Code Prep Choreography: Navigating the Urgent Interval

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.