Simulation without limits

Simulation should happen where patient care happens.

Reduce the barriers to frequent simulation with realistic training that does not require a dedicated simulation lab.

Built by clinicians, for clinicians.

Explore the platform

One connected simulation

One facilitator. Multiple interfaces. Training where care happens.

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.

Steps InSitu host controller displaying the pneumothorax scenario
Host Controller
Steps InSitu learner-facing bedside monitor during the pneumothorax scenario
Bedside Monitor
Steps InSitu auxiliary monitor displaying a chest X-ray result
Auxiliary Display
Steps InSitu phone-friendly actor-script interface
Actor Scripts
01

Host Controller

Launch scenarios, adjust patient conditions, guide progression, track learner actions, and prepare teams before the emergency occurs.

02

Bedside Monitor

Give learners realistic vital signs, waveforms, oxygen controls, warmer controls, suction, and responsive patient information without needing a dedicated simulation lab.

03

Auxiliary Display

Reveal ECGs, imaging, laboratory results, diagnostic studies, and clinical resources at the right moment for flexible in-situ training.

04

Actor Scripts

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

Set up the room. Choose the experience. Start the scenario.

Designed for mobile teams, pop-up drills, and educators who need to reduce the barriers to frequent simulation without building a simulation center.

  1. 01

    Connect

    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.

    Steps InSitu simulation launcher with hardware setup and scenario options
  2. 02

    Choose

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

    Steps InSitu scenario library and synopsis screen
  3. 03

    Facilitate

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

    Steps InSitu facilitator screen showing objective-based scenario actions
  4. 04

    Debrief

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

    Steps InSitu structured clinical simulation debrief screen

Built for in-situ training

Designed for the care environment, not tied to the cloud.

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.

  • Offline-friendly local-network operation
  • Realistic training without the need for a dedicated simulation lab
  • Scales from two devices to a richer multi-device experience
  • Keeps facilitator information separate from learner screens
Steps InSitu hardware setup screen with QR codes for connecting host, bedside, auxiliary, and actor devices
Connect each device by scanning its QR code while all devices are on the same local network.
Steps InSitu learner-facing bedside monitor with vital signs and oxygen controls

Dynamic scenario logic

Prepare teams before the emergency occurs.

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.

Real-timePhysiologic responses and monitor updates
Objective-basedExpected learner-action tracking
AdaptableScenario modifiers and facilitator overrides
HumanDynamic communication and family behavior

Scenario libraries

Built for the teams and environments where rescue begins.

Scenario content supports everyday readiness, from short recognition drills to deeper team practice before the emergency occurs.

NICU

NICU Emergency Series

High-risk neonatal events across delivery rooms, special care nurseries, and NICUs, with emphasis on rapid assessment and evidence-based stabilization.

Mother-Baby

Mother-Baby Rescue Series

Short, high-yield emergencies focused on early recognition, escalation, communication, and interdisciplinary teamwork.

Pediatric

Pediatric Rescue Series

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

Bring communication and human factors into the scenario.

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.

Steps InSitu mobile actor-script interface for an anxious parent role

Why Steps InSitu

Built by clinicians, for clinicians.

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

See Steps InSitu in action.

Watch the launcher, connected interfaces, objective-based progression, actor scripts, learner-facing bedside monitor, and structured debrief work together.

Watch on YouTube
Steps InSitu demonstration video preview showing the simulation launcher Watch the full demonstration

Start a conversation

Bring simulation to the spaces your teams already use.

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.

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