Audit

Timely response

Physician

ICU Code Team

Respiratory Therapy

Anesthesia

EKG/Orderly

Pharmacy

Phlebotomist

Radiology

Airway

Airway Attempts

Vascular Access
Chest Compressions
Defibrillation
Medications
Leadership
ACLS/PALS
Equipment Availability

Comments:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.