Dyspnea in a Hospitalized Patient: Using Simulation to Introduce Interprofessional Collaborative Practice Concepts

This simulation-based learning activity is designed to introduce interprofessional collaborative practice concepts through the clinical management of a hospitalized patient experiencing dyspnea. Grounded in TeamSTEPPS principles, the activity places learners from multiple health professions into mixed teams where they must assess, communicate, and intervene in a rapidly evolving patient-care scenario. Participants apply discipline-specific clinical knowledge while practicing structured communication strategies, role clarity, leadership, and shared decision-making. The simulation emphasizes teamwork as a core patient-safety competency and aims to improve learner self-efficacy in interprofessional communication and coordinated clinical response within an acute care setting.

Target Learners 

This activity is intended for: 

  • Senior or graduating medical students 
  • Nursing students with clinical experience 
  • Physician assistant students 
  • Pharmacy students beginning clinical rotations 
  • Other health professions learners preparing for team-based clinical environments 

Learners should have foundational knowledge in patient assessment and basic management of dyspnea but do not require advanced clinical specialization. 

Equipment Needed 

Simulation Modality 

  • Standardized patient with Ventriloscope or 
  • High-fidelity manikin with cardiac and pulmonary sound capability 

Hospital Room Setup 

  • Hospital bed with linens 
  • Bedside table 
  • Telemetry monitor 
  • Blood pressure cuff 
  • Pulse oximeter 
  • ECG electrodes (optional) 
  • Patient ID band 
  • Examination gloves 
  • Hand hygiene supplies 
  • Stethoscope 

Respiratory Equipment 

  • Nasal cannula 
  • Nonrebreather mask 
  • Oxygen flow meter 
  • Pulse oximeter probe 

IV / Medication Equipment 

  • IV pole and tubing 
  • Lactated Ringer’s solution bags 
  • Simulated blood product 
  • Syringes (3 mL and 5 mL) 
  • Simulated medications: 
    • Furosemide 
    • Morphine 
    • Nitroglycerin 
    • Aspirin 
  • Alcohol wipes 
  • Oral medication cups 

Diagnostic / Monitoring Resources 

  • Desktop computer or printed diagnostics 
  • Emergency department history and physical 
  • Laboratory results 
  • Chest X-ray image/report 

Additional Supplies 

  • Foley catheter with tubing and collection bag 
  • Simulated urine output system 
  • Lab draw tubes (no needles) 

Personnel 

  • Interprofessional faculty facilitators 
  • Simulation lab technician 
  • Standardized patient (if used) 

Estimated Time to Complete Activity 

Component  Approximate Time 
TeamSTEPPS teamwork introduction activity  ~50 minutes 
Simulation scenario  15 minutes 
Clinical management focus during scenario  ≤5 minutes 
Small-group and large-group debriefing  30–45 minutes 

Total Estimated Time:
~90–120 minutes per learner group 

Categories: MedEdPortal, Open Access, Peer Review
Tags: Clinicians, Interprofessional
Author: Linda Vorvick, Sharon Wilson