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 4 handoffs & escalation scenarios in the library.
Dr. Sam Okeke
Hospice medical director
A staff member notices a shift in symptoms or family needs. Learner must communicate it clearly to the interdisciplinary team for a coordinated response.
Skills you'll train
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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.
Nurse Patricia Lowe
Charge nurse
A caregiver notices a change — new confusion, a fall, a skin issue — and must report it. Learner must relay the relevant facts clearly to the nurse: what changed and when.
Skills you'll train
Nurse Angela Brooks
Supervising nurse
An aide notices a new symptom or decline during a visit. Learner must clearly relay what changed, when, and the relevant details to the nurse so action can follow.
Skills you'll train
Sandra Millis
Member with a concerning result
A member mentions symptoms during a routine wellness consult that need clinical attention. Learner must stay calm, avoid diagnosing or alarming, and hand off to the provider cleanly with clear documentation.
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.