermal, change every seven days; chart schedules change today at 10:00"}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PC-01", "type": "patient-communication", "domain": "evaluation", "title": "Interpreter-supported consent for wound care", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in a general practice clinic. Mai Pham, aged 57, has been offered a routine dressing assessment but cannot comfortably discuss medical details in English. Her adult daughter offers to translate. Establish communication support, explain the proposed care and check informed choice. Complete the supplied practice record. Daughter Lan is present; the examiner relays qualified telephone interpretation if arranged. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Mai Pham", "age": 57, "gender": "female", "accent": "vietnamese-australian", "speaks_when": "always"}, {"id": "caregiver", "kind": "caregiver", "name": "Daughter Lan", "age": 29, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Clinic lead clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Interpreter-supported consent for wound care — practice record", "prefill": {"patient": {"full_name": "Mai Pham", "date_of_birth": "14/06/1969", "record_number": "SIM-PC01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Mai Pham has been offered a routine dressing assessment but cannot comfortably discuss medical details in English. Her adult daughter offers to translate.", "available_support": "Qualified Vietnamese telephone interpretation is available on request; examiner relays this simulated service. Interpreter identifier SIM-VI-01."}, "candidate_fills": ["language_support", "explanation", "choice", "record"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"language_support": "Language support", "explanation": "Explanation", "choice": "Choice", "record": "Care record"}}, {"id": "PC-02", "type": "patient-communication", "domain": "evaluation", "title": "A home discharge plan with limited reading confidence", "setting": "community", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in a community nursing service. Jack Miller, aged 64, has returned home after treatment for a mild respiratory illness. A written plan asks him to contact his GP in two days and seek help if breathing worsens. Explain the home plan, check understanding and agree on accessible follow-up. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Jack Miller", "age": 64, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Hart, community GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A home discharge plan with limited reading confidence — practice record", "prefill": {"patient": {"full_name": "Jack Miller", "date_of_birth": "14/06/1962", "record_number": "SIM-PC02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Jack Miller has returned home after treatment for a mild respiratory illness. A written plan asks him to contact his GP in two days and seek help if breathing worsens."}, "candidate_fills": ["current", "plan", "urgent_help", "teach_back"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"current": "Current assessment", "plan": "Plan", "urgent_help": "Urgent assistance", "teach_back": "Teach back"}}, {"id": "PC-03", "type": "patient-communication", "domain": "evaluation", "title": "Family concern about a resident’s meal choice", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Dorothy Green, aged 85, has diabetes and decision-making capacity. Her daughter asks you to remove all preferred foods and not tell Dorothy why. Explore Dorothy’s goals, respond to her daughter’s concern and agree on a respectful care review. Complete the supplied practice record. Daughter Jane is present. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Dorothy Green", "age": 85, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "caregiver", "kind": "caregiver", "name": "Daughter Jane", "age": 58, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Shah, facility GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Family concern about a resident’s meal choice — practice record", "prefill": {"patient": {"full_name": "Dorothy Green", "date_of_birth": "14/06/1941", "record_number": "SIM-PC03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Dorothy Green has diabetes and decision-making capacity. Her daughter asks you to remove all preferred foods and not tell Dorothy why."}, "candidate_fills": ["resident_goal", "family_response", "plan", "record"]}], "actions": [{"id": "d1", "label": "Review the care plan"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"resident_goal": "Resident’s goals", "family_response": "Family response", "plan": "Plan", "record": "Care record"}}, {"id": "PC-04", "type": "patient-communication", "domain": "evaluation", "title": "Hearing-accessible discharge teaching", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Samuel Lee, aged 76, is preparing for discharge after an uncomplicated admission. His signed plan includes a GP appointment in three days and a reconciled unchanged medicine list. Make the discussion accessible, explain the discharge plan and check understanding. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Samuel Lee", "age": 76, "gender": "male", "accent": "korean-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Discharging clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Hearing-accessible discharge teaching — practice record", "prefill": {"patient": {"full_name": "Samuel Lee", "date_of_birth": "14/06/1950", "record_number": "SIM-PC04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Samuel Lee is preparing for discharge after an uncomplicated admission. His signed plan includes a GP appointment in three days and a reconciled unchanged medicine list."}, "candidate_fills": ["access", "plan", "understanding", "record"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"access": "IV access", "plan": "Plan", "understanding": "Understanding", "record": "Care record"}}, {"id": "PC-05", "type": "patient-communication", "domain": "evaluation", "title": "Planning a culturally safe discharge conversation", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "June Williams is preparing for discharge after an uncomplicated leg wound review. She has asked to discuss the plan before leaving. Explore her concerns, agree a practical culturally safe discharge plan and document follow-up. Do not assume preferences from background. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "June Williams", "age": 68, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Planning a culturally safe discharge conversation — original practice record", "prefill": {"patient": {"full_name": "June Williams", "date_of_birth": "12/03/1958", "record_number": "SIM-PC05-26"}, "scenario_time": "30/10/2026 10:00", "context": "June Williams is preparing for discharge after an uncomplicated leg wound review. She has asked to discuss the plan before leaving.", "baseline_observations": {"rr": "16 breaths/min", "spo2": "98 % on room air", "hr": "76 beats/min", "bp": "130/74 mmHg", "temp": "36.5 °C", "consciousness": "Alert"}}, "candidate_fills": ["choice", "plan", "follow_up", "teach_back"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"choice": "Choice", "plan": "Plan", "follow_up": "Follow up", "teach_back": "Teach back"}}, {"id": "PC-06", "type": "patient-communication", "domain": "evaluation", "title": "An anxious parent while a child awaits review", "setting": "ed", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Oliver Price is waiting in ED after a forearm injury. His father is upset about the wait and worries that the arm will be damaged. Assess immediate concerns, respond to the father without making promises and agree a review and communication plan. