Riverside City College Nursing Simulation

PAWS Simulated EHR

Practice navigating a realistic electronic health record in a safe learning environment. Start with the patient chart and activity assigned by your instructor, then use the chart to verify information, notice changes, and explain your clinical thinking.

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Open the activity your instructor assigned. Chart A follows the same patient throughout the semester. Each activity shows the patient chart at the right point in the clinical story, so later activities may include information that earlier activities are not meant to reveal yet.

Chart A

M.C. Pneumonia Case

Select the activity you were assigned. Your activity questions may be in Canvas, a handout, or another class resource.

Activity 1

Index Card Intro

Practice basic chart literacy by verifying handoff details against the Overview panel: patient identity, allergies, code status, diagnosis, precautions, and history.

Overview Chart literacy Handoff verification
Activity 1.5

Gowned Up, No Order

Reconcile isolation signage, nursing notes, orders, and lab results before entering the room. The goal is to notice when real-world chart data does not line up cleanly.

Builds on Activity 1 Isolation precautions Order verification
Activity 2

Spot It!

Build speed and accuracy finding key information across the Vitals, Labs, Notes, and Orders panels without guessing under time pressure.

Vitals Labs Orders Chart scanning
Activity 3

Spot the Trend

Read the full vitals table over time and explain the clinical story: fever, blood pressure, oxygen saturation, heart rate, and documentation consistency.

Builds on Activity 2 Trend recognition Clinical judgment
Activity 4

I&O Tracking

Calculate intake, output, and net fluid balance, then decide how much trust to place in totals when the chart contains documentation gaps.

I&O panel Fluid balance Documentation gaps
Activity 5

Medication Safety

Follow a Vancomycin trough across shift change, check acetaminophen totals, review active medication orders, and find IV fluid documentation without a matching order.

Medications Notes Medication safety Escalation
Activity 6

Assessment Evaluation

Work through four short Clinical Judgment Model tools that help you recognize cues, analyze findings, connect pathophysiology, and explain why the data matters for M.C.

Clinical Judgment Model Recognize cues Analyze cues Pathophysiology

Learning Design

How to Use PAWS

PAWS is built for deliberate practice. Verify what you hear, cross-check what you see, and explain why each finding matters for patient care.

One Patient Story

Chart A follows M.C. across the semester. New notes, orders, labs, and safety questions appear as the case progresses.

Use the Whole Chart

Activities move through Overview, Vitals, Labs, Notes, Orders, Medications, and I&O so you can practice finding what matters.

Realistic Charting

The chart includes realistic discrepancies, delays, and missing documentation. Treat those findings as clinical cues.

PAWS - Patient Assessment & Workflow System

Riverside City College School of Nursing Simulation Lab

For educational use only. All patient data is fictional.