Abstract
Abstract: A digital count-up clock was incorporated into a multiple-patient simulation that required nursing students to respond to laboratory values and administer medications in a timely fashion. This study utilized observational methodology to analyze student response times and leadership behaviors. Results indicated a count-up clock can be utilized to assess attainment of patient safety competencies. Leadership behaviors observed included time management and collaboration. Utilization of the count-up clock enabled faculty to determine that quality and safety measures were being achieved. This pilot study sets precedence for more rigorous research to measure nursing student competencies where time matters.