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. RN Alex Morgan is available. Mark Price is present. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Oliver Price", "age": 7, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Mark Price", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "An anxious parent while a child awaits review — original practice record", "prefill": {"patient": {"full_name": "Oliver Price", "date_of_birth": "12/03/2019", "record_number": "SIM-PC06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Oliver Price is waiting in ED after a forearm injury. His father is upset about the wait and worries that the arm will be damaged.", "baseline_observations": {"rr": "22 breaths/min", "spo2": "98 % on room air", "hr": "102 beats/min", "bp": "106/66 mmHg", "temp": "36.7 °C", "consciousness": "Alert"}}, "candidate_fills": ["assessment", "family_response", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"assessment": "Assessment", "family_response": "Family response", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PC-07", "type": "patient-communication", "domain": "evaluation", "title": "Interpreter-supported consent before a dressing", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Sita Gurung attends a GP clinic for a dressing change. She requests a Nepali interpreter; her adult son offers to translate. Arrange communication support, explore consent and document her decision. Do not perform the dressing in this conversation station. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Amir Gurung is present. Do not change the dressing during this encounter. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Sita Gurung", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Amir Gurung", "age": 22, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Interpreter-supported consent before a dressing — original practice record", "prefill": {"patient": {"full_name": "Sita Gurung", "date_of_birth": "12/03/1981", "record_number": "SIM-PC07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Sita Gurung attends a GP clinic for a dressing change. She requests a Nepali interpreter; her adult son offers to translate.", "baseline_observations": {"rr": "16 breaths/min", "spo2": "98 % on room air", "hr": "80 beats/min", "bp": "122/74 mmHg", "temp": "36.6 °C", "consciousness": "Alert"}}, "candidate_fills": ["language_support", "consent", "choice", "follow_up"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"language_support": "Language support", "consent": "Consent", "choice": "Choice", "follow_up": "Follow up"}}, {"id": "PC-08", "type": "patient-communication", "domain": "evaluation", "title": "A resident declines a recommended hospital assessment", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "George Bennett has a painful swollen leg. The GP has recommended hospital assessment, but he does not want to go. Explore his reasons and understanding, discuss the risks and obtain a clinician-supported plan. Do not coerce transfer. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone.  His daughter Helen can be phoned with his permission. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "George Bennett", "age": 80, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "caregiver", "kind": "caregiver", "name": "Helen Bennett", "age": 52, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A resident declines a recommended hospital assessment — original practice record", "prefill": {"patient": {"full_name": "George Bennett", "date_of_birth": "12/03/1946", "record_number": "SIM-PC08-26"}, "scenario_time": "30/10/2026 10:00", "context": "George Bennett has a painful swollen leg. The GP has recommended hospital assessment, but he does not want to go.", "baseline_observations": {"rr": "18 breaths/min", "spo2": "97 % on room air", "hr": "86 beats/min", "bp": "132/76 mmHg", "temp": "36.8 °C", "consciousness": "Alert"}}, "candidate_fills": ["discussion", "understanding", "choice", "safety_net"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"discussion": "Discussion", "understanding": "Understanding", "choice": "Choice", "safety_net": "Safety net"}}, {"id": "PC-09", "type": "patient-communication", "domain": "evaluation", "title": "A conversation during palliative care", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Helen Brooks is receiving palliative care and asks to talk with a nurse. Explore her concerns, explain the nursing support available and agree the next steps. Her daughter Nia is nearby and the palliative clinician can be contacted. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Helen Brooks", "age": 69, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Nia Brooks", "age": 41, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A conversation during palliative care — original practice record", "prefill": {"patient": {"full_name": "Helen Brooks", "date_of_birth": "09/05/1957", "record_number": "SIM-PC09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Helen Brooks is receiving palliative care and asks to talk with a nurse. Explore her concerns, explain the nursing support available and agree the next steps. Her daughter Nia is nearby and the palliative clinician can be contacted.", "records": {"entry_1": "Advanced metastatic disease; palliative treatment; symptom review due today; no documented discussion of an exact prognosis"}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PC-10", "type": "patient-communication", "domain": "evaluation", "title": "A conversation about this morning’s care", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Rosa Nguyen has had extra observations this morning and wants to speak with you. Review the clinical update, discuss what is known, listen to her concerns and agree follow-up. Casey and the treating doctor are available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Rosa Nguyen", "age": 63, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A conversation about this morning’s care — original practice record", "prefill": {"patient": {"full_name": "Rosa Nguyen", "date_of_birth": "16/01/1963", "record_number": "SIM-PC10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Rosa Nguyen has had extra observations this morning and wants to speak with you. Review the clinical update, discuss what is known, listen to her concerns and agree follow-up. Casey and the treating doctor are available.", "records": {"entry_1": "Amlodipine 5 mg prescribed once daily; 5 mg given at 08:00 and another 5 mg at 09:00 in error; duplicate verified by nurse in charge", "entry_2": "Doctor informed at 09:10, assessed Rosa; observations stable; signed plan: withhold further amlodipine today, repeat BP/HR every 30 minutes for two hours then clinician review", "entry_3": "Casey leads formal follow-up; incident report commenced; contributing causes not yet established"}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PC-11", "type": "patient-communication", "domain": "evaluation", "title": "Home care after a skin procedure", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Marisol Vega, 52, is at the practice after a small upper-arm skin lesion was removed. Her niece Ana is present. Explain the home care plan, check Marisol’s understanding and record what