LAUSR

www.ccmjournal.org Critical Care Medicine • Volume 46 • Number 1 (Supplement) Learning Objectives: Code team leader identification has been a long-standing obstacle in both simulated and real-life acute care situations. In this study, we developed a tangible object to clearly identify the code team leader and evaluated the effectiveness of this innovation in enhancing code leader identification. Methods: We designed a Code team leader card (CTLC) to clearly identify the leader while simultaneously providing valuable resuscitation information. The CTLC includes 3 different American Heart Association (AHA) Pediatric Advanced Life Support (PALS) algorithms located on the resuscitation cart for easy access during the assessment and treatment of clinically decompensating patients. Pediatric residents underwent scheduled simulations using the CTLC and were surveyed on the effectiveness of this innovation. The relationship between CTLC implementation and consistent leader recognition was evaluated using a chi-square analysis. Results: Prior to CTLC introduction, 131 residents completed surveys, and post-implementation, 41 residents completed surveys. Consistent recognition of a team leader increased significantly from 61.8% pre-CTLC to 80.5% post-CTLC (p = 0.027). Conclusions: Code team leader recognition significantly improved with the use of the CTLC. Furthermore, the CTLC had secondary benefits of enhancing team leader performance during a resuscitation by providing PALS algorithms and allowing the leader to focus on managing the code team rather than assisting with procedural tasks.