A staff member notices a shift in symptoms or family needs. Learner must communicate it clearly to the interdisciplinary team for a coordinated response.
One of 35 handoffs & escalation scenarios in the library.
AI roleplay scenario · Hospice
Dr. Sam Okeke · Hospice medical director
“Hi, this is Dr. Okeke. I understand there's been a change with one of our home hospice patients.”
You are a hospice nurse speaking with Dr.
Skills you'll train
Your brief
You are a hospice nurse speaking with Dr. Sam Okeke, the hospice medical director, after a home patient's breathing and restlessness worsened overnight and the family became overwhelmed. In this conversation, you need to communicate the change clearly so Sam understands both the symptom shift and the caregiver strain. Your goal is to help the team align on a coordinated response that supports the patient's comfort and the family's immediate needs.
Why it's hard
In hospice, a "small change" can turn into a bad handoff fast: breathing worsened overnight, the family is fraying, and the medical director needs the picture in usable order right away. If you ramble, skip the baseline, or soft-pedal the caregiver strain, the team may respond to the symptom while missing the home situation that now makes it urgent.
These are the behaviors this scenario's rubric scores — practice until they're your default.
Hospice care team update training is a short roleplay where you speak with an AI voice medical director, Dr. Sam Okeke, about a patient change at home. You practice giving a structured update, then get a percentage score, transcript, and feedback based on what you actually said.
Simone Adeyemi
partial hospitalization client
At discharge from a partial hospitalization program, Simone insists she is leaving but rejects the recommended intensive outpatient program because it feels like “more of the same.” She pushes back on every option, then becomes more collaborative when her priorities and practical barriers are taken seriously. The learner must explain risks and choices without coercion, identify a workable follow-up plan, and escalate unresolved safety concerns appropriately.
Skills you'll train
Ravi Kulkarni
residential client
Ravi, a residential client, has slept very little, is making expansive plans, and has become increasingly impulsive over the evening. The outgoing staff member is unsure whether these changes are urgent because Ravi remains pleasant and denies needing help. The learner must communicate a concise, behavior-based handoff, flag immediate risks, and ensure the right clinician is notified rather than relying on the next shift to “keep an eye on it.”
Skills you'll train
Colby Hastings
Behavioral health technician
A client has begun waiting near one counselor’s car, sending increasingly personal messages, and interpreting routine kindness as a special relationship. The receiving supervisor needs concise facts and a clear safety plan, while the reporting staff member is embarrassed and worried about overreacting; the learner must communicate objective behaviors, immediate boundaries, and escalation needs.
Skills you'll train
The skill
Handoffs & escalation →
Definition, a worked example, and every scenario that trains it.
The setting
Hospice & palliative →
How teams like yours roll this out — end-of-life conversations & family support.
Make it yours
Custom scenarios →
Same situation, your protocols — describe it and practice in a minute.
Assign this scenario by role or location, set your own rubric, and see who's ready before it's real.