Each year, about 292,000 adult patients in the United States have an in-hospital cardiac arrest (IHCA), with substantial variance in their rate of survival (Merchant et al., 2020). Graduate nurses must be knowledgeable and prepared to respond to codes. Mock Codes or simulation-based teaching will allow nurses to practice skills, expand their knowledge, and gain self-confidence in a secure and controlled setting with no risk to patients, reducing nurses' anxiety. CPR certification is currently updated every two years, and research has shown that learned skills begin to deteriorate after three months. As a result, if simulated codes are introduced skills may be maintained, and nurses will be more competent and prepared to respond to code blues.

Implementing mock code simulation is important because nurses are often the first responders to a code. Reduction of delays requires prompt action, particularly by nurses while awaiting the arrival of the code response team. It is important for nurses to recognize deterioration in a patient because it enables clinicians to prioritize interventions that will often prove lifesaving. If resuscitation is delayed due to a lack of knowledge, skill, and competency this can result in poor patient outcomes, higher readmission rates, increase in hospital resources, and cost overall.

Date of publication

Fall 12-4-2023

Document Type

MSN Capstone Project



Persistent identifier



MSN Education

Included in

Nursing Commons