Clinician-built clinical simulation

Clinical simulation that goes wherever your team trains.

One facilitator can run realistic, multi-device healthcare training without cloud connectivity or complex infrastructure.

Built by a neonatal nurse, NRP instructor, and clinical educator.

Explore the platform

One connected simulation

One facilitator. Multiple interfaces. A room that responds.

Steps InSitu connects a facilitator-controlled host screen with learner-facing bedside monitors, auxiliary displays, and phone-friendly actor scripts. Every interface communicates over a local network.

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 transition into debrief.

02

Bedside Monitor

Give learners realistic vital signs, waveforms, oxygen controls, warmer controls, suction, and responsive patient information.

03

Auxiliary Display

Reveal ECGs, imaging, laboratory results, diagnostic studies, and clinical resources at the right moment.

04

Actor Scripts

Provide parents, standardized patients, providers, and staff roles with current-step instructions, lines, and cues.

How it works

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

  1. 01

    Connect

    Launch from a Windows host computer. Tablets, phones, and displays join through a local network using simple URLs and QR codes.

    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.

    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. A portable router can connect the host computer, bedside displays, auxiliary monitors, and actor devices without requiring internet access.

  • Offline-friendly local-network operation
  • Deployable in classrooms, simulation labs, and patient care areas
  • 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

Scenarios respond to decisions, communication, and team behavior.

Patient condition, vital signs, actor behavior, available diagnostics, and teaching prompts can change as learners act. Facilitators retain manual control throughout the experience.

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.

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.

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

Why Steps InSitu

Built by a clinical educator for clinical educators.

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: make simulation training more realistic, accessible, and impactful while reducing the technical burden placed on educators.

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

Make your next in-situ simulation easier to run and more meaningful to experience.

Steps InSitu is being developed for healthcare educators who want flexible, realistic simulation without complex infrastructure. Request a demonstration, share feedback, or ask about future access.

Submitting opens your email application with the inquiry ready to send.