Background: There are currently many training methods to become Advanced life support certified (ALS) as a provider. In other countries, this is taught as a five-day crash course. There is a traditional course that lasts two days total, in which there a classroom and live simulation component. However, the option is only in person every two years and leads to a lack of practice skills. The Veteran’s Affair Hospital System, including Salt Lake City Veteran’s Medical Center, has switched to a Resuscitation Quality Improvement (RQI) Program. This program varies with no in-person training and only online modules. A recent root cause analysis after a veteran’s death faulted recognition of a rhythm as a cause of death and required additional code training as RQI alone was not adequate. That confidence in skills acquisition needs to be increased. EBP Framework: Within this project, the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model was utilized, along with Kolb’s experiential learning theory (ELT). Methods: This projects objectives were to see if they can increase confidence with a didactic course and a mock code with two rhythms, a fine v-fib into PEA, followed by a debriefing. The outcome was an increase in overall confidence after this training. There were 51 total participants, it excluded two for missing pages, and these were then totaled into pre and post-test scores only. The evaluation method was a statistical analysis of a paired t-test for confidence questionnaires. Findings/Results: Compared to the literature where 12 of the articles showed that mock codes increased confidence in skills, this was in line with the literature, and mock codes increase confidence scores. The majority of staff who took part were nurses, females, most under five years of experience, less than five years in the hospital, and either from critical care or med Surg backgrounds. Most participants were newer to the profession and hospital. Conclusion: Overall, the confidence scores did increase within the education mock code sessions. This also leads to twice yearly code intervals to be required for inpatient staffing within the hospital. Overall mock codes offer safe hands-on training in an environment that supports the High-Reliability Organization (HRO) and the VA Healthcare System strives to cross the nation. There are limitations of sample size and ability to continue with this training given the rise of COVID-19 cases, the activation of the VA Healthcare System’s fourth mission, overburdening on local hospital systems, and taking on community patients.
