New graduate nurses (NGNs) are not fully prepared to recognize and react to rapidly declining patient conditions. Academic curricula typically do not target education related to rapid response events. A study was conducted to evaluate if a collaborative simulation between senior nursing students and NGNs would develop and improve the knowledge and skills needed to recognize and react to a patient who is rapidly deteriorating. Outcomes showed that participants made gains in the areas of competence, prioritization, and communication. This model can be used by other nurses in professional development to increase NGN competence, confidence, and safety.