Haunted Halls of Saint Leo: Role Cards

For the Nurse Station Attendant

Information You Have:

• Vital Signs Chart:
  • BP: 100/70 (slightly low)
  • HR: 102 (elevated)
  • RR: 20
  • Temp: 101.2°F
  • Mild dehydration signs
• Intake History:
  • Last 24 hours of food consumption
  • Timing of symptom onset
  • Frequency of vomiting/diarrhea
  • No blood in stool
  • No respiratory symptoms

How to Act:

• Professional but concerned
• Note worsening dehydration
• Track symptoms progression
• Require the "Medical Detectives" to ask specific questions in order to get any information that is relevant
• Emphasize time since symptom onset

For the Medical Detectives (teams of 2-5)

• You Must determine:
  • What is the most likely diagnosis, based on symptoms and the patients medical information
  • You must ask specific questions that can lead to a diagnosis
    • What was the patient doing yesterday? Is it possible that ti could have been something from more than one day ago?
    • What did the patient eat in the last 24 hours?
    • Where did the patient go?
    • What activities was the patient involved in?
    • Did the patient encounter anyone who was ill, and who could have transmitted an illness in the last 2-3 days?
  • You have a limited time to determine what the diagnosis is (15-20 minutes)
    • Once you determine (correctly) the diagnosis, then you must also determine
      • What exactly caused the patient to fall ill
      • Was a pathogen or virus involved
      • What could have prevented it
      • What might be a good treatment plan
• Three diagnosis attempts allowed
• Need to justify treatment plan

For the Patient (Alex)

Background for you to Remember:

• You work at a local restaurant, and you are very busy between your college studies and your job. You eat out a lot.
• Symptoms started early this morning.
• Yesterday, you ate: Eggs benedict with hollandaise sauce and toast and hash browns for breakfast, McDonald's fast food for lunch, raw oysters, caesar salad, and chocolate ice cream for supper
• First symptom was stomach cramps
• Then nausea, vomiting, and diarrhea
• Now you have a slight fever, can't keep anything down, not even much  water
• You're dehydrated and weak

How to Act:

• Hold your stomach frequently
• try to look pale and sweaty
• Make frequent trips to bathroom
• Act weak and tired
• Voice is weak and strained
• Keep trying to drink water but struggle

For the Co-worker at the restaurant (Jordan)

Information You Know:

• Restaurant's name
• Be able to recall a lot of the menu
• Note that you were together a lot of that day
  • You were not together in the morning, and while you met up at McDonalds, you did not eat there.
• Who else got sick? (2 other customers called to complain that next day about being unwell)
  • They all ate raw oysters
  • 1 of them also may have eaten ate at McDonalds
• What has been in the news lately about McDonalds food poisoning?
• Kitchen's food handling practices where you both work
• Recent health inspection for the restaurant you work at (passed 2 weeks ago)
• Storage temperatures for seafood

How to Act:

• Show concern for Alex
• Defensive about restaurant cleanliness
• Mention other sick customers only if asked
• Can describe food preparation methods
• Getting nervous about own health