was agreed. The GP can be reached by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Marisol Vega", "age": 52, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Ana Vega", "age": 28, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Home care after a skin procedure — original practice record", "prefill": {"patient": {"full_name": "Marisol Vega", "date_of_birth": "23/06/1974", "record_number": "SIM-PC11-26"}, "scenario_time": "30/10/2026 10:00", "context": "Minor upper-arm skin excision, sutured today; nursing review before discharge.", "records": {"entry_1": "Small sutured upper-arm lesion excision; keep covered and dry 48 hours, then gentle shower and pat dry; suture review booked in seven days; contact clinic for persistent bleeding, increasing redness, swelling, discharge or fever", "entry_2": "Clinic 02 5550 0111 during opening hours; after-hours healthdirect 1800 022 222; 000 for major uncontrolled bleeding, collapse or severe breathing difficulty"}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PC-12", "type": "patient-communication", "domain": "evaluation", "title": "A conversation about a planned admission", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "June Williams, 57, is awaiting planned admission for leg-ulcer care. She has asked to talk to a nurse. Find out what she needs, agree the next steps and record the discussion. RN Casey Bell, the nurse in charge, is nearby. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "June Williams", "age": 57, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A conversation about a planned admission — original practice record", "prefill": {"patient": {"full_name": "June Williams", "date_of_birth": "05/02/1969", "record_number": "SIM-PC12-26"}, "scenario_time": "30/10/2026 10:00", "context": "Planned admission for leg-ulcer care; nursing assessment and medicine reconciliation pending.", "records": {"entry_1": "Planned admission for leg-ulcer care; nursing assessment and medicine reconciliation pending."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PM-01", "type": "pain-management", "domain": "delivery", "title": "Pain and sedation before PRN oxycodone", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Daniel Mason, aged 49, has a signed PRN order for oxycodone immediate-release 5 mg orally every six hours for severe pain, maximum 20 mg in 24 hours. He requests a dose after surgery. Assess pain and medicine safety, explain your decision and arrange review. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. Partner Jess is present. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Daniel Mason", "age": 49, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Partner Jess", "age": 47, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "MET team clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "med_chart", "title": "Pain and sedation before PRN oxycodone — practice record", "prefill": {"patient": {"full_name": "Daniel Mason", "date_of_birth": "14/06/1977", "record_number": "SIM-PM01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Daniel Mason has a signed PRN order for oxycodone immediate-release 5 mg orally every six hours for severe pain, maximum 20 mg in 24 hours. He requests a dose after surgery."}, "candidate_fills": ["pain_sedation", "decision", "action", "review"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"pain_sedation": "Pain and sedation", "decision": "Decision", "action": "Action", "review": "Plan / review"}}, {"id": "PM-02", "type": "pain-management", "domain": "delivery", "title": "Pain assessment while awaiting abdominal review", "setting": "ed", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in an emergency department. Aisha Rahman, aged 32, has undifferentiated abdominal pain and is awaiting medical assessment. A signed order permits paracetamol 1 g orally once if safe. Assess pain and safety, discuss the available care and document a reassessment plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Aisha Rahman", "age": 32, "gender": "female", "accent": "bangladeshi-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "ED treating clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Pain assessment while awaiting abdominal review — practice record", "prefill": {"patient": {"full_name": "Aisha Rahman", "date_of_birth": "14/06/1994", "record_number": "SIM-PM02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Aisha Rahman has undifferentiated abdominal pain and is awaiting medical assessment. A signed order permits paracetamol 1 g orally once if safe."}, "candidate_fills": ["assessment", "care", "reassessment", "documentation"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"assessment": "Assessment", "care": "Care provided", "reassessment": "Reassessment", "documentation": "Documentation"}}, {"id": "PM-03", "type": "pain-management", "domain": "delivery", "title": "Recognising pain in a resident with limited speech", "setting": "aged-care", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Martha Wilson, aged 84, has advanced dementia and grimaces during transfer. The care record describes knee osteoarthritis. Assess possible pain, explain supportive care and agree on a review plan with the care RN. Complete the supplied practice record. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Martha Wilson", "age": 84, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Facility GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Recognising pain in a resident with limited speech — practice record", "prefill": {"patient": {"full_name": "Martha Wilson", "date_of_birth": "14/06/1942", "record_number": "SIM-PM03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Martha Wilson has advanced dementia and grimaces during transfer. The care record describes knee osteoarthritis."}, "candidate_fills": ["assessment", "care", "review"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"assessment": "Assessment", "care": "Care provided", "review": "Plan / review"}}, {"id": "PM-04", "type": "pain-management", "domain": "delivery", "title": "Persistent pain after amputation at home", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in a community nursing service. Michael Dlamini, aged 60, has a healed below-knee amputation and reports distressing pain that feels as though it is in the absent foot. Assess pain and its impact, explain supportive options and arrange a review plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Michael Dlamini", "age": 60, "gender": "male", "accent": "south-african-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Hart, community GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Persistent pain after amputation at home — practice record", "prefill": {"patient": {"full_name": "Michael Dlamini", "date_of_birth": "14/06/1966", "record_number": "SIM-PM04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Michael Dlamini has a healed below-knee amputation and reports distressing pain that feels as though it is in the absent foot."}, "candidate_fills": ["pain", "impact", "goal_plan", "safety_net"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d3", "label": "Discuss comfort needs"}], "field_labels": {"pain": "Pain", "impact": "Impact", "goal_plan": "Goals and care plan", "safety_net": "Safety net"}}, {"id": "PM-05", "type": "pain-management", "domain": "delivery", "title": "New chest discomfort during a GP visit", "setting": "gp", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Joseph Dlamini develops central chest discomfort in the GP waiting area. You bring him to the treatment room. Assess the pain and immediate safety, arrange urgent help and record the response. No medicine order is supplied. