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!
