First2Act for Registered Nurses

First2Act Simulation Interface

Best practice in recognising and managing patient deterioration.

An online patient simulation to challenge you in recognising and managing deteriorating patients.

The training program provides you with the opportunity to practice the most common acute patient scenarios, in a hospital setting. Learn and practice skills in recognising and managing deteriorating patients. The simulations are designed to be fun and engaging, yet with the added stress of an acutely ill patient.

Nurse feedback: “An excellent program for healthcare professionals in helping recognise a deteriorating patient.”


5 adult and 2 obstetric scenarios available.

Designed for health professionals, FIRST2ACT™ includes 5 acute care and 2 obstetric emergency scenarios.

Each 8-minute online scenario requires you to choose the most appropriate interventions for the patient, followed by personalised, dynamic feedback, helping you to improve.

CPD hours

2-4 hours of CPD with evidence-based simulations.

The program has been subjected to a raft of evaluation studies, including 24 published papers, which have demonstrated positive improvements in skill, knowledge and confidence in the management of deteriorating patients, and in a recent report, significant improvements in clinical practice.


20K completions and reviews since inception.

Since the program began, 20,000 students and health professionals have worked through the program.

Reviews overwhelmingly state that the program is engaging, stimulating and beneficial for learning, highlighting specific areas where they can improve and practice.

Registered Nurse

We use live video, rather than avatars, to create a more realistic situation that provides a level of empathy that you experience with your real patients. You will be able to perform a range of interventions to manage deteriorating patients in a short eight minute time-frame. On completion, you will receive dynamic feedback based on your decisions. As you progress through the scenarios, you will build your knowledge and skills, and you can repeat any scenarios you wish to improve on.

Nurse feedback: “I am a practicing midwife so it was a different way of thinking and managing patients.
Since I have a general nursing background this was a good refresher.”

First2Act learning aims

  • Provide scenarios that create a sense of pressure – mirroring your clinical practice.
  • Encourage you to identify presenting condition(s) and to apply a systematic approach to care.
  • Provide you with numerous care options to develop decision strategies.
  • Provide you with substantial and detailed feedback to enable practice improvements.

First2Act best-practice, research and design

The First2Act simulation program is based on six years of university research and provides dynamic feedback to the participants in relation to their performance, with the ability to be repeated multiple times.

Since this initial research, we have continually refined and expanded our program from three acute adult patient scenarios to five, and additionally, two obstetric scenarios. We utilise recognised best practice in Australia and Internationally in our training.

As an online simulation training program, First2Act was initially created for third year nursing students at major Australian universities, along with the funding support from the Office of Learning and Teaching.