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Implementing Multidisciplinary Mock Codes (MMCs) in a Level IV Neonatal Intensive Care Unit (NICU): Challenges and

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  • 1Author Affiliations: Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin (Ms Mitchem, Dr Cabacungan, Dr Gupta, Dr Welak, Dr Rholl, Dr Sprecher, Dr Berlin, and Dr Acharya); and Children's Wisconsin, Milwaukee, Wisconsin (Ms Schuster).

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Multidisciplinary mock codes (MMCs) in the neonatal intensive care unit (NICU) improve staff comfort with real emergencies. Most providers desire participation, especially nurses, enhancing preparedness for critical events.

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NICUmock codesmultidisciplinaryresuscitationsimulation

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Area of Science:

  • Medical Simulation
  • Neonatal Intensive Care
  • Healthcare Education

Background:

  • Neonatal intensive care unit (NICU) training often occurs in silos, separating providers by role.
  • This limits collaborative preparedness for critical events.

Purpose of the Study:

  • To implement multidisciplinary mock codes (MMCs) in a growing NICU.
  • To enhance NICU staff comfort and preparedness for real emergency codes.

Main Methods:

  • Program implementation of MMCs over two years (2022-2024).
  • Cross-sectional survey of NICU providers (n=164) post-implementation.
  • Analysis of provider comfort levels and interest in future MMCs.

Main Results:

  • 60 MMCs were conducted in a level IV NICU.
  • 65% of MMC participants felt better prepared for real codes.
  • Nurses participating in MMCs reported higher comfort levels (P = .038).
  • 84% of non-participants expressed interest in future MMCs.

Conclusions:

  • Regular MMCs are feasible and desired in the NICU setting.
  • MMCs improve provider comfort with real emergency codes, particularly for nurses.
  • Further research is needed to assess the impact of MMCs on actual code performance.