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Mock Codes Lead to real Results

Paris Hotel and Casino  Las Vegas, Nevada. Mock Codes Lead to real Results. Presented by: Bridgid G. Joseph BSN, MSN, CCNS . Presenter Disclosure Information. Bridgid G. Joseph Mock Codes Lead to Real Results FINANCIAL DISCLOSURE: No relevant financial relationship (s) exist.

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Mock Codes Lead to real Results

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  1. Paris Hotel and Casino  Las Vegas, Nevada Mock Codes Lead to real Results Presented by: Bridgid G. Joseph BSN, MSN, CCNS

  2. Presenter Disclosure Information Bridgid G. Joseph Mock Codes Lead to Real Results FINANCIAL DISCLOSURE: • No relevant financial relationship (s) exist

  3. If you don’t use it, you lose it

  4. Previous mock codes on units lasted over an hour • Simulation Center: 3 hour mock code team training monthly • Fewer actual Code Blue events within our hospital Background

  5. Created a New Formalized Mock Code Program: • 1 mock code on each unit monthly • All unannounced to floor staff • Covered all shifts • Mock codes consist of a training and debrief • Last a total of 10 minutes • Focused educational exercise Intervention

  6. Start with an unresponsive patient • Training Code cart available at site • Fully stocked mimicking our code carts • Training medications/bristojets used. • Patients in a shockable rhythm • VFib, pulseless VTach Mock Code Details

  7. Recognition of Arrest • Position of bed and patient • CPR • AED • Code Cart • Emergency Medications • Debrief Mock Code Details

  8. Able to assess other hospital-wide initiatives during the response to these exercises: • Alarm Fatigue: Staff response to low level telemetry alarms (leads off alarms) • Hand hygiene: ensure all secondary responders used calSTAT, gloves, appropriate PPE • Teach code cart/code team policy changes during debrief • Team training: working together and communicating Expansion of Focus

  9. Results 2011

  10. Adjusted for time to first responder

  11. Adjusted for time to first responder

  12. Time • Staff buy-in • Increased Census • Alarm Fatigue • Staff recognition • Off Shifts Pitfalls

  13. Overall a successful program: • Improvements: • Significant improvement in overall code cart knowledge, use of AEDs, and medication location and use. • Staff starting CPR immediately, able to defibrillate quickly, and have epinephrine ready and administered quickly. • Anecdotally: • Staff report feeling more confident • Working better as teams • Asking for mock codes • Sneers have turned to cheers!! Conclusion

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