Heart Failure - Level 4B

Hector Fernandez is a 62-year-old male patient with a history of heart failure, brought into the Emergency Department via EMS. Students receive a handoff report from paramedics, and begin their focused assessments. The scenario progresses to State 2 when the QR Code: Facilitator code is scanned. (Note: The facilitator may also choose to go directly to State 2 and skip the initial assessments.) In State 2, the students receive report that the patient “coded,” and was intubated and placed on mechanical ventilation and the wife is “on her way.” When they enter the room, the wife has Hector’s advanced directives and states, “he wouldn’t want this,” and asks that he is removed from the ventilator. State 3 begins with a video of the respiratory therapist removing the patient from the ventilator. This scenario focuses on advanced directives and therapeutic communication with family members during a crisis and end of life care.