Shadow Health: Prioritization and Introduction to Leadership
Digital Clinical Experience Score
Total Time
105 minutes
105 minutes interacting with patients
0 minutes spent in post-exam activities
98.3%
The DCE score represents a weighted score based on all learning activities
in this assignment. Some learning activities have been assigned greater
value than others. This score may not be your final grade if your instructor
chooses to include additional components, such as rationales or time spent.
Activity Scores 98.25/100 points
Bedside Shift Report 25/25 points
Communication 33.25/35 points
Prioritizing Individual Patient Needs 20/20 points
Prioritizing Delivery of Care 20/20 points
Ben: Hi, Mr. Haddad, it's Ben again. This is my replacement for the day. They'll be taking good
care of you.
Omar: Hi, Ben. OK.
Hello, Mr. Haddad, I'm (your name). I'm going to be your nurse today. I'll be checking in with you
every hour or so.
Omar: Hi, good to meet you.
,Ben: All right, Mr. Haddad. What's going to happen now is that I'll be giving a report on your
condition to your next nurse, here. We do this at the patient's bedside, just in case you have any
questions or anything to add. We like to keep the patient involved. We want to make sure we take
good care of you.
Omar: Sure, sounds good.
Ben: Here's the situation. Omar Haddad is a 38-year-old man who presented to the Shadow
General emergency department yesterday at 2200 hours last night with right flank and back pain,
radiating to the right lower quadrant with a pain rating of 10/10. Omar let us know that he began
experiencing subtle pain about three days ago, but became unbearable at 2000 last night.
Urinalysis and a CT scan confirmed the presence of a renal calculi measuring 11 mm. His provider
is Dr. Yaeji Lee.
I'm sorry to hear that he's in pain. I don't have any questions, and I'm ready for you to tell me
about his background.
Ben: Great, will do.
Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when reporting the
current situation to you?
Yes, he followed procedure.
Ben: The background is that we've started Mr. Haddad on IV fluids for hydration and
hydromorphone 1.5 mg, IVP every three hours as needed. I took Mr. Haddad's vitals about half an
hour ago: his temperature is at 98.6, heart rate is 102 BPM, blood pressure at 118/82, and O2 sat
is 99%. Mr. Haddad has had trouble getting around since the pain started. He says he has never
experienced pain like this before. Mr. Haddad is a generally healthy man for his age and has no
significant past medical history. He takes no prescription medications and has no allergies at all.
OK, I've got all that. Let's continue.
Follow Up: According to Shadow General procedure, did Ben leave anything out of his Backgroun
No, all the components were covered.
Ben: Here's my assessment of Mr. Haddad. Mr. Haddad last reported his pain was much better this
morning and rated it as a 4/10. Mr. Haddad is to remain NPO until his scheduled shock wave
lithotripsy later on today.
, OK, no questions so far.
Follow Up: Was there any issue with how nurse Ben conducted his assessment report?
No, he communicated concisely.
Ben: I recommend that you monitor Mr. Haddad's fluid input and output and communicate with his
adjust his pain medication as needed. As far as what he's got on his plate today, the urologist would
with him around 1100 and you also should know that Mr. Haddad says his wife and daughter may b
this afternoon. It should be at about 1200 hours. Aside from that, you should be all set!
Excellent, thank you.
Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when providing his recommendation to you?
Yes, he followed procedure.
Ben: OK, that should about do it. Don't worry, Mr. Haddad, this one is going to take good care of you.
Ben: I am transferring Mr. Haddad into your care.
It was nice to meet you, Mr. Haddad.
Omar: Bye.
Time: 0605
Ben: Hi, Mr. Patel, it's Ben again. This is my replacement for the day. They'll be taking good care of you.
Arun: Uh . . . hi.
Hello, Mr. Patel, I'm (your name). I'm going to be your nurse today. I'll be checking in with you every hour or
so.
Arun: Nice to meet you.
Ben: All right, Mr. Patel. What's going to happen now is that I'll be giving a report on your condition to your
next nurse, here. We do this at the patient's bedside, just in case you have any questions or anything to add.
We like to keep the patient involved.
Arun: Um . . . yeah.
Ben: Here's the situation. Mr. Patel is a 38-year-old man who presented to the emergency department at
0300 hours this morning with complaints of nausea, vomiting, and diarrhea. He's pretty dehydrated, so
we're focusing on that.
Is there anything that Ben left out of the Situation section of his SBAR report?
Who is Mr. Patel's provider?
