Date of Graduation

Fall 12-13-2024

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Dr. Ghada Dunbar

Abstract

A newly established pediatric outpatient infusion center in Los Angeles does not have immediate access to a Code Blue Team or a Rapid Response Team, and instead relies on the Staff Assist protocol to manage medical emergencies. Via direct interviews, registered nurses at the infusion center report feeling underprepared and lacking confidence to respond to medical emergencies that must be escalated to code blue. Microsystem assessment tools determined the root cause to be limited clinical exposure and limited opportunities for skills development. To address the nurses' concerns, Practicing Responses to Acute Clinical Troubles: Initiative through Clinical Education (P.R.A.C.T.I.C.E.) was implemented and studied. This intervention aimed to improve the confidence and preparedness of nurses to respond to medical emergencies through frequent, low-stakes training. Additionally, the objectives of the simulations focused on improving team communication and collaboration. Pre- and post-intervention survey results demonstrate a significant increase in the nurses’ self-reported confidence and preparedness to respond to medical emergencies. This intervention strengthens nursing knowledge, and will contribute to a positive impact on patient safety and outcomes.

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