The type of equipment you use is determined by the nature of the sims that you want to run. The medium is dictated by the learning outcomes. You can achieve “high fidelity simulation” with different simulators and standardized patients.  High fidelity is associated with realism. High fidelity “simulators” will provide students the opportunity to respond to physiologic changes in a patient care situation. If the learning outcomes are focused on communication skills and responding to nonverbal cues, etc. then a high fidelity simulator may not be the best option for that learning experience. A helpful guide is to review the curriculum map and anticipated learning experiences using simulation overall and determine the nature of the simulators that will assist your students in moving forward to achieve course, level and program student learning outcomes. 

The INACSL standards can guide you in the nature of simulation design that will inform the level of fidelity:

http://www.nursingsimulation.org/article/S1876-1399(16)30126-8/fulltext