Background and purpose: As COVID 19 impacted schools of nursing, the impact of clinical training was immediate. Students were removed from clinical sites but clinical training was necessary to continue the education of nursing students at all levels. Select virtual clinical experiences were substituted for in person clinical experience to reinforce foundational nursing skills.Results: Implementing virtual clinical activities proved to be a challenge for schools of nursing. Finding, structuring and managing activities that foster key foundational concepts for novice student nurses is imperative.Conclusions: Management of virtual clinical activities, via a SIM Center, is key in providing foundational experiences via simulation for the novice nursing student. Substituting structured virtual clinical days, with expert clinical debriefing, can provide an adequate clinical experience.

Chronic low back pain is a condition that lasts, at minimum, twelve weeks or greater [1]. This condition is typically treated with a medication regimen

Background: An increased incidence of chronic pain is growing worldwide. Typical treatment of chronic pain often involves a medication regimen. Opioids are the most highly prescribed class of medications for chronic pain by providers.  The liberal use of opioids to help relieve chronic pain has led to other undesirable effects such as addiction, morbidity and mortality.Methods: A literature search was conducted using the key search concepts: pain AND physical therapy AND substance use. Results: A total of 5 articles met inclusion criteria out of 331 articles considered.Conclusions: The focus on alternative approaches to treatment of chronic pain/back pain for the SUD population is limited in the literature. Training for non-pharmacological options is needed for the NP and other practitioners to treat chronic back pain in the SUD population.