Case Study · 2025–2026

When a child's safety
depends on reading
the right form.
Cuando la seguridad de un niño
depende de leer
el formulario correcto.

Diabetic Student Orders: Your 7-Field Map Órdenes de Estudiantes Diabéticos: Tu Mapa de 7 Campos

A 7-minute pattern-recognition microlearning designed for school nurses in Garland ISD — built to close the gap between clinical knowledge and documentation confidence when a student's life may depend on it. Un microaprendizaje de reconocimiento de patrones de 7 minutos diseñado para enfermeras escolares en Garland ISD — creado para cerrar la brecha entre el conocimiento clínico y la confianza en la documentación cuando la vida de un estudiante puede depender de ello.

Articulate Rise 360 Storyline 360 Healthcare / School Nursing Patient Safety Pro Bono Microlearning
Client
Garland ISD
Seat Time
~7 minutes
Engagement
Pro Bono
SME
Tonia Gavins, RN, BSN, MSN
Tools
Rise + Storyline
Audience
School Nurses (RNs)
Year
2025–2026
Two orders. One pattern.
Diabetes Management
& Treatment Plan
PatientSample Student A
DiagnosisType 1 Diabetes
ProviderDana Smith, MD
1
Medication Type
Novolog + Baqsimi
2
Delivery Method
Pen / Syringe
3
Correction Scale
7-tier table
4
Independence Level
4-tier grid
Diabetes Medical
Management Plan
StudentSample Student B
DiagnosisType 1 Diabetes
PumpOmniPod 5
1
Medication Type
Multi-option list
2
Delivery Method
Insulin Pump
3
Correction Factor
6-unit max table
4
Level of Care
3-tier system
Medication Type Delivery Method Correction Scale Independence Level Supply Location Additional Instructions Provider & Contact Medication Type Delivery Method Correction Scale Independence Level Supply Location Additional Instructions Provider & Contact

The orders looked different.
The stakes were the same.
Las órdenes lucían diferentes.
Las consecuencias eran las mismas.

School nurses in Garland ISD manage students with Type 1 diabetes daily. When a student arrives at the health office, the nurse needs to act — quickly and accurately. But physician orders come from two different hospital systems: Children's Health and Cook Children's. Same essential information. Different layouts, different headers, different vocabulary.

Without a stable mental map of both formats, nurses read every order as if for the first time — slowly, anxiously, and with a non-trivial error rate. A missed field isn't just a documentation problem. It's a patient safety issue.
Las enfermeras escolares de Garland ISD atienden diariamente a estudiantes con diabetes Tipo 1. Cuando un estudiante llega a la oficina de salud, la enfermera necesita actuar — rápida y con precisión. Pero las órdenes médicas provienen de dos sistemas hospitalarios diferentes: Children's Health y Cook Children's. La misma información esencial. Diferentes formatos, diferentes encabezados, diferente vocabulario.

Sin un mapa mental estable de ambos formatos, las enfermeras leen cada orden como si fuera la primera vez — lentamente, con ansiedad y con una tasa de error notable. Un campo omitido no es solo un problema de documentación. Es un problema de seguridad del paciente.

2
Hospital systems. Two completely different order formats. One nurse trying to find the same information in both.
7
Critical fields every nurse needs to locate and document — regardless of which hospital issued the order.
60s
The window a nurse has to read an order in a high-interruption school environment. There is no quiet reading time.

Teach the pattern once.
Transfer it everywhere.
Enseña el patrón una vez.
Aplícalo en todas partes.

The solution wasn't more content — it was a different instructional approach. The core insight: reading a diabetic order isn't a knowledge problem. It's a pattern recognition problem.

Once a nurse learns what the seven fields look like on one order, they can find them on any order — even one they've never seen. The training is built around that single transfer moment: show the pattern clearly once, then let the learner find it themselves on an unfamiliar format.

The result is a 7-minute microlearning that respects the nurse's time, mirrors their real workflow, and builds the recognition reflex that replaces hesitation with confidence.

Every order contains
the same 7 fields.
Cada orden contiene
los mismos 7 campos.

