During an emergency code, when should documentation of events be performed?

• A. After the code concludes
• B. As events occur
• C. Only at shift change
• D. Documentation is not required

Answer: (B)

Documenting events as they occur is essential during an emergency code. Recording in real time preserves the exact sequence of actions, timing, and patient responses, which is crucial for continuity of care and for accurate review later. You should note when interventions happen (like defibrillation, medications, CPR rounds, airway management), the doses given, who performed them, and how the patient responds, along with any changes in rhythm or vital signs and the equipment used. Real-time documentation reduces reliance on memory and provides a reliable legal and quality-improvement record.

Delaying documentation until after the code ends can cause details to be forgotten or recorded inaccurately, and waiting until shift change can miss important intra-code events. Documentation is an ongoing responsibility during the emergency, not something that can be skipped.