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ACLS Megacode Checklist For Students

This document provides a skills checklist for nurses to assess proficiency in Advanced Cardiovascular Life Support (ACLS). The checklist covers critical performance steps for managing cardiac arrest, including team leadership, bradycardia, pulseless ventricular tachycardia/ventricular fibrillation, asystole, and post-cardiac arrest care. Nurses are graded on a scale of 0-2 points for each correctly performed step, with a total possible score of 42 points or 100% proficiency. The checklist aims to direct code management and resuscitate patients experiencing cardiac arrest according to the latest ACLS guidelines.

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Khrisha Anne Davillo
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175 views

ACLS Megacode Checklist For Students

This document provides a skills checklist for nurses to assess proficiency in Advanced Cardiovascular Life Support (ACLS). The checklist covers critical performance steps for managing cardiac arrest, including team leadership, bradycardia, pulseless ventricular tachycardia/ventricular fibrillation, asystole, and post-cardiac arrest care. Nurses are graded on a scale of 0-2 points for each correctly performed step, with a total possible score of 42 points or 100% proficiency. The checklist aims to direct code management and resuscitate patients experiencing cardiac arrest according to the latest ACLS guidelines.

Uploaded by

Khrisha Anne Davillo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

PAMANTASAN NG LUNGSOD NG MAYNILA


(University of the City of Manila)
General Luna Street corner Muralla Street
Intramuros, Manila

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

INTENSIVE CARE NURSING – SKILLS CHECKLIST

MEGACODE / ADVANCED CARDIAC LIFESUPPORT

PURPOSE:
Advanced Cardiovascular Life Support (ACLS) is utilized to achieve the best possible
outcome for individuals who are experiencing a life-threatening event. ACLS is a series of
evidence-based responses simple enough to be committed to memory and recalled under
moments of stress. This is a tool to direct code management in attempt to resuscitate patients
who underwent cardiac arrest. Latest ACLS Cardiac Arrest Algorithm should be followed.

PRE-REQUISITE SKILLS:
 Basic Life Support (CPR)
 Assisting in Endotracheal Intubation, Oxygen Therapy and Ambubagging
 ECG Interpretation
 Administration of Emergency IV Medications
 Defibrillation

INDICATIONS: Cardiac Arrest


 Asystole
 Pulseless Electrical Activity
 Ventricular Fibrillation
 Ventricular Tachycardia without a pulse

EQUIPMENT:
 Direct current defibrillator with paddles
 Interface material (disposable conducive gel pads, electrode gels and pastes)
 Resuscitative Equipment including Emergency Drugs
 ECG Machine/Cardiac Monitor
✓ if done
Critical Performance Steps correctly
Team Leader
1. Ensures high-quality CPR at all times
2. Assigns team member roles
3. Ensures that team members perform well
Bradycardia Management
1. Starts oxygen if needed, places monitor, starts IV
2. Places monitor leads in proper position
3. Recognizes symptomatic bradycardia
4. Administers correct dose of atropine
5. Prepares for second-line treatment
Pulseless VT and Ventricular Fibrillation Management
1. Recognizes pVT or V fib
2. Clears before analyze and shock
3. Immediately resumes CPR after shocks
4. Appropriate airway management
5. Appropriate cycles of drug–rhythm check/shock–CPR
6. Administers appropriate drug(s) and doses
Asystole and PEA Management
1. Recognizes Aystole or PEA
2. Verbalizes potential reversible causes of PEA (H’s and T’s)
3. Administers appropriate drug(s) and doses
4. Immediately resumes CPR after rhythm checks
Post–Cardiac Arrest Care
1. Identifies ROSC
2. Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and carry out orders of laboratory tests
3. Considers targeted temperature management

SCORE:

GRADING:
2 POINTS – Complete Performance and Rationale
1 POINT - Incomplete Performance and Rationale
0 POINT - Incorrect Performance and Rationale
TOTAL: 42 POINTS = 100% (Score / 42) x 100 = Score in Percentage

Checklist Adopted From American Heart Association, Megacode Testing Checklist


References:
 Hudak,et al. Critical Care Nursing: A Holistic Approach
 Schumacher & Chernecky. Critical Care and Emergency Nursing
 Lippincott. Manual of Nursing Practice
 Emergency Nurses Association of the Philippines. BLS & ACLS Handbook

Prepared By: Prof. Aris S. Santos, RN, RM


For AY 2021-2022, First Semester

Total score: _____________


I fully understand how I was graded for this skill and it was properly explained to me.
______________________________
Student’s FULLNAME & Signature
Date: ______________

I have explained and discussed how I have graded my student for this particular skill.
___________________________
Clinical Instructor FULLNAME & Signature
Date: _________

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