Station VR Training

Station
VR Training

Interprofessional Ward Emergency Simulation

Real-World Ward Emergencies in VR

Developed in collaboration with the University Hospital of Cologne, this module immerses medical and nursing staff in a realistic night shift on a surgical ward. The scenario begins with a nursing handover, followed by a routine patient round — until an emergency bell forces the team to respond to an acute patient deterioration.

The patient experiencing the emergency and the type of event — such as acute bleeding, anaphylaxis, or a displaced thoracic drain — are determined by a randomized generator. With 9 different patients and emergency types across 5 difficulty levels (beginner to expert), every training session presents a unique challenge.

Key VR Features:

  • Interprofessional Two-Player Mode: One participant plays the nurse, the other the physician — reflecting real-world ward teamwork in a shared virtual environment.
  • Randomized Emergency Scenarios: 9 different emergency events (acute bleeding, anaphylaxis, displaced thoracic drain, and more) across 5 difficulty levels keep training unpredictable and realistic.
  • NPC Team Members & Escalation: Virtual nursing colleagues and a resuscitation team (NPCs) can be directed via speech recognition or click interface. Knowing when to escalate is the key learning objective.
  • Full Clinical Toolset: Perform diagnostics (blood draws, physical exam, FAST ultrasound) and therapeutics (medication administration, blood transfusion, ventilation) — mirroring real ward capabilities.
  • Structured Debriefing: Detailed timeline logs of all actions support systematic post-training review and error analysis for both clinical and teamwork performance.
Station VR Training – nurse and physician managing a ward emergency in virtual reality

Emergency Scenario Types

Acute Bleeding Anaphylaxis Thoracic Drain Respiratory Failure Cardiac Event +4 More Types

Difficulty: Beginner → Expert (5 Levels)

Validated Competency Framework

Training objectives and evaluation criteria were developed through a rigorous interprofessional Delphi study with 17 medical and nursing experts, achieving 84% consensus on 157 competency items.

Clinical Assessment

Structured primary assessment using the ABCDE approach. Trainees practice situational awareness, vital signs monitoring, blood gas analysis, and FAST ultrasound in a time-critical ward setting.

Interprofessional Teamwork

Role clarity, task delegation, and shared leadership between physicians and nurses. Closed-loop communication, ISBAR handover, and respectful coordination under time pressure are core learning targets.

Crisis Resource Management

Non-technical skills for safe emergency care: early escalation, the 10-for-10 principle, reassessment loops, and avoiding fixation errors. Trainees learn when to call for help — not just whether to do so.

Scientifically Validated Training

Published in Frontiers in Virtual Reality (2026)

The training design and evaluation framework were validated through a five-round modified interprofessional Delphi study involving 17 experts from the University Hospital of Cologne — physicians from Anesthesiology and General Surgery, and nursing educators with experience in surgical emergency settings.

The Delphi process achieved consensus (≥80% agreement) on 131 of 157 competency items (84%), resulting in a structured Case Report Form (CRF) covering clinical assessment, diagnostic and therapeutic actions, teamwork, communication, time management, and crisis resource management principles.

Read the Study →

Study Highlights

84%

Consensus achieved across 157 competency items in a rigorous 5-round Delphi process

17

Expert panelists — physicians and nursing educators from the University Hospital of Cologne

9

Different patient emergency scenarios across 5 difficulty levels — from beginner to expert

"This study demonstrates the feasibility of using a structured, interprofessional Delphi approach to derive consensus-based learning objectives and evaluation criteria for VR-based emergency training."

Adams et al., Frontiers in Virtual Reality, 2026

Partner:

University Hospital Cologne Logo

University Hospital Cologne

See It in Action

Watch the Station VR Training in action. Experience how nurses and physicians coordinate ward emergencies together in a fully immersive virtual environment.

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