1
Medication Type
Insulin brand + rescue medication
2
Delivery Method
Pump, pen, or syringe
3
Correction Scale
Glucose-to-dose table — called "Correction Factor" at Cook
4
Independence Level
How much nurse involvement is needed
5
Supply Location
Where supplies live + carry permission
6
Additional Instructions
CGM thresholds, ketone rules, special notes
7
Provider & Contact
Endocrinologist name and clinic phone

Five scenes.
One clear arc.
Cinco escenas.
Un arco claro.

1
Orient
Scene 1 · 30 sec
Establish the 7 fields as the pattern. Set the promise: you only need to learn this once.
2
Teach
Scene 2 · 2.5 min
Interactive Storyline hotspot tour of the Cook Children's order. Click each field to reveal what it looks like.
3
Transfer
Scene 3 · 2 min
Rise Labeled Graphic — find the same 7 fields on the Children's Health order. The "oh, I can do this" moment.
4
Apply
Scene 4 · 1.5 min
Assessment — extract all 7 fields from a fresh order and complete the medication administration note.
5
Keep
Scene 5 · 30 sec
Download the 7-Field Reference Card — a print-ready job aid for the workstation.

Built for the
real workflow.

Every tool and design decision was made with the nurse's 60-second window in mind. No unnecessary clicks. No long lectures. Just the pattern, the practice, and the reference card.

Articulate Rise 360
Course shell, labeled graphic interactions, knowledge checks, job aid delivery
Primary
Storyline 360
Custom hotspot annotation interaction embedded in Rise — teaches the Cook Children's order
Primary
Adobe Firefly
AI-generated photography for hero images and lesson visuals
Design
Custom HTML/CSS
Polished order replicas built from scratch — accessible, print-ready, color-blind safe
Custom
SCORM 1.2 / xAPI
LMS reporting — completion tracking and Scene 4 assessment score
Delivery
Tonia Gavins, RN, BSN, MSN
District Diabetes Educator, Garland ISD — subject matter expert, clinical accuracy review, and order interpretation guidance
SME
Accessibility First
WCAG 2.1 AA — color-blind safe palette, keyboard navigation, alt text, 4.5:1 contrast
A11Y
Why this project exists

"A missed field isn't just a documentation error. It's a child who didn't get the right dose." "Un campo omitido no es solo un error de documentación. Es un niño que no recibió la dosis correcta."

This course was designed and developed entirely pro bono for Garland ISD. No invoice. No contract. Just a Learning & Development specialist who believes that healthcare workers deserve training as carefully designed as the care they provide — and that the children in their charge deserve nothing less.

School nurses are often the only clinician a student sees all day. When a diabetic emergency happens, they act alone, in seconds, with a piece of paper in their hand. This course is for them.
Este curso fue diseñado y desarrollado completamente pro bono para Garland ISD. Sin factura. Sin contrato. Solo una especialista en Aprendizaje y Desarrollo que cree que los trabajadores de la salud merecen una capacitación tan cuidadosamente diseñada como la atención que brindan — y que los niños a su cargo no merecen menos.

Las enfermeras escolares son a menudo el único clínico que un estudiante ve en todo el día. Cuando ocurre una emergencia diabética, actúan solas, en segundos, con un papel en la mano. Este curso es para ellas.

Designed pro bono out of passion for healthcare and children

What success
looks like.
Cómo se ve
el éxito.

Reduced onboarding support calls related to diabetic order interpretation
Fewer documentation errors on medication administration notes
Faster note completion time per order — less hesitation, more confidence
Increased nurse confidence when interpreting unfamiliar order formats
Consistent compliance across the school nurse cohort — regardless of experience level

What I
learned.
Lo que
aprendí.

"The most important design decision on this project wasn't which tool to use or how many slides to build. It was recognizing that the problem wasn't clinical knowledge — it was pattern recognition. Once I saw that, everything else followed.

Seven minutes. Seven fields. One transfer moment. That's all it takes to turn anxiety into confidence — and to make sure the right child gets the right dose."
"La decisión de diseño más importante en este proyecto no fue qué herramienta usar ni cuántas diapositivas construir. Fue reconocer que el problema no era el conocimiento clínico — era el reconocimiento de patrones. Una vez que lo vi, todo lo demás siguió.

Siete minutos. Siete campos. Un momento de transferencia. Eso es todo lo que se necesita para convertir la ansiedad en confianza — y para asegurarse de que el niño correcto reciba la dosis correcta."

— Leslie Glikas, MBA, MEd · Learning & Development Specialist