Mock Scenario Request Submission This form should only be completed by a manager, nurse educator, or director of nursing. Name(Required) First Last Email(Required) Enter Email Confirm Email Facility Name(Required)What service line are you inquiring about?(Required) Emergency Critical Care (ICU) Hospitalist Desired Timeline(Required)Please include a timeframe (estimated date/day/week/month) when you would like to offer mock scenarios to your staff. This does not guarantee the date/time. We will be in contact in the near future to confirm date/time and details. Details(Required)Please let us know what you are looking for in details. Please include which scenario you would like to focus on -if known, and any other details you would like to provide. The more information the better. Thank you!
