Crash Cart- Cardioversion & Defebrilation - Hatem Alsrour

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DEFFINTION OF CRASH CART

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CRASH CART CONTENTS

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PURPOSE OF CRASH CART

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SECURITY NURSING‘S RESPONSIBILITIES

A crash cart or code cart (crash trolley in UK medical jargon) is a set of trays on a wheeled cart that is used in hospital wards and emergency room. It contains all the basic equipment necessary to follow ACLS protocols and potentially save someone's life.

It provides an easier access to the

. All units will set up their carts to include adult, pediatric, or newborn equipments.

Top of the trolley          

Defibrillator & cardiac monitor Adult paddles Pedi-paddles Conducting Gel ECG cable ECG paper ECG electrode Sphygmomanometer Clock Pediatric & adult stethoscope

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Resuscitation bag with O2 tubing & reservoir   

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2.

Infant Pediatric Adult

Resuscitation mask (sizes: 0,1,2,3,4 & 5) Drip stand Sharps container Tape of securing EET Razor

Top of the trolley (beneath sliding cover) 

Incubation tray  

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Laryngoscope handle Laryngoscope blades

Stylet (sizes:1,2,3,4 & 5mm) Spare batteries for laryngoscope blade

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Spare bulbs for laryngoscope

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Disposable gloves

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Sterile lubricant

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Endotracheal tubes

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Pen torch

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Calorimeter/ETCO2

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Intubating Bougie

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Laryngeal mask airway

3. Side shelves 

Portable suction machine

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Suction machine

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Pediatric & adult yankauer sucker

4. Back of cart 

Oxygen cylinder with:     

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Pressure reducing valve Pressure gauge Nipple adaptor Cylinder key Flow meter

Oxygen tubing connected to the flow meter Adult & pediatric algorhythms Crash cart checklist Resuscitation form Code blue performance quality sheet Code blue attendance sheet Cardiac board

5. Front of the cart

1st Drawer The drugs:           

Adenosine Amiodarone Epinephrine Flumazenil Magnesium sulfate Naloxone Norepinephrine Vasopression Verapamil Ketamine Normal saline

2. Pre-mixed

medication 

Atropine

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Calcium chloride 10%

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Dextrose

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Adrenaline

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Lidocaine

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Sodium bicarbonate

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Dopamine 400mg/250ml

2nd Drawer          

Oxygen non-breather mask (infant, pediatric & adult ) Pediatric & adult oxygen nasal canella Oral airway (sizes:0,1,2,3,4&5) Minitrach Pediatric & adult Magill's forceps Artery forceps Scissors Tongue depressors Suction catheter Nasogastric tube

3rd Drawer     

Angiocaths 3 ways stop-cocks Blood tube (red, blue & pink) ABG syringes Needle (sizes: 18G, 21G & 25G)

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Alcohol swabs Tourniquet Transparent tape Butterflies (sizes: 21G, 23G & 25G) Syringes (sizes : 1,3,5,10,20 & 50ml) Intraosseous needle 18G Scalpel with blade Cardiac needle 20G Sterile gauze (size: 10×10) Dressing (size: 10×10) Skin disinfectant spray Sutures (2.0 & 4.0 silk & cutting needle) 3 lumen central catheters Chest tubes (sizes : 12, 14, 28 & 32fr) Betadine solution

Bottom of trolley  IV tubing (for infusion pump)  IV tubing (for no infusion pump)  Blood infusion set  Extension tubing  Arm board

Side drawer

1. upper drawer  

Sterile gowns Goggles ∕ eyewear

2. Middle drawer  

Dressing pack Sterile towel

3. Lower drawer  

Face mask Hair covers

What is a resuscitation (crash) cart? The resuscitation cart contains all of the equipment and medications needed for advanced life support and CPR (cardiopulmonary resuscitation).

When is this cart needed? This emergency equipment is used only if the patient's heart or lungs stop working. The cart is brought to the patient's bedside when the patient's heart or lungs are failing or have failed.

To have the crash cart and Defibrillator constantly ready for use in case of life threatening condition such as cardiopulmonary arrest. OR To insure availability of all drugs, equipment, and supplies necessary to initiate advanced

The crash cart shall only be accessed by (1) the Responsible/Participating Physician, (2) a Registered Nurse, (3) Responsible Pharmacist or (4) appropriately designated Responsible Technical Staff members.

Each entry or inspection of the crash cart shall be entered into a logbook maintained with each cart.

?. The CPR committee is responsible for monitoring correct use and checking of contents. ?. The staff nurse should be knowledgeable of the crash cart contents and location to prevent any delay during cardiac arrest. ?. The head nurse or designee will be responsible for all nursing staff within their area to become familiar with the location, contents and function of all equipment in the crash cart.

?. The staff nurse should be responsible for cleaning the carts, inspecting and replacing emergency drugs as well as checking the defibrillator, cardiac monitor, autoclaved items, and oxygen tank.

. They responsible for overseeing traffic control on unit.

. They responsible for ensuring the emergency equipments are brought to the bedside.

. They responsible for delegating duties to the appropriate