Document the time the Code Team responded. Document the time the Primary Physician is called. Document the diagnosis that precipitated Code Blue. Document times that drugs and activities are initiated. A check mark in the time slot indicates initiation of a drug administration or activity.
Check marks in following time slots indicate continuance of drug administrations or an activity.
Activity slots should include the information requested under the activity category. Document additional drugs or activities that are not listed on the form. Circle status of patient post code. List Code Team members present at code using first initial, last name, title. Document location to which patient was transferred and note the time of transfer.