Using facilitators in mock codes: recasting the parts for success

Area of Science:

• Healthcare Education
• Nursing Professional Development
• Emergency Medicine Simulation

Background:

• Identified need for a comprehensive mock code program to address diverse learning requirements among hospital staff.
• Recognized varying levels of knowledge, skills, and experience within nursing and caregiver roles.

Purpose of the Study:

• To implement and evaluate a novel mock code program for pediatric hospital staff.
• To enhance the skills, confidence, and performance of healthcare providers during simulated critical events.

Main Methods:

• Utilized experienced emergency room and pediatric intensive care Registered Nurses (RNs) and respiratory therapists as facilitators.
• Facilitators provided real-time teaching, guidance, and performance evaluation during mock code drills.
• Incorporated debriefing sessions and written evaluations for participant and facilitator feedback.

Main Results:

• Code participants reported valuing the non-threatening practice environment and immediate feedback.
• Facilitators demonstrated strengthened teaching abilities and enhanced their own code knowledge.
• Both participants and facilitators showed growth in knowledge, skills, and confidence.

Conclusions:

• The program effectively integrates novice and experienced nurses in collaborative mock code scenarios.
• Enhanced nurse competency, calmness, efficiency, and confidence during critical events were observed.
• The program facilitates data-driven improvements in practice and equipment, benefiting patients, staff, and the hospital.