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Joseph Dlamini", "age": 56, "gender": "male", "accent": "south-african-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "New chest discomfort during a GP visit — original practice record", "prefill": {"patient": {"full_name": "Joseph Dlamini", "date_of_birth": "12/03/1970", "record_number": "SIM-PM05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Joseph Dlamini develops central chest discomfort in the GP waiting area. You bring him to the treatment room."}, "candidate_fills": ["pain", "urgent_help", "care", "reassessment"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"pain": "Pain", "urgent_help": "Urgent assistance", "care": "Care provided", "reassessment": "Reassessment"}}, {"id": "PM-06", "type": "pain-management", "domain": "delivery", "title": "Pain assessment with a child after a burn dressing", "setting": "ed", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Isla Clarke has a small dressed forearm burn and reports pain after treatment in ED. Her father is present. Use an age-appropriate pain assessment, provide comfort and arrange an authorised analgesia review. Record the plan; do not administer medicine. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. Adam Clarke is present. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Isla Clarke", "age": 8, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "caregiver", "kind": "caregiver", "name": "Adam Clarke", "age": 36, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Pain assessment with a child after a burn dressing — original practice record", "prefill": {"patient": {"full_name": "Isla Clarke", "date_of_birth": "12/03/2018", "record_number": "SIM-PM06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Isla Clarke has a small dressed forearm burn and reports pain after treatment in ED. Her father is present."}, "candidate_fills": ["pain", "assessment", "care", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"pain": "Pain", "assessment": "Assessment", "care": "Care provided", "review": "Plan / review"}}, {"id": "PM-07", "type": "pain-management", "domain": "delivery", "title": "Pain that prevents coughing after surgery", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Nirmala Rao is recovering from abdominal surgery and avoids coughing because it hurts. The examiner can provide her analgesia and observation records on request. Assess pain and opioid safety, agree an activity goal and request a reviewed pain plan. Complete the care record without administering medicine. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Nirmala Rao", "age": 65, "gender": "female", "accent": "indian-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Pain that prevents coughing after surgery — original practice record", "prefill": {"patient": {"full_name": "Nirmala Rao", "date_of_birth": "12/03/1961", "record_number": "SIM-PM07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Nirmala Rao is recovering from abdominal surgery and avoids coughing because it hurts. The examiner can provide her analgesia and observation records on request."}, "candidate_fills": ["pain", "checks", "goal_plan", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"pain": "Pain", "checks": "Safety checks", "goal_plan": "Goals and care plan", "review": "Plan / review"}}, {"id": "PM-08", "type": "pain-management", "domain": "delivery", "title": "Discomfort after birth", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Beth Collins is on the postnatal ward one day after vaginal birth and requests help with pain. Assess her pain and function, discuss suitable nursing care and arrange review. The midwifery team and Dr Lee are available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Beth Collins", "age": 31, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Midwife Jo Park", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Discomfort after birth — original practice record", "prefill": {"patient": {"full_name": "Beth Collins", "date_of_birth": "12/07/1995", "record_number": "SIM-PM08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Day one after vaginal birth with perineal repair.", "records": {"entry_1": "Pain 3/10 at 08:00, now 8/10; paracetamol 1 g oral at 08:00; no further analgesia order"}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PM-09", "type": "pain-management", "domain": "delivery", "title": "Headache in an adolescent", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Sophie Lane attends with her mother Paula for a headache that began at school. Assess her pain and associated symptoms, discuss nursing care and organise further review. The GP in the clinic can be reached by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Sophie Lane", "age": 15, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Paula Lane", "age": 42, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Headache in an adolescent — original practice record", "prefill": {"patient": {"full_name": "Sophie Lane", "date_of_birth": "19/03/2011", "record_number": "SIM-PM09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Sophie Lane attends with her mother Paula for a headache that began at school. Assess her pain and associated symptoms, discuss nursing care and organise further review. The GP in the clinic can be reached by phone."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "PM-10", "type": "pain-management", "domain": "delivery", "title": "Pain during a home palliative visit", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Elliot Grant, 73, has advanced cancer and receives community palliative care at home. His pain is worse today. Assess him, provide comfort and contact the palliative clinician as appropriate. His partner Ren is present. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Elliot Grant", "age": 73, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Ren Grant", "age": 60, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Pain during a home palliative visit — original practice record", "prefill": {"patient": {"full_name": "Elliot Grant", "date_of_birth": "26/08/1953", "record_number": "SIM-PM10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Home palliative nursing visit; current medicine chart in folder.", "records": {"entry_1": "Morphine modified-release 30 mg oral every 12 hours, last 06:00, next 18:00; immediate-release 10 mg oral every four hours PRN, last 06:00. No non-oral order."}}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "RA-01", "type": "risk-assessment", "domain": "assessment", "title": "Falls prevention after a near miss", "setting": "aged-care", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Arthur Wong, aged 83, nearly fell while reaching the bathroom overnight. He has not fallen or sustained injury. Assess modifiable falls risks and agree on a practical prevention plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Arthur Wong", "age": 83, "gender": "male", "accent": "cantonese-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Shah, facility GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "falls_risk", "title": "Falls prevention after a near miss — practice record", "prefill": {"patient": {"full_name": "Arthur Wong", "date_of_birth": "14/06/1943", "record_number": "SIM-RA01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Arthur Wong nearly fell while reaching the bathroom overnight. He has not fallen or sustained injury."