Get Code Blue Log Sheet 2020-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Code Blue Log Sheet online
Filling out the Code Blue Log Sheet is a critical task that requires attention to detail and accuracy. This guide provides clear, step-by-step instructions on how to complete this important document online, ensuring that all necessary information is accurately recorded during a medical emergency.
Follow the steps to fill out the Code Blue Log Sheet effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by indicating whether the event was witnessed by selecting 'Yes' or 'No'. Next, provide the patient's age, weight, and height.
- Confirm whether a hospital-wide resuscitation response was activated by selecting 'Yes' or 'No'. Record the date and the time the event was recognized.
- Document the location of the event and the patient's condition when the need for chest compressions or defibrillation was identified. Indicate if the patient was conscious at the onset.
- Select the monitoring methods used at the onset of the event, such as 'Pulseless', 'ECG', 'Pulse', or 'Apnea Monitor'.
- Detail the patient's breathing status at onset, selecting from options like 'Spontaneous', 'Apneic', 'Agonal', or 'Assisted'. Record the time of the first assisted ventilation and specify the method used.
- Document any intubation details, including the time, size, and personnel involved, as well as confirmation methods.
- Record the first documented pulseless rhythm and details about chest compressions, including whether they were manual or device-assisted, and the time they commenced.
- Indicate whether an AED was applied, and note the type of defibrillator used and any pacemaker status.
- Provide information about IV access, including site, gauge, bolus dosage, and any infusions being administered.
- Fill in the data regarding rhythms, blood pressure, and the status of circulation.
- Make note of any comments related to the event, including details of placements or responses to interventions.
- List the members present during the resuscitation event.
- Record the time the resuscitation event ended and the final status of the patient.
- Document the reason for the termination of resuscitation efforts, if applicable.
- Ensure the recorder's signature, ICU/team nurse signature, and team leader information are filled out as required.
- After faxing the order, check the 'Yes' box, and initial with the date to confirm that it was sent.
- Once complete, users can save changes, download, print, or share the form as needed.
Complete the necessary documents online to ensure accurate and timely reporting during emergencies.
Performing a Code Blue requires swift and organized action from the medical team. When a patient experiences cardiac arrest, begin CPR immediately and call for emergency assistance. Utilize the Code Blue Log Sheet to keep track of all interventions and the timing for each step. This log is vital for assessing the quality of the response and outcomes.
Fill Code Blue Log Sheet
Comp. (✓). Vital Signs. BP-HR-RR-SATS. NB: Signatures required on back. This form to be retained in patient notes - Copy to be sent to "Nurse Coordinator Resuscitation". The Code Blue Running Sheet is a structured document used to record critical events during a resuscitation response in a hospital setting. The yellow copy of the Code Blue Record sheet is sent with EMS to ER. 4.5.3. Epinephrine Bolus Syr. The Code Blue Documentation Log enables you to maintain detailed records of time and actions taken in a cardiac arrest.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.