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  3. Code Prep Choreography: Navigating The Urgent Interval.
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  3. Code Prep Choreography: Navigating The Urgent Interval.

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Code Prep Choreography: Navigating the Urgent Interval.

Dana Tschannen1, Alec J Briggs, Susan Wintermeyer-Pingel

  • 1Dana Tschannen is the Beatrice J. Kalisch Collegiate Professor of Nursing and associate dean for undergraduate studies at the University of Michigan School of Nursing in Ann Arbor, MI, where Alec J. Briggs and Susan Wintermeyer-Pingel are clinical assistant professors, Linda M. DiClemente is a clinical assistant professor and director of undergraduate program nursing specialties education, Karen Harden is a clinical associate professor and director of undergraduate program nursing sciences and medical-surgical education, Beth Russell is a clinical instructor, and Melissa Bathish is a clinical associate professor and codirector of the Clinical Learning Center. Ashley Pitts is an educational nurse specialist at University of Michigan Health, Michigan Medicine, Ann Arbor, MI, and an adjunct clinical instructor at the University of Michigan School of Nursing. Joseph Duncan is an instructor of practice at Oakland University, Rochester, MI. Contact author: Dana Tschannen, djvs@umich.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|June 25, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

A new training program, Code Prep Choreography-Urgent Interval (CPC-UI), significantly boosted nurses' confidence in responding to in-hospital cardiac arrest. This quality improvement initiative enhanced preparedness for resuscitation scenarios.

Keywords:
code preparationnursingpatient arresttraining

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Area of Science:

  • Nursing Education
  • Quality Improvement Science
  • Emergency Medicine

Background:

  • In-hospital cardiac arrest presents a significant healthcare challenge with high mortality rates.
  • Nurses are pivotal in identifying patient deterioration and initiating rapid responses during arrests.

Purpose of the Study:

  • To develop and implement a novel code preparation training program, CPC-UI (Code Prep Choreography-Urgent Interval).
  • To assess the program's impact on nurses' confidence levels in managing patient arrest situations.

Main Methods:

  • A pre-post quality improvement (QI) framework guided the training development and evaluation.
  • A hybrid training model incorporated asynchronous learning and hands-on role simulation.
  • Pre- and post-training surveys measured confidence across defined roles, with paired t tests analyzing improvements.

Main Results:

  • Eighty-four nurses completed the training and surveys, showing statistically significant increases in confidence across all CPC-UI roles.
  • Nurses reported the training as applicable, effective, and beneficial for developing new skills.
  • The training successfully enhanced nurse confidence in critical resuscitation skills.

Conclusions:

  • The CPC-UI training provided nurses with essential practice for the critical initial minutes of a patient arrest.
  • This program is particularly valuable for nurses in non-critical care areas with less frequent arrest exposure.
  • CPC-UI offers a robust model for improving nurse preparedness in resuscitation, suggesting wider implementation.