}, "candidate_fills": ["risks", "plan", "review"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"risks": "Risks", "plan": "Plan", "review": "Plan / review"}}, {"id": "RA-02", "type": "risk-assessment", "domain": "assessment", "title": "Pressure prevention with reduced sensation", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Jamal Brooks, aged 41, has chronic paraplegia and is admitted for a respiratory illness. He asks for help checking his skin. Assess pressure injury risks and agree on an individual prevention plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Jamal Brooks", "age": 41, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Treating ward clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "pressure_risk", "title": "Pressure prevention with reduced sensation — practice record", "prefill": {"patient": {"full_name": "Jamal Brooks", "date_of_birth": "14/06/1985", "record_number": "SIM-RA02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Jamal Brooks has chronic paraplegia and is admitted for a respiratory illness. He asks for help checking his skin."}, "candidate_fills": ["skin", "risks", "plan", "review"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"skin": "Skin", "risks": "Risks", "plan": "Plan", "review": "Plan / review"}}, {"id": "RA-03", "type": "risk-assessment", "domain": "assessment", "title": "Responding to disclosed suicidal intent", "setting": "gp", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in a general practice clinic. Alex Rivera, aged 29, has asked to speak privately after a recent relationship breakdown. Assess immediate safety and arrange a supported clinical response. Complete the supplied practice record. You and the patient are in the room; the GP and a colleague can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Alex Rivera", "age": 29, "gender": "non-binary", "accent": "australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Amelia Hart, GP", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "mh_risk", "title": "Responding to disclosed suicidal intent — practice record", "prefill": {"patient": {"full_name": "Alex Rivera", "date_of_birth": "14/06/1997", "record_number": "SIM-RA03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Alex Rivera has asked to speak privately after a recent relationship breakdown."}, "candidate_fills": ["disclosure", "immediate_plan", "support", "handover"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"disclosure": "Disclosure", "immediate_plan": "Immediate plan", "support": "Support", "handover": "Handover"}}, {"id": "RA-04", "type": "risk-assessment", "domain": "assessment", "title": "Acute confusion after arrival in emergency", "setting": "ed", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in an emergency department. Nora Williams, aged 79, has become disoriented in a noisy emergency bay after admission for dehydration. Her niece is with her. Assess cognitive and safety risks and start a person-centred plan. Complete the supplied practice record. Niece Leanne is present. You have eight minutes. Assistance can be called. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Nora Williams", "age": 79, "gender": "female", "accent": "aboriginal-australian", "speaks_when": "always"}, {"id": "caregiver", "kind": "caregiver", "name": "Niece Leanne", "age": 43, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Hart, emergency clinician", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Acute confusion after arrival in emergency — practice record", "prefill": {"patient": {"full_name": "Nora Williams", "date_of_birth": "14/06/1947", "record_number": "SIM-RA04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Nora Williams has become disoriented in a noisy emergency bay after admission for dehydration. Her niece is with her."}, "candidate_fills": ["baseline", "assessment", "plan", "review"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"baseline": "Baseline", "assessment": "Assessment", "plan": "Plan", "review": "Plan / review"}}, {"id": "RA-05", "type": "risk-assessment", "domain": "assessment", "title": "Mental health safety assessment after a crisis", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Amara Okafor is in a quiet ED assessment area after a relationship crisis. She has agreed to speak with you. Assess immediate mental health safety, arrange appropriate support and document an individual safety and review plan. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Amara Okafor", "age": 29, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "mh_risk", "title": "Mental health safety assessment after a crisis — original practice record", "prefill": {"patient": {"full_name": "Amara Okafor", "date_of_birth": "12/03/1997", "record_number": "SIM-RA05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Amara Okafor is in a quiet ED assessment area after a relationship crisis. She has agreed to speak with you."}, "candidate_fills": ["assessment", "safety", "support", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"assessment": "Assessment", "safety": "Safety", "support": "Support", "review": "Plan / review"}}, {"id": "RA-06", "type": "risk-assessment", "domain": "assessment", "title": "Falls assessment during a home medication review", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Hari Thapa reports two recent near falls when rising from bed. He is at home for a community nursing assessment. Identify modifiable fall risks, agree an individual plan and complete the falls record without inventing a numeric score. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Hari Thapa", "age": 73, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "falls_risk", "title": "Falls assessment during a home medication review — original practice record", "prefill": {"patient": {"full_name": "Hari Thapa", "date_of_birth": "12/03/1953", "record_number": "SIM-RA06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Hari Thapa reports two recent near falls when rising from bed. He is at home for a community nursing assessment."}, "candidate_fills": ["risks", "assessment", "plan", "goal_plan"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"risks": "Risks", "assessment": "Assessment", "plan": "Plan", "goal_plan": "Goals and care plan"}}, {"id": "RA-07", "type": "risk-assessment", "domain": "assessment", "title": "Pressure damage assessment in darker skin", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Esther Mensah needs assistance to reposition after a recent illness. A carer has noticed a change over her sacrum. Assess pressure injury risks and the skin change, agree prevention and review, and complete the pressure-risk record. The patient answers personal questions; the examiner supplies requested examination findings. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Esther Mensah", "age": 81, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "pressure_risk", "title": "Pressure damage assessment in darker skin — original practice record", "prefill": {"patient": {"full_name": "Esther Mensah", "date_of_birth": "12/03/1945", "record_number": "SIM-RA07-26"}, "scenario_time": "30/10/2026 10:00", "context": "Esther Mensah needs assistance to reposition after a recent illness. A carer has noticed a change over her sacrum."