Low-Fidelity Code Blue Simulation on the Orthopaedic Unit.

Area of Science:

• Nursing Education
• Emergency Medicine
• Patient Safety

Background:

• Orthopaedic nurses manage patients with comorbidities, but Rapid Response Teams (RRTs) reduce in-hospital cardiac or respiratory arrests.
• Despite RRTs, orthopaedic nurses require proficiency in basic life support (BLS) skills, typically renewed biennially.
• Preparedness for rare emergent events remains crucial for patient safety.

Purpose of the Study:

• To describe the design and implementation of a mandatory annual low-fidelity code blue simulation for orthopaedic nurses.
• To enhance nurses' confidence and competence in managing critical events.
• To address the infrequent but critical need for BLS skills in orthopaedic nursing.

Main Methods:

• Development of a low-fidelity simulation exercise focused on code blue scenarios.
• Mandatory annual participation for all orthopaedic nurses.
• Utilizing simulation to practice and reinforce basic life support skills.

Main Results:

• The low-fidelity code blue simulation has been successfully implemented annually.
• The exercise has proven effective in enhancing nurses' preparedness.
• Increased confidence in managing rare cardiac or respiratory arrest emergencies was observed.

Conclusions:

• Annual low-fidelity code blue simulation is an effective strategy for orthopaedic nurses.
• Simulation improves nurses' comfort and performance of BLS skills.
• This approach supports ongoing readiness for critical patient care scenarios.