(54) Preparation For Practice: Mock Codes in Nursing Education

Abstract : Mock codes simulate life-threatening situations like cardiac or respiratory arrest. This provides training for nursing students who lack real-world experiences in emergencies. With global nursing shortages, organizations are decreasing orientation time for new nurses and offering limited exposure to critical situations. Correlation of patient decompensation and interventions was identified as a need for improvement and a simulation was developed using Experiential Learning Theory, guided by INACSL Best Practice Standards. Simulated mock codes give students hands-on practice in a controlled environment, leading to improved confidence, skills, and communication.
Kolb’s learning cycle—Concrete Experience, Reflective Observation, Abstract Conceptualization, and Active Experimentation—informed the simulation structure. The scenario was integrated into a Medical-Surgical course to deepen understanding of acute coronary events. Preparatory material, a pre-brief, and a scripted scenario were presented, followed by peer observation and debriefing using the plus/delta model. The evaluation involved a rubric with defined learning objectives, and pre/post surveys measured learner insights.
This mock code simulation, implemented at two campuses within an undergraduate nursing program at a private university, served cohorts ranging from sixteen to fifty students. Results showed students recognized the chaotic nature of emergencies and improved their skills, communication, and clinical judgment after repeated practice. Learners reported greater confidence in handling real emergencies, underscoring the value of mock codes in preparing nursing students for critical patient care.

Please include a short summary of your presentation that highlights why an attendee would want to participate in your session.: Mock code simulations enhance knowledge and clinical judgment and prepare students to face critical situations as new nurses. Using Experiential Learning Theory and INACSL Best Practice Standards, a mock code simulation allowed students to actively practice skills necessary for the best patient outcomes. Additionally, mock code simulations improve learner confidence and communication with other team members.