}, "candidate_fills": ["skin", "risks", "plan", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"skin": "Skin", "risks": "Risks", "plan": "Plan", "review": "Plan / review"}}, {"id": "RA-08", "type": "risk-assessment", "domain": "assessment", "title": "A patient pacing in the emergency department", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Daniel Fox, 32, is pacing in the ED treatment area and says he wants to leave. Assess him, keep everyone safe and agree next steps with him. RN Casey Bell is nearby; the ED doctor can be phoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Daniel Fox", "age": 32, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A patient pacing in the emergency department — original practice record", "prefill": {"patient": {"full_name": "Daniel Fox", "date_of_birth": "08/04/1994", "record_number": "SIM-RA08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Daniel Fox, 32, is pacing in the ED treatment area and says he wants to leave. Assess him, keep everyone safe and agree next steps with him. RN Casey Bell is nearby; the ED doctor can be phoned."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "RA-09", "type": "risk-assessment", "domain": "assessment", "title": "A resident found on the floor", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Olive Turner, 86, a resident of Banksia Lodge, has been found on the floor beside her chair. RN Casey Bell is with her. Assess her, identify ongoing risks and arrange the next steps. The on-call doctor can be phoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Olive Turner", "age": 86, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A resident found on the floor — original practice record", "prefill": {"patient": {"full_name": "Olive Turner", "date_of_birth": "15/09/1940", "record_number": "SIM-RA09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Olive Turner, 86, a resident of Banksia Lodge, has been found on the floor beside her chair. RN Casey Bell is with her. Assess her, identify ongoing risks and arrange the next steps. The on-call doctor can be phoned."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "RA-10", "type": "risk-assessment", "domain": "assessment", "title": "A morning review on the surgical ward", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Arthur Lin, 80, is on day two after surgery. Staff say he is not himself this morning. His daughter May is visiting. Assess his needs and risks, discuss a nursing plan and arrange review. Casey and the surgical doctor can be phoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Arthur Lin", "age": 80, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "May Lin", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Hannah Cole", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "A morning review on the surgical ward — original practice record", "prefill": {"patient": {"full_name": "Arthur Lin", "date_of_birth": "22/05/1946", "record_number": "SIM-RA10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Arthur Lin, 80, is on day two after surgery. Staff say he is not himself this morning. His daughter May is visiting. Assess his needs and risks, discuss a nursing plan and arrange review. Casey and the surgical doctor can be phoned."}, "candidate_fills": ["assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "VS-01", "type": "vital-signs", "domain": "assessment", "title": "Postoperative observations and urgent escalation", "setting": "ward", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN on a hospital ward. Linh Tran, aged 68, is two hours after abdominal surgery and feels dizzy. Earlier observations at 09:30 were RR 18, SpO2 97% on room air, HR 88, BP 122/76, temperature 36.8°C and alert. Assess and record observations, respond to any change, and telephone the doctor using ISBAR. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN (Alex Morgan) is available. The doctor can be telephoned. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Linh Tran", "age": 68, "gender": "female", "accent": "vietnamese-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Sam Patel", "age": 42, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "Postoperative observations and urgent escalation — practice record", "prefill": {"patient": {"full_name": "Linh Tran", "date_of_birth": "14/06/1958", "record_number": "SIM-VS01-26"}, "scenario_time": "30/10/2026 10:00", "context": "Linh Tran, 68, is two hours after abdominal surgery and feels dizzy. At 09:30: RR 18, SpO2 97% on room air, HR 88, BP 122/76, temperature 36.8°C, alert."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "rr_later", "spo2_later", "hr_later", "bp_later", "temp_later", "consciousness_later", "interpretation", "escalation", "review"]}], "actions": [{"id": "a3", "label": "Call for help"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "a1", "label": "Assess the patient"}, {"id": "d1", "label": "Review the care plan"}, {"id": "a2", "label": "Measure observations"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "a5", "label": "Repeat observations"}, {"id": "a4", "label": "Phone the doctor"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "rr_later": "Repeat set — Respiratory rate (/min)", "spo2_later": "Repeat set — SpO₂ (%)", "hr_later": "Repeat set — Heart rate (/min)", "bp_later": "Repeat set — Blood pressure (mmHg)", "temp_later": "Repeat set — Temperature (°C)", "consciousness_later": "Repeat set — Level of consciousness", "interpretation": "Interpretation", "escalation": "Escalation", "review": "Plan / review"}}, {"id": "VS-02", "type": "vital-signs", "domain": "assessment", "title": "Fever and rapid breathing in general practice", "setting": "gp", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "You are the RN in a general practice clinic. Amina Hassan, aged 34, has fever and urinary burning while awaiting the GP. Her sister Maryam is with her. Measure and record observations, explain the concern and arrange urgent medical help. The GP is in a nearby room and can be called. Complete the supplied practice record. You have eight minutes; describe physical actions in this online exercise. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Amina Hassan", "age": 34, "gender": "female", "accent": "somali-australian", "speaks_when": "always"}, {"id": "caregiver", "kind": "caregiver", "name": "Sister Maryam", "age": 32, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Kim Nguyen, GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "Fever and rapid breathing in general practice — practice record", "prefill": {"patient": {"full_name": "Amina Hassan", "date_of_birth": "14/06/1992", "record_number": "SIM-VS02-26"}, "scenario_time": "30/10/2026 10:00", "context": "Amina Hassan has fever and dysuria and is waiting for the GP. Her sister is present."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "concern", "action", "review"]}], "actions": [{"id": "d2", "label": "Check equipment availability"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "concern": "Concern", "action": "Action", "review": "Plan / review"}}, {"id": "VS-03", "type": "vital-signs", "domain": "assessment", "title": "New confusion during residential care observations", "setting": "aged-care", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "You are the RN in an aged care facility. Gordon McLeod, aged 86, has been unusually sleepy since breakfast. His usual cognition is clear, according to the care record. Assess observations and acute change, then explain and arrange the next care step. