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Firsthand XR

Nursing simulation in VR, with a patient who reacts

Students walk into a ward, assess a real-looking patient and make the calls. Vitals change with what they do. Every run ends with a scored debrief they can learn from, then run again.

Who this is for: Deans, simulation coordinators, clinical placement leads and nursing faculty.

Trainee view at the bedside: a patient on oxygen in bed, a nurse standing by the overbed table and the patient whiteboard behind

What gets in the way today

Not enough placement hours
Clinical placements are hard to find and harder to schedule. Students can graduate without ever seeing a deteriorating patient or a cardiac arrest.
Sim lab time is scarce
A manikin session needs a room, a technician and a facilitator. Each student might get one go at the high-stakes scenario per semester.
Screen-based cases feel like a test
Clicking options on a laptop does not build the habit of looking at the patient, the monitor and the room at the same time.
Feedback arrives late
Students do the scenario, then wait for a debrief that depends on who was watching and what they noticed.

How nursing education teams use it

Practice mode: hotspot buttons over the chest to listen to the lungs and heart, with the finding shown above
Practice mode with guides
Hotspots on the patient show what to assess next: chest, pupils, pulses, skin. Students learn the routine before they are tested on it.
Assessed mode
Guides switch off. The scenario runs on the patient engine and every action is timed and scored against the guideline.
Repeatable, scored debrief
Each run ends with what went well, what was missed and when. Students can run it again straight away.
Team sessions
Several headsets on the same network join one scenario with roles, so a group can practise a code together.

Scenarios for nursing education

Full library
  • Defibrillator render showing an ECG trace and vital signs on its screen
    AvailableHospital ward

    ACLS cardiac arrest (VF)

    A ward patient arrests in ventricular fibrillation. Call for help, assign roles, run compressions, shock, give drugs on time and manage the patient after return of circulation.

  • Bedside vital signs monitor with ECG, SpO2 and respiratory traces
    AvailableHospital ward

    STEMI

    Chest pain that turns out to be an ST-elevation myocardial infarction. Recognise it early, act on the ECG and escalate to cardiology without losing time.

  • Trainee view of a hospital bed with a patient and a nurse at the bedside
    AvailableHospital ward

    Acute asthma

    A breathless patient getting worse. Assess the chest, start oxygen to target, give bronchodilators and recognise when it is time to call the team.

  • Ceiling pendant with a slim patient monitor, ventilator and wall outlets beside the bed
    AvailableHospital ward

    SVT

    A fast narrow-complex rhythm. Read the monitor, try vagal manoeuvres, prepare drugs and know when the patient is unstable.

  • Patient in bed below a bedhead panel with oxygen tubing and a landscape print on the wall
    AvailableHospital ward

    Sepsis

    A deteriorating patient with infection. Spot the early signs, take a full set of observations, start the sepsis pathway and escalate.

  • Wall oxygen flowmeter and suction set up at the bedside
    AvailableHospital

    Pregnancy cardiac arrest

    Cardiac arrest in a pregnant patient. Adapt resuscitation for pregnancy, coordinate the team and call the right specialists early.

  • Newborn on a resuscitaire with stethoscope, cap and suction within reach
    AvailableBirth suite

    Newborn resuscitation in a birth suite

    A baby born floppy and not breathing. Start the clock, dry and stimulate, open the airway, ventilate and call the neonatal team.

  • ComingWaiting room and aged care

    De-escalation and responsive behaviours

    An upset family member in a waiting room and a distressed resident living with dementia. Choose your words, read the warning signs and know when to step back and call for help.

  • ComingClinical

    IV cannulation and injections

    Procedure practice for cannulation and injections, step by step, with the checks that matter.

  • ComingClinical

    Handover (ISBAR)

    Give a clear, structured handover or escalation call using ISBAR.

How it maps to your training

Scenarios are built around the decisions nursing programs already teach and assess.

Unit or programWhere it shows up
Clinical judgment (NCSBN CJMM)Scenarios ask students to recognise cues, prioritise and act, then show the outcome. See our article on the clinical judgment model.
Deteriorating patient and escalationSepsis, acute asthma, STEMI and SVT focus on observations, early warning and calling for help.
Basic and advanced life supportACLS cardiac arrest (VF) follows ANZCOR or AHA guidance depending on the regional pack.
Midwifery and maternityNewborn resuscitation in a birth suite and pregnancy cardiac arrest.
OSCE practicePractice mode works as OSCE preparation: a structured assessment sequence students can repeat until it is automatic.

Mapping to your specific curriculum, units and assessment rubrics is done with your faculty during a pilot.

Results can go to your LMS gradebook through LTI 1.3, xAPI or SCORM. See connects to your learning systems.

Virtual clinicals and virtual simulation nursing

The NCSBN National Simulation Study found that up to 50% of traditional clinical hours could be replaced with high-quality simulation in prelicensure core nursing courses, under conditions comparable to the study. Rules on how many hours you can count differ by regulator and jurisdiction, so check yours before you plan.

Whatever you count, headset simulation gives every student the same patient, the same deterioration and the same scoring. That consistency is hard to guarantee on placement.

Source: NCSBN, National Simulation Study

Reading for nursing education teams

Need it built around your own site, equipment or procedures? See custom medical and nursing simulation.

The technology behind it

Questions people ask

Is this virtual simulation or VR?

Both terms get used. Ours runs in a standalone headset, so students move around a room-scale ward and use their hands. It also runs on PC VR and HoloLens 2.

Can it count towards clinical hours?

That depends on your regulator and accreditor. We can provide scenario objectives, run logs and debrief records to support your submission.

Do students need to be in the sim lab?

No. Standalone headsets work in a classroom or a spare room. Team sessions need the headsets on the same network.

Does it replace manikins?

No. It is a good partner to manikins. Use VR for repetition and decision-making, and manikins for hands-on skills like compression depth.

Pilot it with your students

Book a 30-minute demo. We will run a scenario live, talk through your training units and scope a pilot that fits your team.

Practice mode: hotspot buttons over the chest to listen to the lungs and heart, with the finding shown above