Abstract:

To meet the ever-increasing demands of nursing education, as well as those of the new graduate at the bedside, faculty at the College of Staten Island have designed and implemented a Mock Code program into the undergraduate nursing curriculum. This program bridges both the theory and clinical components of complex clinical situations, addressing the cognitive, affective, and psychomotor domains of learning. Using Laerdral's SimMan, a human patient simulator, and case scenarios, undergraduate students learn together in an environment that is safe and conducive to learning.
Our goal is to create a safe, effective learning opportunities based on active learning techniques in a high tech, high-fidelity environment with state-of-the-art equipment. In the age of addressing increasing medical errors, we stress patient safety and focus clinical practice embedded within simulated clinical experiences (SCE).
We hope to provide the audience with an introduction to technologically based teaching-learning strategies used in nursing curriculum, specifically using the Mock Code situation. In addition, we hope to stimulate discussion relative to the identification and use of new concepts within nursing curricula.
In this particular situation the student, explore a Cardiac Arrest scenario.
They learn to identify:
1 .What is a Rapid Response?
2. What is a Code?
3. What is the Procedure for initiating a Code?
4. What are the Nurses Responsibilities?
5. Documentation
6. Actually acting out a Mock code- divide group into two- 5 students each
a. Nurse finding patient (primary nurse)
b. Nurse starting CPR (secondary nurse)
c. Nurse assisting anesthesia
d. Nurse giving meds
e. Nurse documenting
7. While one group is performing the simulation the other will evaluate, then rotate.
8. Debriefing- How did it go? Debriefing session should include guided questioning, reflection-in-action, reflective reflection, critical thinking an expansion beyond scenario (what if …happened?)
Expected Results: The student are expected to obtain the skills needed to participate on a beginning level, in either a Rapid Response or Cardiac Arrest. He/She will be able to apply these principles of care in order to function successfully in a true emergency.

Keywords:

mock code, high fidelity simulation, simulation clinical experiences, rapid response.