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Run: Code Pink Infant Abduction Drill Inspection

Use this Code Pink Infant Abduction Drill Inspection template to document how quickly staff activate the alert, secure exits, verify badges, and protect infa...

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Drill Identification

Drill date and time recorded

Unit / location evaluated

Drill type identified as Code Pink infant abduction response

Inspector name and role

Reference procedure or policy reviewed

Response Time and Activation

Code Pink was activated promptly after drill trigger critical (required)

Yes No N/A

Time from trigger to initial staff response critical (required)

Time from trigger to security notification critical (required)

Staff verbally communicated Code Pink location and description

Yes No N/A

Badge Verification and Infant Security Checks

Staff verified badges/ID before allowing access to infant care areas critical (required)

Yes No N/A

Unknown or unbadged persons were challenged or escalated appropriately critical (required)

Yes No N/A

Infant identification bands / security tags remained intact and accounted for critical (required)

Yes No N/A

Staff Adherence to Code Pink Procedures

Assigned roles and responsibilities were followed

Yes No N/A

Staff maintained situational awareness and did not leave posts unattended critical (required)

Yes No N/A

Communication with security, nursing, and leadership was clear and timely

Findings, Corrective Actions, and Sign-Off

Deficiencies or non-conformances documented

Note (optional)

Corrective action plan entered for all failed critical items critical (required)

Yes No N/A

Inspector signature

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Run: Code Pink Infant Abduction Drill Inspection

Drill Identification

Response Time and Activation

Exit Control and Perimeter Security

Badge Verification and Infant Security Checks

Staff Adherence to Code Pink Procedures

Findings, Corrective Actions, and Sign-Off

Get your results