Ben: That would be Dr. Martinez. You scored
Digital Clinical Experience Score
Total Time
105 minutes
105 minutes interacting with patients
0 minutes spent in post-exam activities
98.3%
The DCE score represents a weighted score based on all learning activities
in this assignment. Some learning activities have been assigned greater
value than others. This score may not be your final grade if your instructor
chooses to include additional components, such as rationales or time spent.
Activity Scores 98.25/100 points
Bedside Shift Report 25/25 points
Communication 33.25/35 points
Prioritizing Individual Patient Needs 20/20 points
Prioritizing Delivery of Care 20/20 points
Ben: Hi, Mr. Haddad, it's Ben again. This is my replacement for the day. They'll be taking good
care of you.
Omar: Hi, Ben. OK.
Hello, Mr. Haddad, I'm (your name). I'm going to be your nurse today. I'll be checking in with you
every hour or so.
Omar: Hi, good to meet you.
,Ben: All right, Mr. Haddad. What's going to happen now is that I'll be giving a report on your
condition to your next nurse, here. We do this at the patient's bedside, just in case you have any
questions or anything to add. We like to keep the patient involved. We want to make sure we take
good care of you.
Omar: Sure, sounds good.
Ben: Here's the situation. Omar Haddad is a 38-year-old man who presented to the Shadow
General emergency department yesterday at 2200 hours last night with right flank and back pain,
radiating to the right lower quadrant with a pain rating of 10/10. Omar let us know that he began
experiencing subtle pain about three days ago, but became unbearable at 2000 last night.
Urinalysis and a CT scan confirmed the presence of a renal calculi measuring 11 mm. His provider
is Dr. Yaeji Lee.
I'm sorry to hear that he's in pain. I don't have any questions, and I'm ready for you to tell me
about his background.
Ben: Great, will do.
Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when reporting the
current situation to you?
Yes, he followed procedure.
Ben: The background is that we've started Mr. Haddad on IV fluids for hydration and
hydromorphone 1.5 mg, IVP every three hours as needed. I took Mr. Haddad's vitals about half an
hour ago: his temperature is at 98.6, heart rate is 102 BPM, blood pressure at 118/82, and O2 sat
is 99%. Mr. Haddad has had trouble getting around since the pain started. He says he has never
experienced pain like this before. Mr. Haddad is a generally healthy man for his age and has no
significant past medical history. He takes no prescription medications and has no allergies at all.
OK, I've got all that. Let's continue.
Follow Up: According to Shadow General procedure, did Ben leave anything out of his Backgroun
No, all the components were covered.
Ben: Here's my assessment of Mr. Haddad. Mr. Haddad last reported his pain was much better this
morning and rated it as a 4/10. Mr. Haddad is to remain NPO until his scheduled shock wave
lithotripsy later on today.
, OK, no questions so far.
Follow Up: Was there any issue with how nurse Ben conducted his assessment report?
No, he communicated concisely.
Ben: I recommend that you monitor Mr. Haddad's fluid input and output and communicate with his
adjust his pain medication as needed. As far as what he's got on his plate today, the urologist would
with him around 1100 and you also should know that Mr. Haddad says his wife and daughter may b
this afternoon. It should be at about 1200 hours. Aside from that, you should be all set!
Excellent, thank you.
Follow Up: Did Nurse Ben follow proper Shadow General SBAR procedure when providing his recommendation to you?
Yes, he followed procedure.
Ben: OK, that should about do it. Don't worry, Mr. Haddad, this one is going to take good care of you.
Ben: I am transferring Mr. Haddad into your care.
It was nice to meet you, Mr. Haddad.
Omar: Bye.
Time: 0605
Ben: Hi, Mr. Patel, it's Ben again. This is my replacement for the day. They'll be taking good care of you.
Arun: Uh . . . hi.
Hello, Mr. Patel, I'm (your name). I'm going to be your nurse today. I'll be checking in with you every hour or
so.
Arun: Nice to meet you.
Ben: All right, Mr. Patel. What's going to happen now is that I'll be giving a report on your condition to your
next nurse, here. We do this at the patient's bedside, just in case you have any questions or anything to add.
We like to keep the patient involved.
Arun: Um . . . yeah.
Ben: Here's the situation. Mr. Patel is a 38-year-old man who presented to the emergency department at
0300 hours this morning with complaints of nausea, vomiting, and diarrhea. He's pretty dehydrated, so
we're focusing on that.
Is there anything that Ben left out of the Situation section of his SBAR report?
Who is Mr. Patel's provider?
Ben: That would be Dr. Martinez. You scored
