Table 2.

Team Work and Communication Scenarios using Rapid Cycle Deliberate Practice (RCDP) Debriefing

Case	Rhythm	Scenario
1	PEA Arrest	Adult patient was admitted overnight for deep tissue infection on left leg. He recently had a subclavian central line inserted. Breath sounds are decreased on right side of the chest one minute into the code. • Cardiac Arrest starts with bedside nurse in the room doing compressions • Code Team comes in with the resident team leader • After two minutes the confederate Respiratory Care Provider comments that ventilating has gotten more difficult
2	Slow V Tach	Adult patient is admitted for lumbar discectomy. He has peripheral IV access. • Cardiac arrest starts with multiple nurses in the room • Pads are on the chest • CPR is in progress • Defibrillator is in AED mode and is still on • Code team comes in with the team leader
3	PEA Arrest	Adult patient was admitted overnight with concern for sepsis. He has peripheral IV access. Patient was noted to have elevated lactate levels as per bedside nurse report. • Cardiac arrest starts with bedside nurse in the room • No pads are on the patient • Code team comes in with the team leader • After the first rhythm check the MICU nurse states that the IV is lost and not working

PEA – Pulseless Electrical Activity, V Tach – ventricular tachycardia, CPR – cardiopulmonary resuscitation, AED – automatic electrical defibrillator, IV – intravenous line