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  • The First 5 Minutes Adult Mock Code Observation

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The First 5 minutes Adult Mock Code Observation / Critique Unit Facilitator(s) Rater Timer Date Time on Unit Time off Unit DNE Present Name Mannequin Start stopwatch when mannequin becomes unresponsive.

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How to fill out The First 5 Minutes Adult Mock Code Observation online

This guide provides step-by-step instructions on how to accurately complete The First 5 Minutes Adult Mock Code Observation form online. It is designed to assist users in navigating the form efficiently and ensuring thorough documentation of mock code observations.

Follow the steps to effectively complete the observation form online.

  1. Press the ‘Get Form’ button to access the observation form and open it in your preferred editor.
  2. Fill in the unit, facilitators' names, rater, and timer details at the top of the form. Make sure all members present are accurately recorded.
  3. Enter the date, time on unit, and time off unit in the specified fields to ensure proper documentation.
  4. Note the presence of a Do Not Enter (DNE) individual by marking the appropriate checkbox and writing the name in the provided space.
  5. Start the stopwatch when the mannequin becomes unresponsive to begin timing the critical actions during the mock code.
  6. Indicate the performance of each critical action in the designated sections, offering critiques and coaching points as necessary during the post-session debrief.
  7. For each action, record the time taken for completion, ensuring to note any deviations from expected actions.
  8. Assess the patient's stability, calling for assistance as needed, while documenting any delays or incorrect actions in the corresponding sections.
  9. Once all actions are completed, check the code cart and equipment before confirming its return to the designated unit location.
  10. After filling out the form, you can save changes, download, print, or share the completed document as needed.

Complete your mock code evaluations online today for accurate record-keeping and training.

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PRIMARY NURSE – calls the code, provides chest compressions until relieved, gives information to Team Leader about the patient, reviews the chart – orders, advanced directives, last labs and vital signs, etc.

A code blue consists of the nurse activating the code, sharing known clinical information to the team, performing chest compressions, monitoring the patient, and evaluating the entire code blue process.

A mock code, which is defined as a simulation exercise with a mannequin/human patient simulator that has no respiratory effort and/or no carotid pulse, helps to encourage interprofessional teams to collaborate and improve their teamwork and fast response skills [9,10].

Objective: The objective of the Mock Code Blue drill is to evaluate staff competency in the management of cardiac/respiratory arrest or medical emergency in which additional staff assistance is required. Required Drill Frequency: Determine a time frame requirement for drills ie quarterly, monthly, bi monthly etc.

Many health care facilities—including hospitals—routinely conduct mock codes, usually quarterly. Depending on the time of day, location of the patient, and other variables, the code team's response time could vary, wasting critical minutes.

A mock code, which is defined as a simulation exercise with a mannequin/human patient simulator that has no respiratory effort and/or no carotid pulse, helps to encourage interprofessional teams to collaborate and improve their teamwork and fast response skills [9,10].

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232