Within each main goal, diverse sub-goals were delineated, for example that students are capable of taking a patient’s puls rate, blood pressure or respiratory rate. HiBu uses a simulation manikin manufactured by Laerdal Medical for simulation scenarios. The manikin can be programmed to produce various respiratory sounds and pulse and blood pressure rates. It is also possible to insert an intravenous catheter, administer intramuscular and subcutaneous injections and practice urinary catheterization. The students are able to communicate with “the patient” through the wireless simulation of the patient voice by an instructor hidden behind a one-way screen.