Megacode Testing Checklist: Scenarios 1/3/8

Bradycardia ➔ Pulseless VT ➔ PEA ➔ PCAC

Student Name ____________________________________________________________ Date of Test _______________________

✓ if done
Critical Performance Steps correctly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well

Bradycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes symptomatic bradycardia
Administers correct dose of atropine
Prepares for second-line treatment

Pulseless VT Management
Recognizes pVT
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses

PEA Management
Recognizes PEA
Verbalizes potential reversible causes of PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks

Post–Cardiac Arrest Care

Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management

STOP TEST

Test Results   Check PASS or NR to indicate pass or needs remediation: PASS NR

Instructor Initials __________  Instructor Number _____________________________  Date _____________________________

Learning Station Competency 

☐ Cardiac Arrest   ☐ Bradycardia   ☐ Tachycardia   ☐ Immediate Post–Cardiac Arrest Care   ☐ Megacode Practice
© 2016 American Heart Association
Megacode Testing Checklist: Scenarios 2/5
Bradycardia ➔ VF ➔ Asystole ➔ PCAC

Student Name ____________________________________________________________ Date of Test _______________________

✓ if done
Critical Performance Steps correctly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well

Bradycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes symptomatic bradycardia
Administers correct dose of atropine
Prepares for second-line treatment

VF Management
Recognizes VF
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses

Asystole Management
Recognizes asystole
Verbalizes potential reversible causes of asystole (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks

Post–Cardiac Arrest Care

Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management

STOP TEST

Test Results   Check PASS or NR to indicate pass or needs remediation: PASS NR

Instructor Initials __________  Instructor Number _____________________________  Date _____________________________

Learning Station Competency 

☐ Cardiac Arrest   ☐ Bradycardia   ☐ Tachycardia   ☐ Immediate Post–Cardiac Arrest Care   ☐ Megacode Practice
© 2016 American Heart Association
Megacode Testing Checklist: Scenarios 4/7/10
Tachycardia ➔ VF ➔ PEA ➔ PCAC

Student Name ____________________________________________________________ Date of Test _______________________

✓ if done
Critical Performance Steps correctly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well

Tachycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes unstable tachycardia
Recognizes symptoms due to tachycardia
Performs immediate synchronized cardioversion

VF Management
Recognizes VF
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses

PEA Management
Recognizes PEA
Verbalizes potential reversible causes of PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks

Post–Cardiac Arrest Care

Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management

STOP TEST

Test Results   Check PASS or NR to indicate pass or needs remediation: PASS NR

Instructor Initials __________  Instructor Number _____________________________  Date _____________________________

Learning Station Competency 

☐ Cardiac Arrest   ☐ Bradycardia   ☐ Tachycardia   ☐ Immediate Post–Cardiac Arrest Care   ☐ Megacode Practice
© 2016 American Heart Association
Megacode Testing Checklist: Scenarios 6/11
Bradycardia ➔ VF ➔ PEA ➔ PCAC

Student Name ____________________________________________________________ Date of Test _______________________

✓ if done
Critical Performance Steps correctly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well

Bradycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes symptomatic bradycardia
Administers correct dose of atropine
Prepares for second-line treatment

VF Management
Recognizes VF
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses

PEA Management
Recognizes PEA
Verbalizes potential reversible causes of PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks

Post–Cardiac Arrest Care

Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management

STOP TEST

Test Results   Check PASS or NR to indicate pass or needs remediation: PASS NR

Instructor Initials __________  Instructor Number _____________________________  Date _____________________________

Learning Station Competency 

☐ Cardiac Arrest   ☐ Bradycardia   ☐ Tachycardia   ☐ Immediate Post–Cardiac Arrest Care   ☐ Megacode Practice
© 2016 American Heart Association
Megacode Testing Checklist: Scenario 9
Tachycardia ➔ PEA ➔ VF ➔ PCAC

Student Name ____________________________________________________________ Date of Test _______________________

✓ if done
Critical Performance Steps correctly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well

Tachycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes tachycardia (specific diagnosis)
Recognizes no symptoms due to tachycardia
Considers appropriate initial drug therapy

PEA Management
Recognizes PEA
Verbalizes potential reversible causes of PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm check and pulse checks

VF Management
Recognizes VF
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses

Post–Cardiac Arrest Care

Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management

STOP TEST

Test Results   Check PASS or NR to indicate pass or needs remediation: PASS NR

Instructor Initials __________  Instructor Number _____________________________  Date _____________________________

Learning Station Competency 

☐ Cardiac Arrest   ☐ Bradycardia   ☐ Tachycardia   ☐ Immediate Post–Cardiac Arrest Care   ☐ Megacode Practice
© 2016 American Heart Association
Megacode Testing Checklist: Scenario 12
Bradycardia ➔ VF ➔ Asystole/PEA ➔ PCAC

Student Name ____________________________________________________________ Date of Test _______________________

✓ if done
Critical Performance Steps correctly
Team Leader
Ensures high-quality CPR at all times
Assigns team member roles
Ensures that team members perform well

Bradycardia Management
Starts oxygen if needed, places monitor, starts IV
Places monitor leads in proper position
Recognizes symptomatic bradycardia
Administers correct dose of atropine
Prepares for second-line treatment

VF Management
Recognizes VF
Clears before analyze and shock
Immediately resumes CPR after shocks
Appropriate airway management
Appropriate cycles of drug–rhythm check/shock–CPR
Administers appropriate drug(s) and doses

Asystole and PEA Management

Recognizes asystole and PEA
Verbalizes potential reversible causes of asystole and PEA (H’s and T’s)
Administers appropriate drug(s) and doses
Immediately resumes CPR after rhythm checks

Post–Cardiac Arrest Care

Identifies ROSC
Ensures BP and 12-lead ECG are performed, O2 saturation is monitored, verbalizes need for
endotracheal intubation and waveform capnography, and orders laboratory tests
Considers targeted temperature management

STOP TEST

Test Results   Check PASS or NR to indicate pass or needs remediation: PASS NR

Instructor Initials __________  Instructor Number _____________________________  Date _____________________________

Learning Station Competency 

☐ Cardiac Arrest   ☐ Bradycardia   ☐ Tachycardia   ☐ Immediate Post–Cardiac Arrest Care   ☐ Megacode Practice
© 2016 American Heart Association