On 9/17/14, Amanda was observing another student and instructor inserting a urinary catheter at Geisinger Wyoming Valley. The student left the room without letting the instructor know. The student later told the clinical instructor she had become dizzy and thought that if she left the room she would feel better. Amanda then sat down in an empty patient room and complained of weakness, dizziness, and limited vision. She was pale and diaphoretic. Clinical instructor, Geisinger nursing staff, and Geisinger Hospitalist were in room. Blood pressure was 78/50, pulse 48, SpO2 98%. After approximately 5 minutes, the student reported symptoms had diminished. The Hospitalist advised the student to be seen in ER for fluid administration. The instructor escorted the student to the ER in a wheelchair. In triage, vital signs had improved. Blood pressure of 98/60, pulse of 88. The student reported she was asymptomatic. She refused to be seen in ER. Mrs. Barush and Mrs. Pacuska made aware. The student was instructed to follow up with family doctor and to speak to Mrs. Barush the following day.