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Revitalizing the Mock Code: Roving Simulation Stations to Improve Lifesaving Competencies
Bespalov, Nicole
Bespalov, Nicole
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Thesis/Dissertation
Date
2026
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Nursing
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DOI
https://doi.org/10.34944/vxna-px60
Abstract
This quality improvement project took place across inpatient units within an oncology facility to evaluate patient-facing emergency response teams' confidence and competence in emergency life skills (ELS) through interactive, roving mock code blue simulation trainings. Implementation included: "Revive in 5" code blue micro-education sessions, twice-weekly roving Mock Code blue education sessions, and hot debriefing guided by Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). ELS team members' confidence and competence were assessed via a Likert-style survey and binary yes/no competency checklist, then compared with facility real-time defibrillator data. 62 staff responded to the survey; 96% agreed that the simulation improved their understanding of a code blue. Staff acceptance of roving in-situ mock code simulations was correlated positively with self-reported gains in both confidence and understanding. A significant Pearson correlation (r=0.355, p=0.013) was noted between years of experience, knowledge, confidence, and competence. Facility real-time code blue data metrics have room for improvement, akin to mock code performance metrics, including defibrillator shock time. Encouraging consistent repetition of emergency life skills can support quality patient care and outcomes by improving ELS team member confidence and competence.
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Accompanied by a poster presented at the Annual Doctor of Nursing Practice (DNP) Scholarly Project Poster Session, which took place April 15, 2026, in Philadelphia, PA.
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Attribution-NonCommercial-ShareAlike CC BY-NC-SA