Date of Graduation

Spring 5-21-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Mary Donnelly


An underprepared nurse is the most dangerous threat to patient survival in the intense and frightening environment of a code blue situation. With basic life support certification required on merely a biannual basis, it cannot be expected that nurses maintain the skills and knowledge without routine application. This quality improvement project proposed the following PICOT question: for medical-surgical nurses, how does in-situ mock code blue training between BLS recertification periods affect nurse readiness and confidence in a code blue situation? Mock code simulations were conducted over a three-week period with an emphasis on hands-on practice as well as teamwork and communication. The project utilized pre- and post-intervention surveys to document changes in self-reported nurse confidence in the various skills performed during a code blue. Results showed significant improvement in self-reported nurse confidence after the mock code simulation. Insufficient survey responses and time constraints were identified as limitations to the project. Future recommendations include greater attention to defibrillation and inclusion of a debriefing period for self and team reflection. Further simulations should be maintained on a quarterly basis to ensure patient safety and nurse readiness in a code blue.

Included in

Nursing Commons