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Firsthand XR

FreeComing soon

Recognising a deteriorating patient

A ward patient is quietly getting worse. Take the observations, notice what has changed, decide what matters most and make a clear ISBAR call.

For: Nursing and paramedic students.

Trainee view of a ward patient on oxygen with a nurse standing nearby

What you will practise

  • Taking a full set of observations
  • Recognising early warning signs
  • Prioritising what to act on first
  • Starting first actions within your scope
  • Escalating with a structured ISBAR handover

Good to know

  • Free on Meta Quest (store app) and in the browser when it launches.
  • Practice, not certification. It does not certify you or replace your course assessment.
  • This is a clinical judgment practice case built around the six skills in the NCSBN Clinical Judgment Measurement Model. It is practice, not exam preparation from any exam body.
  • Scoring, debriefs, team sessions and assessment are part of the full version through your school. See nursing education.

Join the waitlist

We will email you when free practice scenarios are ready on Meta Quest and in the browser.

Free practice is not certification. See our privacy policy.

Ask your school

The full version, with scoring, debriefs, team sessions and assessment, comes through your school or training provider. Fill this in and we will write the email to your educator or sim coordinator for you. You can edit it before you send it.

It opens in your own email app. Nothing is sent to us unless you tick the box.