Comprehensive vSIM 3 Feedback Log and 100% Score Analysis for Josephine Morrow Diagnosed
with Venous Stasis Ulcer: Nursing Interventions, Clinical Judgment, and Documentation Review
Patient Information
Patient Name: Josephine Morrow
Diagnosis: Venous stasis ulcer (right medial malleolus)
vSIM Scenario: NURS 200 vSIM 3
Achieved Score: 100%
Complete vSIM Feedback Log (Chronological)
Time Student Action Patient Response / Feedback Correction / Rat
Performed hand hygiene; gathered
00:00 Correct –
stethoscope, Doppler, wound care supplies
Identified patient using two identifiers
00:30 "Yes, I'm Josephine Morrow." Correct
(name and DOB)
Assessed vital signs: BP 128/74, HR 82, RR
01:00 "My ankle hurts when I stand too long." Correct
16, SpO2 98%, pain 3/10
Right leg: 2+ pitting edema, brown Correct – signs o
02:00 Inspected bilateral lower extremities
hemosiderin staining, warm to touch insufficiency
Palpated dorsalis pedis and posterior tibial
03:00 Pulses +2 bilaterally Good – rules out
pulses
Performed ankle-brachial index (ABI) using Critical finding –
04:00 Right ABI 0.9, Left ABI 1.0
Doppler compression
Wound: 4 cm x 3 cm, shallow, irregular
Removed old dressing using aseptic
05:00 edges, moderate serosanguineous Correct assessm
technique
drainage, no odor
06:00 Assessed periwound skin Mild maceration, no erythema or warmth Indicates need fo
Provider orders: multilayer compression
Complete SBAR
07:00 Notified provider via SBAR communication wrap, daily saline cleansing, foam dressing,
Background, Ass
leg elevation
Cleaned wound with normal saline spray
08:00 Wound bed clean, granulation tissue visible Correct – avoids
and gentle gauze
Applied non-adherent contact layer (e.g.,
09:00 Layer placed smoothly over wound bed Prevents trauma
Adaptic)
with Venous Stasis Ulcer: Nursing Interventions, Clinical Judgment, and Documentation Review
Patient Information
Patient Name: Josephine Morrow
Diagnosis: Venous stasis ulcer (right medial malleolus)
vSIM Scenario: NURS 200 vSIM 3
Achieved Score: 100%
Complete vSIM Feedback Log (Chronological)
Time Student Action Patient Response / Feedback Correction / Rat
Performed hand hygiene; gathered
00:00 Correct –
stethoscope, Doppler, wound care supplies
Identified patient using two identifiers
00:30 "Yes, I'm Josephine Morrow." Correct
(name and DOB)
Assessed vital signs: BP 128/74, HR 82, RR
01:00 "My ankle hurts when I stand too long." Correct
16, SpO2 98%, pain 3/10
Right leg: 2+ pitting edema, brown Correct – signs o
02:00 Inspected bilateral lower extremities
hemosiderin staining, warm to touch insufficiency
Palpated dorsalis pedis and posterior tibial
03:00 Pulses +2 bilaterally Good – rules out
pulses
Performed ankle-brachial index (ABI) using Critical finding –
04:00 Right ABI 0.9, Left ABI 1.0
Doppler compression
Wound: 4 cm x 3 cm, shallow, irregular
Removed old dressing using aseptic
05:00 edges, moderate serosanguineous Correct assessm
technique
drainage, no odor
06:00 Assessed periwound skin Mild maceration, no erythema or warmth Indicates need fo
Provider orders: multilayer compression
Complete SBAR
07:00 Notified provider via SBAR communication wrap, daily saline cleansing, foam dressing,
Background, Ass
leg elevation
Cleaned wound with normal saline spray
08:00 Wound bed clean, granulation tissue visible Correct – avoids
and gentle gauze
Applied non-adherent contact layer (e.g.,
09:00 Layer placed smoothly over wound bed Prevents trauma
Adaptic)
