Comprehensive vSIM 3 Printable Feedback Log and 100% Score Analysis for Josephine
Morrow Diagnosed with Venous Stasis Ulcer: Nursing Interventions, Clinical Judgment,
Documentation, and Debriefing Questions
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 Rationale
Performed hand hygiene; gathered
00:00 Correct Prevents infectio
equipment
Identified patient using two identifiers
00:30 "Yes, I'm Josephine Morrow." Safety standard
(name and DOB)
Assessed vital signs: BP 128/74, HR 82, RR
01:00 "My ankle hurts when I stand too long." Baseline assessm
16, SpO2 98%, pain 3/10
Right leg: 2+ pitting edema, brown
02:00 Inspected bilateral lower extremities Signs of venous
staining, warm
Palpated dorsalis pedis and posterior tibial
03:00 Pulses +2 bilaterally Rules out arteria
pulses
Performed ankle-brachial index (ABI) using
04:00 Right ABI 0.9, Left ABI 1.0 ABI >0.8 = comp
Doppler
Wound: 4 cm x 3 cm, shallow, irregular
Removed old dressing using aseptic
05:00 edges, moderate serosanguineous Accurate wound
technique
drainage, no odor
06:00 Assessed periwound skin Mild maceration, no erythema or warmth Indicates moistu
Orders: multilayer compression wrap, daily
07:00 Notified provider via SBAR communication saline cleansing, foam dressing, leg Complete SBAR
elevation
Cleaned wound with normal saline spray
08:00 Wound bed clean, granulation tissue visible Avoids cytotoxic
and gentle gauze
, Time Student Action Patient Response / Feedback Rationale
09:00 Applied non-adherent contact layer Layer placed smoothly over wound bed Prevents trauma
10:00 Applied foam dressing over contact layer Foam absorbs exudate Maintains moist
Applied multilayer compression system Compression applied with 50% overlap, 30-
11:00 Distal to proxima
(toe to below knee) 40 mmHg at ankle
"Raise legs above heart for 30 minutes,
12:00 Educated patient on leg elevation Patient verbalize
three times daily."
Never sleep in co
13:00 Educated on compression wear schedule "Wear during day, remove at night."
prescribed
"Walk 20 minutes daily to improve calf
14:00 Educated on ambulation Evidence-based
muscle pump."
15:00 Taught signs of infection "Call if ankle gets hot or red." Patient understa
Ensured fall prevention: call light, nonslip
16:00 Environment safe Prevents falls
socks, bed low
17:00 Performed hand hygiene after procedure Correct Infection contro
Documented all assessments and
18:00 Complete documentation Legal and profes
interventions
Detailed Score Summary (100%)
Category Criteria Points Earned Points Possible
Hand hygiene, PPE, aseptic technique,
Safety & Infection Control 15 15
patient ID, fall prevention
Vital signs, pain, lower extremity inspection,
Patient Assessment edema grading, pulse assessment, ABI 20 20
measurement
Correct wound cleansing, appropriate
Clinical Judgment & Intervention dressing selection, proper compression 25 25
application, leg elevation instruction
Compression therapy applied correctly (30-
Treatment Administration 40 mmHg), foam dressing appropriate for 15 15
drainage level
SBAR handoff to provider, respectful
Communication & Teamwork 10 10
patient interaction, clear instructions
Morrow Diagnosed with Venous Stasis Ulcer: Nursing Interventions, Clinical Judgment,
Documentation, and Debriefing Questions
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 Rationale
Performed hand hygiene; gathered
00:00 Correct Prevents infectio
equipment
Identified patient using two identifiers
00:30 "Yes, I'm Josephine Morrow." Safety standard
(name and DOB)
Assessed vital signs: BP 128/74, HR 82, RR
01:00 "My ankle hurts when I stand too long." Baseline assessm
16, SpO2 98%, pain 3/10
Right leg: 2+ pitting edema, brown
02:00 Inspected bilateral lower extremities Signs of venous
staining, warm
Palpated dorsalis pedis and posterior tibial
03:00 Pulses +2 bilaterally Rules out arteria
pulses
Performed ankle-brachial index (ABI) using
04:00 Right ABI 0.9, Left ABI 1.0 ABI >0.8 = comp
Doppler
Wound: 4 cm x 3 cm, shallow, irregular
Removed old dressing using aseptic
05:00 edges, moderate serosanguineous Accurate wound
technique
drainage, no odor
06:00 Assessed periwound skin Mild maceration, no erythema or warmth Indicates moistu
Orders: multilayer compression wrap, daily
07:00 Notified provider via SBAR communication saline cleansing, foam dressing, leg Complete SBAR
elevation
Cleaned wound with normal saline spray
08:00 Wound bed clean, granulation tissue visible Avoids cytotoxic
and gentle gauze
, Time Student Action Patient Response / Feedback Rationale
09:00 Applied non-adherent contact layer Layer placed smoothly over wound bed Prevents trauma
10:00 Applied foam dressing over contact layer Foam absorbs exudate Maintains moist
Applied multilayer compression system Compression applied with 50% overlap, 30-
11:00 Distal to proxima
(toe to below knee) 40 mmHg at ankle
"Raise legs above heart for 30 minutes,
12:00 Educated patient on leg elevation Patient verbalize
three times daily."
Never sleep in co
13:00 Educated on compression wear schedule "Wear during day, remove at night."
prescribed
"Walk 20 minutes daily to improve calf
14:00 Educated on ambulation Evidence-based
muscle pump."
15:00 Taught signs of infection "Call if ankle gets hot or red." Patient understa
Ensured fall prevention: call light, nonslip
16:00 Environment safe Prevents falls
socks, bed low
17:00 Performed hand hygiene after procedure Correct Infection contro
Documented all assessments and
18:00 Complete documentation Legal and profes
interventions
Detailed Score Summary (100%)
Category Criteria Points Earned Points Possible
Hand hygiene, PPE, aseptic technique,
Safety & Infection Control 15 15
patient ID, fall prevention
Vital signs, pain, lower extremity inspection,
Patient Assessment edema grading, pulse assessment, ABI 20 20
measurement
Correct wound cleansing, appropriate
Clinical Judgment & Intervention dressing selection, proper compression 25 25
application, leg elevation instruction
Compression therapy applied correctly (30-
Treatment Administration 40 mmHg), foam dressing appropriate for 15 15
drainage level
SBAR handoff to provider, respectful
Communication & Teamwork 10 10
patient interaction, clear instructions
