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Free · Unbranded · Medical records

Veterinary CPR Record & Code Sheet
Free PDF.

A code sheet the recorder can keep up with while CPR is running. Team roles at the top, then one line per two-minute cycle for rhythm, compressor, drugs, shocks, and EtCO2, and the outcome at the bottom.

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  • 1 page
  • US Letter
  • Two-minute cycle log
  • Team roles

Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated November 10, 2026

Preview of page one of the CPR Record (Code Sheet)
PDF · 1 page

What’s on the form

Every section, and what it’s for.

01

Arrest details

Patient, weight, location, whether the arrest was witnessed, time recognized, time CPR started, and code status confirmed.

02

Team roles

Leader, compressors, airway, drugs, and recorder, so everyone knows who is doing what.

03

Cycle log

Fifteen two-minute cycles: time, rhythm, compressor, drug and dose, defibrillation energy, EtCO2, and notes.

04

Airway & access

Intubation time, tube size, and how vascular access was obtained.

05

Outcome

Return of spontaneous circulation and the time, or the time CPR stopped and why, plus owner contact and debrief.

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Type it, then print or save.

Every line on the form is editable right here. When you’re done, print it or choose “Save as PDF” in the print dialog. Everything stays in your browser.

Emergency drug dose chart

Click any line to type, or add your logo. Nothing is uploaded or saved.

Full size

Using it well

Small habits that make it worth the paper.

Name a recorder first

The recorder calls out the two-minute cycle and keeps time. A code without one loses track of drugs and cycles within minutes.

Swap compressors every cycle

Compression quality drops quickly with fatigue. Write the compressor’s initials on each line so swaps actually happen.

Debrief while it’s fresh

A five-minute team review after the code, using this sheet, is how a team gets faster and calmer next time.

Questions about
this form.

Printing, editing, and what the form does and doesn’t cover.

Why are CPR cycles two minutes long?+

Current veterinary CPR guidelines (RECOVER) recommend uninterrupted chest compressions in two-minute cycles, with a brief pause between cycles to check the rhythm and swap compressors.

Does the form list drug doses?+

No. Doses depend on the patient’s weight and your protocol. Post a weight-based emergency drug chart in your crash area, and record what was actually given on this sheet.

Should the owner’s code status be on this form?+

There is a line to confirm it, but the decision itself should be recorded in advance on a resuscitation code status form or the admission consent.

Is this for dogs and cats?+

Yes. The layout works for any species; use the guidelines and drug chart appropriate for the patient.

Often printed together

All veterinary forms
Preview of page one of the Resuscitation Code Status Form (CPR / DNR)

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1 page, US Letter, portrait

A one-page record of what the owner wants if their pet’s heart or breathing stops in hospital: full CPR, a limited attempt, or do not resuscitate. It takes the decision out of the emergency itself, where there is no time to ask.

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Preview of page one of the Veterinary Anesthesia Monitoring Record

Veterinary Anesthesia Monitoring Record

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Preview of page one of the Hospital Treatment Sheet

Hospital Treatment Sheet

2 pages, US Letter, landscape

A 24-hour flowsheet for hospitalized patients. Orders down the side, the clock across the top, so every treatment due and given is visible at a glance, with a second page for monitoring, fluids, and shift handover.

Fill in online

A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.

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