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Gordon McLeod", "age": 86, "gender": "male", "accent": "scottish-australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Examiner", "age": 40, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 35, "gender": "unspecified", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Priya Shah, on-call GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "New confusion during residential care observations — practice record", "prefill": {"patient": {"full_name": "Gordon McLeod", "date_of_birth": "14/06/1940", "record_number": "SIM-VS03-26"}, "scenario_time": "30/10/2026 10:00", "context": "Gordon McLeod has been unusually sleepy since breakfast. His usual cognition is clear, according to the care record."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "bgl", "baseline", "action", "review"]}], "actions": [{"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}, {"id": "d1", "label": "Review the care plan"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "bgl": "Blood glucose (mmol/L)", "baseline": "Baseline", "action": "Action", "review": "Plan / review"}}, {"id": "VS-04", "type": "vital-signs", "domain": "assessment", "title": "Dizziness during a home nursing visit", "setting": "community", "free": false, "difficulty": 1, "hands_on": false, "candidate_instructions": "You are the RN in a community nursing service. Elena Rossi, aged 72, reports brief dizziness when she stood up from breakfast. She is now seated and comfortable. Obtain observations and a focused history, and agree on a safe follow-up plan. Complete the supplied practice record. You and the patient are in the room; assistance can be called. You have eight minutes. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Elena Rossi", "age": 72, "gender": "female", "accent": "italian-australian", "speaks_when": "always"}, {"id": "doctor", "kind": "doctor", "name": "Dr Hart, community GP", "age": 45, "gender": "unspecified", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "Dizziness during a home nursing visit — practice record", "prefill": {"patient": {"full_name": "Elena Rossi", "date_of_birth": "14/06/1954", "record_number": "SIM-VS04-26"}, "scenario_time": "30/10/2026 10:00", "context": "Elena Rossi reports brief dizziness when she stood up from breakfast. She is now seated and comfortable."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "assessment", "plan", "safety_net"]}], "actions": [{"id": "d1", "label": "Review the care plan"}, {"id": "d3", "label": "Discuss comfort needs"}, {"id": "d2", "label": "Check equipment availability"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "assessment": "Assessment", "plan": "Plan", "safety_net": "Safety net"}}, {"id": "VS-05", "type": "vital-signs", "domain": "assessment", "title": "A child working harder to breathe", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Maya Thomas, aged eight, is waiting in an ED assessment bay with her father after a cough worsened this morning. Assess her observations and respiratory effort, record them in the child observation record and arrange appropriate review. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Noah Thomas is present. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Maya Thomas", "age": 8, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Noah Thomas", "age": 37, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "paed_obs_chart", "title": "A child working harder to breathe — original practice record", "prefill": {"patient": {"full_name": "Maya Thomas", "date_of_birth": "12/03/2018", "record_number": "SIM-VS05-26"}, "scenario_time": "30/10/2026 10:00", "context": "Maya Thomas, aged eight, is waiting in an ED assessment bay with her father after a cough worsened this morning."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "escalation", "examination", "concern"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "escalation": "Escalation", "examination": "Examination", "concern": "Concern"}}, {"id": "VS-06", "type": "vital-signs", "domain": "assessment", "title": "Reduced intake and observations in a child", "setting": "gp", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Arun Shah, aged five, is at a GP clinic after vomiting and diarrhoea. His mother is present. Take a focused observation set, assess hydration and record an escalation plan. Do not prescribe fluids or medicines. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. Priya Shah is present. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Arun Shah", "age": 5, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "caregiver", "kind": "caregiver", "name": "Priya Shah", "age": 34, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "paed_obs_chart", "title": "Reduced intake and observations in a child — original practice record", "prefill": {"patient": {"full_name": "Arun Shah", "date_of_birth": "12/03/2021", "record_number": "SIM-VS06-26"}, "scenario_time": "30/10/2026 10:00", "context": "Arun Shah, aged five, is at a GP clinic after vomiting and diarrhoea. His mother is present."}, "candidate_fills": ["assessment", "plan", "review", "rr", "spo2", "hr", "bp", "temp", "consciousness"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"assessment": "Assessment", "plan": "Plan", "review": "Plan / review", "rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness"}}, {"id": "VS-07", "type": "vital-signs", "domain": "assessment", "title": "Sweating before breakfast in residential care", "setting": "aged-care", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Ernesto Cruz is sweating and shaky before breakfast in residential care. His glucose rescue plan is available. Assess his observations and glucose, provide care under the supplied plan and complete the glucose record. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Ernesto Cruz", "age": 79, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "bgl_chart", "title": "Sweating before breakfast in residential care — original practice record", "prefill": {"patient": {"full_name": "Ernesto Cruz", "date_of_birth": "12/03/1947", "record_number": "SIM-VS07-26"}, "scenario_time": "30/10/2026 08:30", "context": "Ernesto Cruz is sweating and shaky before breakfast in residential care. His glucose rescue plan is available."}, "candidate_fills": ["bgl", "treatment", "recheck_plan", "escalation"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"bgl": "Blood glucose (mmol/L)", "treatment": "Treatment", "recheck_plan": "Recheck plan", "escalation": "Escalation"}}, {"id": "VS-08", "type": "vital-signs", "domain": "assessment", "title": "Drowsiness after procedural analgesia", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Leah Brooks has returned from a painful bedside procedure and is unusually sleepy. Assess respiratory observations, act on your findings and record an immediate escalation plan. The patient is a manikin; address the patient and the examiner voices their answers and supplies findings. Dr Taylor Singh is reachable by phone. RN Alex Morgan is available. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "manikin", "name": "Leah Brooks", "age": 54, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "Alex Morgan", "age": 39, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "Drowsiness after procedural analgesia — original practice record", "prefill": {"patient": {"full_name": "Leah Brooks", "date_of_birth": "12/03/1972", "record_number": "SIM-VS08-26"}, "scenario_time": "30/10/2026 10:00", "context": "Leah Brooks has returned from a painful bedside procedure and is unusually sleepy. A second RN is nearby."