Kevin Bell, a paraplegic, is in the simulation lab, complaining of a headache, general discomfort - tests point to kidney stones and an infection. Our nursing students were directed to administer medications, and work through the simulation in real time. The Fitchburg State University Nursing Simulation Laboratory assists nursing students in learning critical thinking and clinical judgment skills in preparation for their healthcare careers. The “manikins” act as lifelike patient simulators, wherein instructors provide real-time feedback via a control center, giving students as close to a hospital scenario as possible. Fellow students watch as their classmates work through the simulation. All students and faculty debrief after the scenario.