Teaching rapid responses under real pressure

I’m retooling our RRT curriculum to mimic ICU tempo — 90-second airway assessment, 2-minute compression cycles, and closed-loop comms drilled in a 10-minute scenario followed by an 8-minute debrief — because our new grads freeze on first contact… What’s your most effective way to hardwire these behaviors in week 1 without flooding them, and are you scoring with a checklist or live timing data?

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We run ‘90-second airway’ hot-seat micro-drills at the start of lab with a visible timer and a cheap metronome app, then a 2-minute compressions relay so they feel the ICU tempo without the whole scenario overload; we score just three items in week 1 (airway open, rate/depth, closed-loop) and save the full checklist for week 2. , nothing freezes them faster than a 12-box rubric on day one. TeamSTEPPS pocket cards help with the closed-loop piece; quick guide here: https://www.ahrq.gov/teamstepps/index.html — with your 8-minute debrief, I’d try 5 for the first two sessions to keep reps up.

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Building on @kwhite48, I stick to a two‑role “leader/doer” setup in week 1 so each new grad handles one decision or one action at a time; we run short bursts and swap on cue, and I grade with a 3‑point global rating (met, borderline, miss) instead of a long checklist. Once they stop freezing, I add a third role plus alarms — training wheels off.

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