Interactive Safety Tool

Pediatric Code Tray Audit Tool

Evaluate pediatric emergency medication trays for completeness, standardization, accessibility, labeling, expiration control, and readiness.

Professional notice: Use this tool with your institution's approved formulary, emergency protocols, PALS/NRP guidance, and code committee requirements. It does not establish required medication contents or replace institutional policy.

Step 1 of 4: select a tray type.

Tray Type

Select the tray being audited

Choose one pediatric emergency tray or cart to begin the guided audit.

Custom tray name

Audit Setup

Audit information

No patient information should be entered in this tool. Required fields are marked.

Facility or department Required Unit Required Auditor Required Audit date Required Tray or cart identifier Required Location Required Checklist version Previous audit date Notes

Audit Sections

Document findings

Section 1 of 8

Governance and Standardization

0 of 0 assessed

Configurable Checklist

Add local checklist items to this section

Use this for institution-specific contents, quantities, equipment, or process checks.

Audit criterion Expected quantity or standard

Outcome

Outcome and deficiency summary

Readiness Score

0% Incomplete audit

Applicable criteria 0

Compliant 0

Deficiencies 0

Incomplete criteria 0

Selected tray

Not selected

Tray type	Domain	Criterion	Status
No deficient items documented.

Auditor signature: ____________________________________

Reviewer signature: __________________________________

Date: _______________________________________________

Disclaimer: This quality-improvement tool supports local audit documentation only. It does not establish medication inventory requirements or replace institutional policy. Version 1.0.