Healthcare Facility Compliance 12 items
Code Blue & Rapid Response Team Audit
Audit of resuscitation readiness, rapid response activation, code documentation, and post-event debrief for a hospital code blue program.
AHA ACLS/BLS GuidelinesTJC PC.02.01.19CMS 42 CFR 482.55
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Equipment Readiness
- Are crash carts checked and documented each shift with an intact tamper seal? *
- Is the defibrillator tested each shift and are pads/batteries in date? *
- Are emergency medications on the cart current and matched to a standardized par list? *
Recognition & Activation
- Is an early-warning or track-and-trigger tool used to identify deteriorating patients? *
- Can any staff member, patient, or family member activate the rapid response system? *
- Does the rapid response or code team respond within the facility-defined target time? *
Performance & Documentation
- Is high-quality CPR (rate, depth, minimal interruptions) and defibrillation performed per AHA guidelines? *
- Is a complete code record with timed interventions and medications documented? *
- Do responders maintain current BLS/ACLS certification as required for their role? *
Review & Improvement
- Is a post-event debrief conducted after code and rapid response events? *
- Are code and rapid response events and outcomes reviewed by a resuscitation committee? *
- Are time-to-defibrillation and survival-to-discharge metrics tracked?
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