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Run: Code Blue Mock Drill Evaluation

Use this Code Blue Mock Drill Evaluation template to score response time, team communication, CPR quality, and crash cart readiness during a resuscitation dr...

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Drill Identification

Drill date and time recorded

Unit / location of drill identified

Scenario type documented

Evaluator name and role recorded

Activation and Response Time

Code Blue activated promptly after recognition critical (required)

Yes No N/A

Time from activation to first responder arrival

Time from activation to crash cart arrival

Defibrillator/AED available and ready for use on arrival critical (required)

Yes No N/A

Team Communication and Role Assignment

Team leader clearly identified critical (required)

Yes No N/A

Roles assigned within the first minute critical (required)

Yes No N/A

Closed-loop communication used consistently

Team coordination maintained during CPR and equipment setup

CPR Quality

Chest compressions started without unnecessary delay critical (required)

Yes No N/A

Compression rate maintained within target range

Compression depth appropriate for patient category

Minimized interruptions in compressions

Ventilation technique appropriate when indicated

Equipment Use and Readiness

Crash cart opened and organized correctly critical (required)

Yes No N/A

Defibrillator/AED pads applied correctly when indicated critical (required)

Yes No N/A

Airway equipment selected and used appropriately

Equipment returned to ready state after drill critical (required)

Yes No N/A

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