About Us

Swift River Virtual Clinicals was created from a lifetime of experience by our founder, Daniel Moreschi (RN, MS, MSN, CMSRN). With experience in both clinical nursing and nursing education, Dan discovered the need for effective ways to replace the lack of practical clinical experiences which current nursing students were facing. He was also keenly aware of the requirement for nursing schools to produce safe practitioners with the skills and ability to do well on their NCLEX exams, enabling them to become caring and proficient clinical nurses. Finally, Dan knew from his experiences in the clinic and the classroom that to accomplish these goals, the nursing student must develop his or her experiential learning and sequential thinking skills and understand the concepts of prioritization, delegation, and assignment.

Dan’s answer was to create and develop a suite of “Virtual Clinical” software products that could give students and clinical nurses the benefit of many years of experience. He began with the Emergency Room Clinical, which builds an individual’s sequential thinking ability. In addition, the ER teaches how to accurately triage patients and make appropriate nursing assignments while providing each answer with correct rationale. The ER simulator also efficiently teaches how to manage staffing resources in the ER. A Fundamentals of Nursing simulator is also included and teaches new students how to listen to a report, appropriately classify patients, and assign appropriate nursing diagnosis’s. Each Virtual Clinical provides the student or clinical nurse—and the instructor or nurse manager—an evaluation of each simulation, and the cumulative composite scores and recorded times. This allows the student/nurse and their instructor/manager to evaluate the progress and determine an individual’s standing among classmates or colleagues. The skills learned working with our Clinical products are easily transferred to other nursing settings for both the student and clinical nurse.

Swift River Clinicals are based on the educational learning theory of Kiili’s Experiential Gaming Model and the Experiential Learning Model developed by David Kolb. In other words:

  • The student is presented with a patient(s), including symptoms, brief medical history, and vital signs


  • The nurse reviews all the relevant information


  • The nurse determines the actions to be taken (prioritization, delegation, and assignment)


  • The nurse receives immediate feedback on the accuracy and appropriateness of their decisions


  • The process loop continues