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First 5 Minutes--In situ Mock Codes

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Course description:
According to The American Heart Association, a 50% survival rate is achievable for a witnessed sudden cardiac arrest when the key principles of the BLS "Chain of Survival" are performed in an effective and timely manner (Berg et al, 2010).  However, both in-hospital and out-of-hospital survival rates range from 5-50% which demonstrate opportunities for improvement in many settings.  As a way to improve in-hospital and out-of-hospital survival rates, the First 5 Minutes--In situ Mock Codes educational process was implemented to provide a realistic and interactive learning arena for participants to practice the key principles of the BLS "Chain of Survival" before the arrival of the Code Team.

The First 5 Minutes--In situ Mock Codes occurs as an unannounced on-site mock code in the participant's working environment with the use of a high-fidelity mannequin.  The in situ mock code provides an opportunity for participants  to utilize the organization's emergency activation process, access unit equipment, apply defibrillator/AED pads, use their defibrillator, and practice effective BLS skills.  Every mock code is followed by a 2-5 minute debriefing session to discuss what went well, identify learning gaps, discuss best practice, share updated 2010 American Heart Association BLS changes, and answer participant questions.  An assessment tool is used to collect data that identifies learning gaps, and tracks key critical actions to analyze effectiveness of the course. 

Objectives:
1.     Demonstrate immediate recognition of a cardiac arrest
2.     Activate the emergency response system
3.     Demonstrate effective compression rate and depth
4.     Demonstrate effective airway management
5.     Demonstrate rapid and appropriate use of the Defibrillator or AED if indicated
6.     Integrate effective communication techniques

Participant Responses:
  • Hands on and reviewing keeps up knowledge and skills.
  • Simulation and actual "doing it" is more useful than lecture.  It makes it real.
  • Interactive and sharing of information was helpful.
  • It was helpful to get clarification on some clinical issues.
Click on the following document for a brief introduction:
Simulation Information for Participants
File Size: 278 kb
File Type: doc
Download File


Example of the Evaluation Form / Critique & Instructions
Mock Code Instrument
File Size: 490 kb
File Type: pdf
Download File

Rater Informational Sheet 2019
File Size: 514 kb
File Type: pdf
Download File

Course Directors: 
Krista Anderson, BSN, RN, CHSE

Length of Program:  10-15 minutes

Dates:  Offered @ Regions Hospital    monthly

For more information or to schedule a mock code experience in your unit/facility, Contact:
Krista Anderson
651-325-6357
1ur mission is to improve health and patient safety through simulation-based programs designed to maximize the abilities of individuals, teams and systems. Our vision is to be an essential partner and leader in simulation-based education and research. HealthPartners Institute (c) 2021