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "escalation", "pain_sedation"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "escalation": "Escalation", "pain_sedation": "Pain and sedation"}}, {"id": "VS-09", "type": "vital-signs", "domain": "assessment", "title": "Rigors during a community oncology visit", "setting": "community", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Daniel Mensah develops rigors during a community nursing visit six days after chemotherapy. Assess observations, arrange urgent help and record a concise transfer plan. The patient answers personal questions; the examiner supplies requested examination findings. Dr Taylor Singh is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Daniel Mensah", "age": 48, "gender": "male", "accent": "south-african-australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical findings examiner", "age": 42, "gender": "male", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Taylor Singh", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "progress_note", "title": "Rigors during a community oncology visit — original practice record", "prefill": {"patient": {"full_name": "Daniel Mensah", "date_of_birth": "12/03/1978", "record_number": "SIM-VS09-26"}, "scenario_time": "30/10/2026 10:00", "context": "Daniel Mensah develops rigors during a community nursing visit six days after chemotherapy."}, "candidate_fills": ["assessment", "escalation", "handover", "review"]}], "actions": [{"id": "d2", "label": "Discuss routine activity"}, {"id": "d1", "label": "Review nutrition"}], "field_labels": {"assessment": "Assessment", "escalation": "Escalation", "handover": "Handover", "review": "Plan / review"}}, {"id": "VS-10", "type": "vital-signs", "domain": "assessment", "title": "Observations after a classroom episode", "setting": "ed", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Noah Reed, eight, has arrived after an episode at school. His mother Jo arrived at 09:30 as he recovered and is beside him. The teacher’s note is in the folder. Take and record observations, establish the history and arrange care. The ED doctor can be phoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Noah Reed", "age": 8, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "caregiver", "kind": "caregiver", "name": "Jo Reed", "age": 42, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "paed_obs_chart", "title": "Observations after a classroom episode — original practice record", "prefill": {"patient": {"full_name": "Noah Reed", "date_of_birth": "04/01/2018", "record_number": "SIM-VS10-26"}, "scenario_time": "30/10/2026 10:00", "context": "Noah Reed, eight, has arrived after an episode at school. His mother Jo arrived at 09:30 as he recovered and is beside him. The teacher’s note is in the folder. Take and record observations, establish the history and arrange care. The ED doctor can be phoned.", "records": {"entry_1": "Teacher report: 09:15 bilateral arm/leg jerking, eyes open, wet clothing and bitten tongue. Lasted about two minutes, then sleepy for about fifteen minutes; no medicine administered."}}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "VS-11", "type": "vital-signs", "domain": "assessment", "title": "A postnatal review on the ward", "setting": "ward", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Asha Nair is on the postnatal ward, three days after birth. She says she feels unwell. Assess and record her current observations and organise further care. RN Casey and the ward clinician can be contacted. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Asha Nair", "age": 29, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "A postnatal review on the ward — original practice record", "prefill": {"patient": {"full_name": "Asha Nair", "date_of_birth": "11/06/1997", "record_number": "SIM-VS11-26"}, "scenario_time": "30/10/2026 10:00", "context": "Asha Nair is on the postnatal ward, three days after birth. She says she feels unwell. Assess and record her current observations and organise further care. RN Casey and the ward clinician can be contacted."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "VS-12", "type": "vital-signs", "domain": "assessment", "title": "Observations during a home respiratory visit", "setting": "community", "free": false, "difficulty": 2, "hands_on": false, "candidate_instructions": "Walter Chen has COPD and is being seen at home for a scheduled nursing visit. His breathing has changed since yesterday. Take and record observations and arrange appropriate follow-up. His GP is reachable by phone. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Walter Chen", "age": 72, "gender": "male", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "Observations during a home respiratory visit — original practice record", "prefill": {"patient": {"full_name": "Walter Chen", "date_of_birth": "18/02/1954", "record_number": "SIM-VS12-26"}, "scenario_time": "30/10/2026 10:00", "context": "Walter Chen has COPD and is being seen at home for a scheduled nursing visit. His breathing has changed since yesterday. Take and record observations and arrange appropriate follow-up. His GP is reachable by phone.", "records": {"entry_1": "Yesterday 10:00: RR 18, SpO2 94% room air, HR 80, BP 128/74. Recorded oxygen target 88–92% if oxygen required."}}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}, {"id": "VS-13", "type": "vital-signs", "domain": "assessment", "title": "A review in the ED waiting area", "setting": "ed", "free": false, "difficulty": 3, "hands_on": false, "candidate_instructions": "Elena Cruz, 35, is sitting in the ED waiting area awaiting assessment for vaginal bleeding. She now asks for a nurse. Assess her observations and immediate needs, document findings and arrange care. Casey is nearby; the ED clinician can be phoned. Say each action as you perform it.", "roles": [{"id": "patient", "kind": "simulated_patient", "name": "Elena Cruz", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "always"}, {"id": "examiner", "kind": "examiner", "name": "Clinical examiner", "age": 44, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}, {"id": "doctor", "kind": "doctor", "name": "Dr Mira Lee", "age": 45, "gender": "female", "accent": "australian", "speaks_when": "on_call"}, {"id": "second_rn", "kind": "second_rn", "name": "RN Casey Bell", "age": 35, "gender": "female", "accent": "australian", "speaks_when": "when_addressed"}], "artifacts": [{"id": "record", "kind": "obs_chart", "title": "A review in the ED waiting area — original practice record", "prefill": {"patient": {"full_name": "Elena Cruz", "date_of_birth": "25/07/1991", "record_number": "SIM-VS13-26"}, "scenario_time": "30/10/2026 10:00", "context": "Elena Cruz, 35, is sitting in the ED waiting area awaiting assessment for vaginal bleeding. She now asks for a nurse. Assess her observations and immediate needs, document findings and arrange care. Casey is nearby; the ED clinician can be phoned."}, "candidate_fills": ["rr", "spo2", "hr", "bp", "temp", "consciousness", "assessment", "plan", "follow_up"]}], "actions": [{"id": "d2", "label": "Arrange the next appointment"}, {"id": "d1", "label": "Collect a routine specimen"}], "field_labels": {"rr": "Respiratory rate (/min)", "spo2": "SpO₂ (%)", "hr": "Heart rate (/min)", "bp": "Blood pressure (mmHg)", "temp": "Temperature (°C)", "consciousness": "Level of consciousness", "assessment": "Assessment", "plan": "Plan", "follow_up": "Follow up"}}]