Resuscitation and Critical Care | Resource
Rounding Checklist
Patient Profile Context
Patient Identifier
One-Liner Summary
Code Status Selection
Code Status Options
Full
DNI
DNR
CMO
Systems Operational Manifest (Call-and-Response)
Neurologic
NURSING:
CPOT and RASS?
PHARMACY:
High risk meds?
Quality Indicators
Pain, agitation, sedation optimization
Delirium monitoring & mitigation
Sleep hygiene metrics
Pulmonary
NURSING:
Respiratory concerns?
RT:
Status update parameters?
Quality Indicators
SBT / ERT Status:
Pass
Fail
Deferred
Cardiovascular
NURSING:
Hemodynamics overview?
PHARMACY:
Active vasoactive infusions?
Quality Indicators
Arterial line integrity & necessity
Central line integrity & necessity
Gastrointestinal
NURSING:
Enteral intake / output profile?
NUTRITION:
Metabolic recommendations?
PHARMACY:
Prophylactic support?
Quality Indicators
G.I. prophylaxis verified
Bowel regimen compliance
PO days tracking
Nephrology
NURSING:
UOP tracking (cc/kg/hr)?
PHARMACY:
Electrolyte disarray tracking?
PHARMACY:
Renal clearance dosing adjustments?
Quality Indicators
Foley catheter line evaluation
Acid/base balance review
Electrolytic status validation
Endocrine
NURSING:
Serum glucose trends?
PHARMACY:
Insulin / dextrose titration?
PHARMACY:
Steroid pathways / thyroid support?
Quality Indicators
Hypoglycemia events (past 24h)
Hyperglycemia events (past 24h)
Hematology
NURSING:
Bleeding or hemorrhagic signs?
PHARMACY:
Blood product utilization review?
Quality Indicators
VTE prophylaxis protocol active
Blood transfusion consent verified
Musculoskeletal
NURSING:
Wounds, integrity, or physical mobility status?
NURSING:
Orthopedic specific restrictions?
Quality Indicators
Mobility and physical rehabilitation status
Restraints review and clearance necessity
Infectious Disease
NURSING:
Infectious developments or spikes?
PHARMACY:
Antimicrobial tracking & modifications?
Quality Indicators
Antibiotic stewardship review
Microbiology culture metrics analysis
Surgery / Trauma
NURSING:
Operative schedules / updates?
PHARMACY:
MAR hold confirmations?
Quality Indicators
Surgeon daily alignment and operational manifest
Disposition Planning
Case Management: Length of Stay (LOS) & Discharge (DC) structural barriers
Nursing Management: Disposition & care transitions barriers
Clear Active Checklist Matrix
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