Host Controller
Launch scenarios, adjust patient conditions, guide progression, track learner actions, and prepare teams before the emergency occurs.
Simulation without limits
Reduce the barriers to frequent simulation with realistic training that does not require a dedicated simulation lab.
Built by clinicians, for clinicians.
One connected simulation
Steps InSitu connects a facilitator-controlled host screen with learner-facing bedside monitors, auxiliary displays, and phone-friendly actor scripts, making realistic practice easier to run in the spaces teams already use.
Launch scenarios, adjust patient conditions, guide progression, track learner actions, and prepare teams before the emergency occurs.
Give learners realistic vital signs, waveforms, oxygen controls, warmer controls, suction, and responsive patient information without needing a dedicated simulation lab.
Reveal ECGs, imaging, laboratory results, diagnostic studies, and clinical resources at the right moment for flexible in-situ training.
Provide parents, standardized patients, providers, and staff roles with current-step instructions, lines, and cues so frequent simulation is easier to support.
Fast to launch
Designed for mobile teams, pop-up drills, and educators who need to reduce the barriers to frequent simulation without building a simulation center.
Launch from a Windows host computer. Tablets, phones, and displays join through a local network using simple URLs and QR codes, so simulation can happen where patient care happens.

Run freeform neonatal manual mode or select a structured scenario from neonatal, mother-baby, and pediatric libraries for quick drills or full team practice.

Advance objective-based steps, adjust patient conditions, reveal diagnostics, and respond to learner decisions in real time.

Close with guided reflection questions, missed-action review, scenario-specific teaching points, and a focused debrief timer.

Built for in-situ training
Steps InSitu runs over a local network so realistic training can happen where patient care happens. A portable router can connect the host computer, bedside displays, auxiliary monitors, and actor devices without requiring internet access.
Dynamic scenario logic
Patient condition, vital signs, actor behavior, available diagnostics, and teaching prompts can change as learners act, keeping training realistic without the need for a dedicated simulation lab.
Scenario libraries
Scenario content supports everyday readiness, from short recognition drills to deeper team practice before the emergency occurs.
High-risk neonatal events across delivery rooms, special care nurseries, and NICUs, with emphasis on rapid assessment and evidence-based stabilization.
Short, high-yield emergencies focused on early recognition, escalation, communication, and interdisciplinary teamwork.
Flexible pediatric scenarios supporting full procedural simulation, mock codes, tabletop exercises, and team discussion.
The scenario library continues to grow as Steps InSitu expands into additional clinical workflows.
Actor scripts
The phone-friendly Actor Scripts interface gives parents, family members, standardized patients, consulting providers, and staff confederates the information they need for the current step.
Selected scenario modifiers can change role instructions, suggested lines, and behavioral cues as the case progresses, supporting realistic training in any care space.
Why Steps InSitu
Steps InSitu was created by Jason Burgess, a neonatal nurse with more than 25 years of experience, an NRP instructor for more than 10 years, and a clinical educator supporting special care nursery and pediatric teams.
The platform grew from a practical goal: reduce the barriers to frequent simulation, make training more realistic and accessible, and help teams prepare before the emergency occurs.
Product walkthrough
Watch the launcher, connected interfaces, objective-based progression, actor scripts, learner-facing bedside monitor, and structured debrief work together.
Watch on YouTube
Watch the full demonstration
Start a conversation
Steps InSitu is being developed for healthcare educators who want realistic training where patient care happens, without complex infrastructure or a dedicated simulation lab. Request a demonstration, share feedback, or ask about future access.